| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 4.28 MB | Adobe PDF |
Advisor(s)
Abstract(s)
A Organização Mundial de Saúde classifica a identificação do doente como a primeira meta internacional de segurança, devendo os hospitais desenvolver estratégias para a sua implementação. Trabalho descritivo e transversal com o objetivo de estudar o modo como os enfermeiros dos serviços de internamento e do ambulatório de um hospital central percecionam e vivem o processo de identificação do doente. Observaram-se as atividades desenvolvidas pelos enfermeiros que aceitaram participar no estudo, durante 100 horas. Identificaram-se 566 oportunidades de identificação do doente, 49% das quais antes da administração de medicação. No final do período de observação foi aplicado questionário. Amostra, maioritariamente feminina (80%) e licenciada (61%), refere que 67% dos profissionais não teve formação específica em segurança do doente, e apenas oito tiveram formação em identificação do doente. Enfermeiros com nove ou menos anos de experiência profissional e que trabalham há seis ou menos anos no serviço atual, dão respostas, percentualmente, mais positivas. Maioritariamente os enfermeiros desconhece os identificadores inequívocos, considerando alguns o número da cama como um dado de identificação. Embora o uso de pulseira para identificação dos doentes faça parte da rotina dos serviços, a realidade demonstra que ainda não há a cultura de a conferir antes dos procedimentos, desconsiderando-se, este importante recurso de prevenção de eventos adversos. Formação e auditorias à aplicação do procedimento de identificação do doente e o desenvolvimento de uma cultura de segurança com registo de eventos adversos, pode ajudar à identificação de potenciais problemas e ajudar a melhorar os procedimentos de identificação inequívoca do doente.
ABSTRACT - The World Health Organization (WHO) classifies patient identification as the first international safety goal, thus, hospitals must develop strategies to implement the unequivocal identification of the patient. This is a descriptive cross-sectional study aimed to investigate how nurses from inpatient and outpatient services of a central hospital perceive and live the patient identification process. The activities performed by the nurses who accepted to participate in the study were observed, over a total of 100 hours. There were 566 opportunities to make the patient identification, 49% of which were before medicine administration. At the end of the observation period a questionnaire was applied. The sample was mostly female (80%) and 61% of the total number of nurses surveyed were honors graduates. The nurses answered that they didn’t have training in patient safety, and only eight nurses had training in patient identification. The nurses with nine or less years of experience and those working for six years or less in the current service were the ones who gave the more positive answers percentage-wise. Most nurses were unaware of the meaning of unambiguous identifiers. Furthermore, some of them were under the impression that the bed number was a patient identifier. Although the use of a bracelet with the patient identification is used in most services, the results show that there isn’t the habit of checking it before the procedures, therefore disregarding an important resource for the prevention of adverse eventualities. Training and audits on the implementation of the patient identification procedure and the development of a safety culture with the registration of adverse situations, can help to identify potential problems and help to improve the unambiguous identification procedures of the patient.
ABSTRACT - The World Health Organization (WHO) classifies patient identification as the first international safety goal, thus, hospitals must develop strategies to implement the unequivocal identification of the patient. This is a descriptive cross-sectional study aimed to investigate how nurses from inpatient and outpatient services of a central hospital perceive and live the patient identification process. The activities performed by the nurses who accepted to participate in the study were observed, over a total of 100 hours. There were 566 opportunities to make the patient identification, 49% of which were before medicine administration. At the end of the observation period a questionnaire was applied. The sample was mostly female (80%) and 61% of the total number of nurses surveyed were honors graduates. The nurses answered that they didn’t have training in patient safety, and only eight nurses had training in patient identification. The nurses with nine or less years of experience and those working for six years or less in the current service were the ones who gave the more positive answers percentage-wise. Most nurses were unaware of the meaning of unambiguous identifiers. Furthermore, some of them were under the impression that the bed number was a patient identifier. Although the use of a bracelet with the patient identification is used in most services, the results show that there isn’t the habit of checking it before the procedures, therefore disregarding an important resource for the prevention of adverse eventualities. Training and audits on the implementation of the patient identification procedure and the development of a safety culture with the registration of adverse situations, can help to identify potential problems and help to improve the unambiguous identification procedures of the patient.
Description
Mestrado em Gestão e Avaliação de Tecnologias em Saúde
Keywords
Erro médico Identificação do doente Qualidade em saúde Segurança do doente Meio hospitalar Medical error Patient identification Quality in health care Patient safety Hospital
Citation
Almeida MF. Identificação inequívoca do doente em contexto hospitalar [Dissertation]. Lisboa: Escola Superior de Tecnologia da Saúde de Lisboa/Instituto Politécnico de Lisboa; 2016.
Publisher
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa