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Percepção da equipe de enfermagem de um hospital de ensino acerca da segurança do paciente; Perception of the nursing staff of a teaching hospital on patient safety

Massoco, Eliana Cristina Peixoto
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 22/06/2012 PT
Relevância na Pesquisa
66.23%
Trata-se de um estudo quantitativo com delineamento exploratório-descritivo, cujos objetivos foram conhecer a percepção dos trabalhadores de enfermagem de um hospital de ensino acerca da segurança do paciente, considerando-se as dimensões de cultura de segurança, e identificar os principais fatores que acarretam danos ao paciente na referida instituição. O estudo foi desenvolvido em um hospital público e de ensino, e a população constituída por 95 profissionais de enfermagem. A coleta de dados ocorreu entre os meses de maio a outubro de 2011, por meio de um questionário baseado na Agency Health Research Quality, empregando-se a escala de Likert e considerando-se as dez dimensões de cultura de segurança e duas variáveis de resultado: expectativas e ações dos supervisores e gerentes na promoção da segurança do paciente, aprendizado organizacional melhoria contínua, trabalho em equipe no âmbito das unidades, abertura para as comunicações, feedback e comunicação a respeito de erros, respostas não punitivas aos erros, pessoal, apoio da gestão hospitalar para a segurança do paciente, trabalho em equipe pelas unidades hospitalares, transferências internas e passagens de plantão, percepções generalizadas sobre segurança...

A cultura de segurança do paciente na percepção de profissionais de enfermagem de um hospital de ensino; The patient safety culture in perception of nursing professional from a teaching hospital

Batalha, Edenise Maria Santos da Silva
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 03/12/2012 PT
Relevância na Pesquisa
66.3%
Trata-se de um estudo quantitativo descritivo-exploratório, cujos objetivos foram avaliar a percepção de profissionais de enfermagem de um hospital de ensino acerca das dimensões de cultura de segurança do paciente e identificar os fatores intervenientes que influenciam na segurança do paciente. A pesquisa foi desenvolvida em um hospital de ensino no Município de São Paulo e a população foi constituída por 305 profissionais de enfermagem. A pesquisa foi aprovada nos Comitês de Ética da EEUSP e da instituição - cenário do estudo. Os dados foram coletados no período de fevereiro a junho de 2012, por meio do questionário da Agency for Health Research and Quality, intitulado Hospital Survey on Patient Safety Culture. O referido instrumento incorpora dez dimensões de segurança do paciente, duas variáveis de resultados, o grau de segurança do paciente e o número de eventos adversos (EA) relatados. A análise dos dados ocorreu por meio de estatísticas descritivas e analíticas. O instrumento de coleta de dados mostrou-se confiável (Alpha de Cronbach total de 0,90). Na caracterização dos participantes 18,9% eram enfermeiros, 26,6% técnicos e 54,5% auxiliares de enfermagem e a maioria estava na faixa etária de 26-40 anos. Nas dimensões avaliadas salientamos que no Trabalho em equipe no âmbito das unidades 72...

Análise da causa raiz de incidentes relacionados à segurança do paciente na assistência de enfermagem em unidades de internação, de um hospital privado, no interior do Estado de São Paulo; Root cause analysis of incidents related to patient safety in nursing care in inpatient units, a private hospital in the State of São Paulo.

Teixeira, Thalyta Cardoso Alux
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 19/12/2012 PT
Relevância na Pesquisa
66.2%
Atualmente a maioria das instituições vem buscando a qualidade da assistência, a segurança dos pacientes e o gerenciamento de riscos nos serviços de saúde, a fim de proporcionarem uma assistência livre de riscos e danos, o que pressupõe que incidentes sejam analisados para prevenir sua ocorrência. Trata-se de um estudo do tipo exploratório, cujo objetivo foi analisar dois tipos de incidentes relacionados à segurança do paciente, na assistência de enfermagem, que foram notificados em um hospital geral e privado, do interior do Estado de São Paulo, no período de janeiro a março de 2012, por meio da metodologia da Análise de Causa Raiz. Dessa forma, o universo em estudo foi constituído por 62 incidentes relacionados à segurança do paciente, sendo 11 quedas e 51 erros de medicação notificados. A pesquisa foi realizada em duas fases, sendo que, na primeira fase, os dados dos formulários de notificação e dos prontuários dos pacientes foram transcritos para o instrumento de coleta de dados. Na segunda fase, incidentes relacionados à segurança dos pacientes e que causaram danos, em relação às quedas, ou que tinham potenciais, no caso dos erros de medicação, foram submetidos a essa análise. Assim...

Gerenciamento da segurança do paciente nos serviços de enfermagem hospitalar; Patient Safety Management in Hospital Nursing Services

Françolin, Lucilena
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 27/05/2013 PT
Relevância na Pesquisa
66.19%
Comumente, o cuidado ao paciente é prestado de forma bem-sucedida, no entanto, por mais preparada e capacitada que uma equipe de trabalho esteja, erros poderão acontecer. O gerenciamento de riscos cria alternativas para diminuir ou eliminar as falhas, que podem ocorrer durante a prática dos profissionais, e os enfermeiros desempenham papel de destaque nesse gerenciamento, pois exercem variadas funções dentro das instituições de saúde sendo os responsáveis pelo cuidado durante as 24 horas. O objetivo deste estudo foi analisar o gerenciamento da segurança do paciente junto aos Serviços de Enfermagem de hospitais do interior do Estado de São Paulo, por meio de pesquisa com os enfermeiros responsáveis técnicos e enfermeiros coordenadores das áreas assistenciais e apoio. Trata-se de estudo descritivo, não experimental, com delineamento transversal. Para coleta dos dados, foram elaborados dois instrumentos com questões de múltipla escolha, utilizando-se como base o questionário da Agency for Healthcare Research and Quality (AHRQ). Os dados foram organizados e analisados por meio de estatística descritiva, utilizando-se o software SPSS. O estudo foi realizado em 7 hospitais, com 56 sujeitos sendo, 7 responsáveis técnicos e 49 coordenadores. O tempo de formação profissional...

Cultura de segurança do paciente em serviços de enfermagem hospitalar; Culture of patient safety from the perspective of the nursing staff in hospital services

Costa, Daniele Bernardi da
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 19/09/2014 PT
Relevância na Pesquisa
66.28%
Trata-se de uma pesquisa quantitativa e descritiva, tipo survey, cujo objetivo foi investigar a cultura de segurança do paciente, na ótica dos profissionais de enfermagem de serviço hospitalar. O estudo foi realizado em dois hospitais e aprovado pelo Comitê de Ética da Escola de Enfermagem de Ribeirão Preto e em ambas instituições. A amostra foi composta por 46 enfermeiros, 124 auxiliares de enfermagem e 112 técnicos de enfermagem. A coleta de dados ocorreu nos meses de junho e julho de 2013, através da aplicação questionário intitulado Hospital SurveyonPatientSafetyCulture, instrumento da Agency for Health ResearchandQuality. A análise dos dados ocorreu através de estatísticas descritivas. Quanto a caracterização dos participantes 84,7% eram do sexo feminino e 15,3% do sexo masculino, com média de 37,7 anos de idade, observa-se a predominância de técnicos de enfermagem com 41,2%, 34,6% de auxiliares de enfermagem e 24,3% de enfermeiros. Com base na avaliação das dimensões, salienta-se na dimensão trabalho em equipe dentro das unidades, que 69,4% dos profissionais concordam que quando há muito trabalho a ser feito rapidamente, trabalham em equipe para concluí-lo devidamente, na dimensão expectativas e ações de promoção de segurança dos supervisores / gerentes...

Cultura organizacional para segurança do paciente em terapia intensiva: comparação de dois instrumentos Hospital Survey on Patient Safety Culture (HSOPSC) e Safety Attitudes Questionnaire (SAQ); Patient Safety Culture in intensive care: comparison of two instruments Hospital Survey on Patient Safety Culture (HSOPSC) and Safety Attitudes Questionnaire (SAQ).

Santiago, Thaiana Helena Roma
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 03/12/2014 PT
Relevância na Pesquisa
66.3%
Introdução: A segurança do paciente tornou-se uma preocupação formal em diversos sistemas de saúde no mundo nas últimas décadas. Em 2004 a Organização Mundial da Saúde (OMS) propõe a Aliança para segurança do paciente e aponta a avaliação da cultura de segurança nas instituições de saúde como um dos aspectos chave para esse processo. Método: pesquisa transversal de abordagem quantitativa, realizada em um hospital de ensino no interior do estado de são Paulo entre os meses de março e abril de 2014. A população de estudo foi composta por todos os profissionais que faziam parte da escala de trabalho das unidades de terapia intensiva (UTI) adulto, pediátrica e neonatal e não se enquadravam no critério de exclusão (menos de 6 meses na unidade). Foram aplicados dois instrumentos para avaliação da cultura e clima de segurança do paciente, o Hospital Survey on Patient Safety (HSOPSC) e o Safety Attitudes Questionnaire (SAQ), e um instrumento para levantamento das informações sociodemográficas e profissionais. Para a análise de dados utilizou-se o teste de confiabilidade das escalas pelo Alfa de Cronbach. Foi verificada a presença de associações das escalas com variáveis de estudo pelo qui-quadrado de Pearson ou teste exato de Fischer nas variáveis qualitativas...

Segurança do paciente em Unidades de Terapia Intensiva: fatores dos pacientes, estresse, satisfação profissional e cultura de segurança na ocorrência de eventos adversos; Patient safety in Intensive Care Units: patient factors, stress, professional satisfaction and safety culture in adverse healthcare events

Ducci, Adriana Janzantte
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 22/04/2015 PT
Relevância na Pesquisa
66.25%
Introdução: As Unidades de Terapia Intensiva (UTI) são ambientes propícios a ocorrência de Eventos Adversos (EA) devido a complexidade da assistência e das várias intervenções realizadas. Fatores relacionados aos profissionais de enfermagem, caraterísticas dos pacientes e cultura de segurança podem associar-se a ocorrência desses eventos. Identificar os fatores associados a sua ocorrência é importante para planejamento de melhorias. Objetivo: Analisar a associação entre variáveis demográficas e clínicas dos pacientes, estresse e satisfação dos profissionais de enfermagem e percepção da cultura de segurança do paciente com a ocorrência de EA de gravidade moderada e grave em UTI adulto. Método: Estudo realizado em oito UTI de um hospital universitário da cidade de São Paulo. Para coleta de dados dos pacientes realizou-se uma coorte prospectiva entre 03 de setembro e 01 de dezembro de 2012. Dados demográficos e clínicos, incluindo SAPSII, LODS, Índice de Comorbidade de Charlson (ICC) e Nursing Activities Score (NAS) e EA foram levantados das informações do prontuário e acompanhamento de 10% das passagens de plantão. Os EA foram caracterizados segundo Classificação Internacional para Segurança do Paciente (CISP) da Organização Mundial da Saúde. Para investigar o estresse...

Teaching patient safety in the medical undergraduate program at the Universidade Federal de São Paulo

Bohomol,Elena; Cunha,Isabel Cristina Kowal Olm
Fonte: Instituto Israelita de Ensino e Pesquisa Albert Einstein Publicador: Instituto Israelita de Ensino e Pesquisa Albert Einstein
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2015 EN
Relevância na Pesquisa
66.19%
Objective To analyze the Educational Project of the undergraduate medical course to verify what is taught regarding Patient Safety and to enable reflections on the educational practice. Methods A descriptive study, using document research as strategy. The document of investigation was the Educational Project of the medical course, in 2006, at the Escola Paulista de Medicina of the Universidade Federal de São Paulo. The theoretical framework adopted was the Multi-Professional Patient Safety Curriculum Guide of the World Health Organization, which led to the preparation of a list with 153 tracking terms. Results We identified 65 syllabus units in the Educational Project of the course, in which 40 (61.5%) addressed topics related to Patient Safety. Themes on the topic “Infection prevention and control” were found in 19 (47.5%) units and teaching of “Interaction with patients and caregivers” in 12 (32.5%); however content related to “Learning from errors to prevent harm” were not found. None of the framework topics had their proposed themes entirely taught during the period of education of the future physicians. Conclusion Patient safety is taught in a fragmented manner, which values clinical skills such as the diagnosis and treatment of diseases...

Protocolo de avaliação do cuidado de enfermagem e da segurança do paciente em unidades de terapia intensiva; Evaluation protocol of nursing care and patient safety in Intensive Care Units

Alves, Kisna Yasmin Andrade
Fonte: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Enfermagem; Assistência à Saúde Publicador: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Enfermagem; Assistência à Saúde
Tipo: Dissertação Formato: application/pdf
POR
Relevância na Pesquisa
66.29%
The reports of adverse events date from 1990 up to the present day. Conceptually, these adverse events are unintentional injuries unrelated to the underlying disease, causing measurable lesions in patients, extending the period of hospitalization, or leading to death. These issues require discussions with regard to patient safety, improved quality of service, and preventing medical errors. In the Intensive Care Units, this concern is greater because these are sectors of intensive care to individuals with hemodynamic changes and imminent risk of death. Therefore, it is essential to conduct evaluation processes to investigate aspects of quality of nursing care and patient safety in these spaces. For that reason, we aimed to propose the Evaluation protocol of nursing care and patient safety in Intensive Care Units. For its achievement, we needed to: 1) analyze the evolution of the patient safety concept used in scientific productions, under Rodgers evolutionary concept; 2) identify the necessary items to build the evaluation protocol of nursing care and patient safety in the Intensive Care Unit, from the available evidence in literature; 3) construct an instrument for content validation of the evaluation protocol of nursing care and patient safety in the Intensive Care Unit; and 4) describe and evaluate the appropriateness of the content for an evaluation protocol of nursing care and patient safety in the Intensive Care Unit. This is a methodological study for the content validation of the abovementioned protocol. To meet the first three specific objectives...

An integrated framework for safety, quality and risk management: an information and incident management system based on a universal patient safety classification

Runciman, W.; Williamson, J.; Deakin, A.; Benveniste, K.; Bannon, K.; Hibbert, P.
Fonte: British Med Journal Publ Group Publicador: British Med Journal Publ Group
Tipo: Artigo de Revista Científica
Publicado em //2006 EN
Relevância na Pesquisa
66.19%
More needs to be done to improve safety and quality and to manage risks in health care. Existing processes are fragmented and there is no single comprehensive source of information about what goes wrong. An integrated framework for the management of safety, quality and risk is needed, with an information and incident management system based on a universal patient safety classification. The World Alliance for Patient Safety provides a platform for the development of a coherent approach; 43 desirable attributes for such an approach are discussed. An example of an incident management and information system serving a patient safety classification is presented, with a brief account of how and where it is currently used. Any such system is valueless unless it improves safety and quality. Quadruple-loop learning (personal, local, national and international) is proposed with examples of how an exemplar system has been successfully used at the various levels. There is currently an opportunity to "get it right" by international cooperation via the World Health Organization to develop an integrated framework incorporating systems that can accommodate information from all sources, manage and monitor things that go wrong, and allow the worldwide sharing of information and the dissemination of tools for the implementation of strategies which have been shown to work; W B Runciman...

Lessons to be learnt: evaluating aspects of patient safety culture and quality improvement within an intensive care unit.

Panozzo, Stacey J.
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2007
Relevância na Pesquisa
66.26%
Patient safety is of particular importance within intensive care units (ICUs), where critically ill, vulnerable patients receive complex multidisciplinary care. Prior research has indicated that improving patient safety and reducing errors within healthcare requires a focus on systems and organisational culture issues. This thesis was concerned with three studies. One focused on assessing the patient safety culture and two on quality improvement initiatives within an intensive care unit (ICU) of a large teaching hospital. The first study involved a survey of ICU consultant, registrar and nursing staff regarding aspects of safety culture. This was conducted using an existing Hospital Survey on Patient Safety Culture. Of the twelve patient safety culture composites assessed, eight had scores lower than 50%, highlighting these as areas for improvement. Overall, while the survey results revealed that teamwork within the ICU was considered a strength, event reporting and patient care handovers and transitions were both considered areas with potential for improvement. The second study focused on the evaluation of a change initiative designed to improve the handover of patient clinical information in the ICU. This study involved a survey and interviews with consultant...

The culture in safety culture: exploration of patient safety culture in Saudi Arabian operating theatres.

Algahtani, Fahad Dhafer
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2015
Relevância na Pesquisa
66.25%
Surgical patients are highly susceptible to preventable harm in health systems that tolerate inadequate patient safety: the World Health Organization recognises that half of preventable adverse events happen in surgical care. Each year, seven million surgical patients are estimated to suffer serious complications from adverse events and up to one million die. Improving safety culture and non-technical skills can reduce adverse events and improve patient safety. This study explores safety culture in operating theatres in Saudi Arabia, where many employees work in an environment that is radically different from their own, in a language that they know imperfectly. It targets cultural differences and their relevance to safety culture dimensions, including teamwork, communication, job satisfaction, stress recognition, working conditions, and perceptions of management. The concept of safety culture is complex, and to achieve sufficient breadth and depth this study employs a sequential explanatory mixed methods design. All health care professionals working in operating theatres in the Saudi Arabian Ministry of Health hospitals in Riyadh City were surveyed using the internationally validated Safety Attitudes Questionnaire, administered in both English and Arabic. Items pertaining to local culture were added to assist in measuring cultural factors related to patient safety. Furthermore...

Patient safety culture in inpatient services: improve a challenge

Castilho, Amélia Filomena de Oliveira Mendes; Parreira, Pedro Miguel Dinis
Fonte: Escola Superior de Enfermagem de Coimbra Publicador: Escola Superior de Enfermagem de Coimbra
Tipo: Conferência ou Objeto de Conferência
Publicado em 08/09/2012 ENG
Relevância na Pesquisa
66.23%
Patient safety, as key aspect of the quality in health care, has acquired a major importance over the last few years. The development of a safety culture which minimizes the occurrence of errors, facilitates learning and promotes a continuous improvement is considered a priority. This study aimed to identify the safety culture in medical-surgical inpatient services in hospitals from Portugal. A quantitative, descriptive, correlational and cross-sectional study was conducted. Direct care professionals from 66 inpatient services of four hospitals have participated in the study. We used the Portuguese version of the Hospital Survey on Patient Safety Culture developed by the Agency for Healthcare Research and Quality (Sorra, Nieva, 2004). It is composed of 12 dimensions and 42 items scored from 1 to 5, which assess health care professionals' perception of patient safety culture. From an initial sample of 1577 nurses, 472 physicians and 796 operational assistants, a response rate of 50.7% (800), 16.1% (76) and 29.4% (234), respectively, was obtained. The mean age was 38.09 years, professional experience of 13.8 years and length of service of 9.07 years. The lowest mean scores of patient safety were found in "overall grade on patient safety" (2.35)...

Measures of patient safety in developing and emerging countries: a review of the literature

Carpenter, K.; Duevel, M.; Lee, P.; Wu, A.; Bates, D.; Runciman, W.; Baker, G.; Larizgoitia, I.; Weeks, W.
Fonte: British Med Journal Publ Group Publicador: British Med Journal Publ Group
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
Relevância na Pesquisa
66.3%
Context: The World Alliance for Patient Safety was formed to accelerate worldwide research progress towards measurably improving patient safety. Although rates of adverse events have been studied in industrialised countries, little is known about the rates of adverse events in developing and emerging countries. Purpose: To review the literature on patient safety issues in developing and emerging countries, to identify patient safety measures presently used in these countries and to propose a method of measurably improving patient safety measurement in these countries. Methods: Using the Medline database for 1998 to 2007, we identified and reviewed 23 English-language articles that examined patient safety measurement in developing and emerging countries. Results: Our review included 12 studies that prospectively measured patient safety and 11 studies that retrospectively measured safety. Two studies used measures of structure and the remaining used process measures, outcome measures or both. Whereas a few studies used surveys or direct observation, most studies used chart audits to measure patient safety. Most studies addressed safety at a single facility. Conclusions: Investigation of patient safety in developing and emerging countries has been infrequent and limited in scope. Establishing fundamental safe patient practices...

It’s Everything and Everyone’s Responsibility: Patient Safety Culture in a Rural Hospital

Langlois, Julie Elaine
Fonte: Quens University Publicador: Quens University
Tipo: Tese de Doutorado
EN; EN
Relevância na Pesquisa
66.26%
Healthcare professionals are expected to know their role in patient safety. In a rural hospital, they may have different roles along with their professional role. Staff and services are fewer and the community is often part of the hospital. This can influence patient safety culture. Researchers and governing bodies have focused on developing processes to assist healthcare leaders developing their patient safety culture. Researchers and governing bodies have tended to focus on urban hospitals and then implement the same processes in rural hospitals. This strategy has not always been successful. The purpose of this study is to explore the roles and responsibilities in patient safety culture of health care professionals in rural hospitals. A systematic review, using the Joanna Briggs Institute (JBI) review process, was completed to discover how patient safety culture and rural hospitals are described and measured. Some common elements in the literature were unique characteristics of rural hospitals, leadership, error reporting and the use of patient safety culture surveys. Ethnographic methods were used to explore healthcare professional’s roles in patient safety culture in a rural hospital. Healthcare professionals describe their roles differently than described in the literature. A patient safety culture model was developed from the literature and refined with the study findings. The affinity model was developed based on the study findings from the small rural hospital and the literature. Everything they do is how rural hospital practitioners described their role in patient safety.; Thesis (Ph.D...

A new method for the assessment of patient safety competencies during a medical school clerkship using an objective structured clinical examination

DAUD-GALLOTTI, Renata Mahfuz; MORINAGA, Christian Valle; ARLINDO-RODRIGUES, Marcelo; VELASCO, Irineu Tadeu; MARTINS, Milton Arruda; TIBERIO, Iolanda Calvo
Fonte: Faculdade de Medicina / USP Publicador: Faculdade de Medicina / USP
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
66.25%
INTRODUCTION: Patient safety is seldom assessed using objective evaluations during undergraduate medical education. OBJECTIVE: To evaluate the performance of fifth-year medical students using an objective structured clinical examination focused on patient safety after implementation of an interactive program based on adverse events recognition and disclosure. METHODS: In 2007, a patient safety program was implemented in the internal medicine clerkship of our hospital. The program focused on human error theory, epidemiology of incidents, adverse events, and disclosure. Upon completion of the program, students completed an objective structured clinical examination with five stations and standardized patients. One station focused on patient safety issues, including medical error recognition/disclosure, the patient-physician relationship and humanism issues. A standardized checklist was completed by each standardized patient to assess the performance of each student. The student's global performance at each station and performance in the domains of medical error, the patient-physician relationship and humanism were determined. The correlations between the student performances in these three domains were calculated. RESULTS: A total of 95 students participated in the objective structured clinical examination. The mean global score at the patient safety station was 87.59 ± 1.24 points. Students' performance in the medical error domain was significantly lower than their performance on patient-physician relationship and humanistic issues. Less than 60% of students (n = 54) offered the simulated patient an apology after a medical error occurred. A significant correlation was found between scores obtained in the medical error domains and scores related to both the patient-physician relationship and humanistic domains. CONCLUSIONS: An objective structured clinical examination is a useful tool to evaluate patient safety competencies during the medical student clerkship.

Manual de buenas prácticas para la atención y seguridad del paciente; Manual of good practice for attention and patient safety

Mojica Gómez, Jerlin Jenel; Ramírez López, Leonardo Juan
Fonte: Universidad Militar Nueva Granada; Facultad de Ingeniería; Especialización en Gerencia de la Calidad Publicador: Universidad Militar Nueva Granada; Facultad de Ingeniería; Especialización en Gerencia de la Calidad
Tipo: bachelorThesis; Trabajo de grado Formato: pdf; pdf
SPA
Relevância na Pesquisa
66.24%
La seguridad del paciente es en una prioridad en la gestión de calidad del cuidado que se brinda. De ahí la importancia de reflexionar sobre la magnitud que tiene el problema de eventos adversos, para prevenir su ocurrencia y progresar en acciones que garanticen una práctica segura. Por tal razón se crea en la IPS el manual de buenas prácticas de atención y seguridad del Paciente, con el fin de promover procesos asistenciales seguros e incentivar prácticas que mejoren la actuación de los profesionales. Las buenas prácticas en la atención de los pacientes, se verán reflejadas no solo en la satisfacción de los usuarios y del cliente interno sino también en la disminución de la morbi-mortalidad derivada de la ocurrencia de eventos adversos y que incrementan los costos de no calidad para las instituciones de salud. El método empleado fue exploratoria documental. La medición de la percepción del personal de salud se realizó con el instrumento Hospital surveyon patient safety culture. Los resultados alcanzados muestra que la documentación relacionada con la seguridad del paciente no identifica con claridad las herramienta de la atención segura, las labores realizadas por el personal de salud no están enfocadas a proporcionar seguridad...

A new method for the assessment of patient safety competencies during a medical school clerkship using an objective structured clinical examination

Daud-Gallotti,Renata Mahfuz; Morinaga,Christian Valle; Arlindo-Rodrigues,Marcelo; Velasco,Irineu Tadeu; Martins,Milton Arruda; Tiberio,Iolanda Calvo
Fonte: Faculdade de Medicina / USP Publicador: Faculdade de Medicina / USP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2011 EN
Relevância na Pesquisa
66.25%
INTRODUCTION: Patient safety is seldom assessed using objective evaluations during undergraduate medical education. OBJECTIVE: To evaluate the performance of fifth-year medical students using an objective structured clinical examination focused on patient safety after implementation of an interactive program based on adverse events recognition and disclosure. METHODS: In 2007, a patient safety program was implemented in the internal medicine clerkship of our hospital. The program focused on human error theory, epidemiology of incidents, adverse events, and disclosure. Upon completion of the program, students completed an objective structured clinical examination with five stations and standardized patients. One station focused on patient safety issues, including medical error recognition/disclosure, the patient-physician relationship and humanism issues. A standardized checklist was completed by each standardized patient to assess the performance of each student. The student's global performance at each station and performance in the domains of medical error, the patient-physician relationship and humanism were determined. The correlations between the student performances in these three domains were calculated. RESULTS: A total of 95 students participated in the objective structured clinical examination. The mean global score at the patient safety station was 87.59 ± 1.24 points. Students' performance in the medical error domain was significantly lower than their performance on patient-physician relationship and humanistic issues. Less than 60% of students (n = 54) offered the simulated patient an apology after a medical error occurred. A significant correlation was found between scores obtained in the medical error domains and scores related to both the patient-physician relationship and humanistic domains. CONCLUSIONS: An objective structured clinical examination is a useful tool to evaluate patient safety competencies during the medical student clerkship.

A new method for the assessment of patient safety competencies during a medical school clerkship using an objective structured clinical examination

Daud-Gallotti, Renata Mahfuz; Morinaga, Christian Valle; Arlindo-Rodrigues, Marcelo; Velasco, Irineu Tadeu; Martins, Milton Arruda; Tiberio, Iolanda Calvo
Fonte: Universidade de São Paulo. Faculdade de Medicina Publicador: Universidade de São Paulo. Faculdade de Medicina
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; ; Formato: application/pdf
Publicado em 01/01/2011 ENG
Relevância na Pesquisa
66.25%
INTRODUCTION: Patient safety is seldom assessed using objective evaluations during undergraduate medical education. OBJECTIVE: To evaluate the performance of fifth-year medical students using an objective structured clinical examination focused on patient safety after implementation of an interactive program based on adverse events recognition and disclosure. METHODS: In 2007, a patient safety program was implemented in the internal medicine clerkship of our hospital. The program focused on human error theory, epidemiology of incidents, adverse events, and disclosure. Upon completion of the program, students completed an objective structured clinical examination with five stations and standardized patients. One station focused on patient safety issues, including medical error recognition/disclosure, the patient-physician relationship and humanism issues. A standardized checklist was completed by each standardized patient to assess the performance of each student. The student's global performance at each station and performance in the domains of medical error, the patient-physician relationship and humanism were determined. The correlations between the student performances in these three domains were calculated. RESULTS: A total of 95 students participated in the objective structured clinical examination. The mean global score at the patient safety station was 87.59 ± 1.24 points. Students' performance in the medical error domain was significantly lower than their performance on patient-physician relationship and humanistic issues. Less than 60% of students (n = 54) offered the simulated patient an apology after a medical error occurred. A significant correlation was found between scores obtained in the medical error domains and scores related to both the patient-physician relationship and humanistic domains. CONCLUSIONS: An objective structured clinical examination is a useful tool to evaluate patient safety competencies during the medical student clerkship.

A Spanish-language patient safety questionnaire to measure medical and nursing students' attitudes and knowledge

Mira,José J.; Navarro,Isabel M.; Guilabert,Mercedes; Poblete,Rodrigo; Franco,Astolfo L.; Jiménez,Pilar; Aquino,Margarita; Fernández-Trujillo,Francisco J.; Lorenzo,Susana; Vitaller,Julián; Valle,Yohana Díaz de; Aibar,Carlos; Aranaz,Jesús M.; Pedro,Jo
Fonte: Organización Panamericana de la Salud Publicador: Organización Panamericana de la Salud
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2015 EN
Relevância na Pesquisa
66.23%
OBJECTIVE: To design and validate a questionnaire for assessing attitudes and knowledge about patient safety using a sample of medical and nursing students undergoing clinical training in Spain and four countries in Latin America. METHODS: In this cross-sectional study, a literature review was carried out and total of 786 medical and nursing students were surveyed at eight universities from five countries (Chile, Colombia, El Salvador, Guatemala, and Spain) to develop and refine a Spanish-language questionnaire on knowledge and attitudes about patient safety. The scope of the questionnaire was based on five dimensions (factors) presented in studies related to patient safety culture found in PubMed and Scopus. Based on the five factors, 25 reactive items were developed. Composite reliability indexes and Cronbach's alpha statistics were estimatedfor each factor, and confirmatory factor analysis was conducted to assess validity. After a pilot test, the questionnaire was refined using confirmatory models, maximum-likelihood estimation, and the variance-covariance matrix (as input). Multiple linear regression models were used to confirm external validity, considering variables related to patient safety culture as dependent variables and the five factors as independent variables. RESULTS: The final instrument was a structured five-point Likert self-administered survey (the "Latino Student Patient Safety Questionnaire") consisting of 21 items grouped into five factors. Compound reliability indexes (Cronbach's alpha statistic) calculated for the five factors were about 0.7 or higher. The results of the multiple linear regression analyses indicated good model fit (goodness-of-fit index: 0.9). Item-total correlations were higher than 0.3 in all cases. The convergent-discriminant validity was adequate. CONCLUSIONS: The questionnaire designed and validated in this study assesses nursing and medical students' attitudes and knowledge about patient safety. This instrument could be used to indirectly evaluate whether or not students in health disciplines are acquiring and thus likely to put into practice the professional skills currently considered most appropriate for patient safety.