Safety in nursing care

Robson Tostes Amaral, Ana Lúcia Queiroz Bezerra, Thaisa Cristina Afonso, Leyla Gabriela Verner Amaral Brandão, Cristiane Chagas Teixeira

Abstract


ABSTRACT

Objective: To describe the scientific production on safety in nursing care regarding failures with potential for the occurrence of adverse events. Method: It is a bibliometric study in articles published between 2012 and 2016, with data collection in LILACS, IBECS, MEDLINE, and BDENF. We used the program Statistical Package for Social Science for Windows (SPSS) 22.0, calculated simple and relative frequencies, and the results are presented in tables. Results: The sample consisted of 98 publications. It was found that 43.9% were articles from the United States of America; 85.7% publications in English; 70.4% original articles with the thematic more often on medication and scientific production, being greater and continuous in the first 4 years. Conclusion: We found that the authorship of the studies was predominantly international, indicating the need for the development of researches about the theme with the intention of showing evidence for the implementation of improvements for the prevention of adverse events and contribute to safety in nursing care at national level. Descriptors: Patient Safety; Medical Mistakes; Nursing Care;   Patient Care; Quality of Health Care; Nursing.

RESUMO

Objetivo: descrever a produção científica sobre segurança no cuidado de enfermagem quanto às falhas com potencial para a ocorrência de eventos adversos. Método: trata-se de um estudo bibliométrico em artigos publicados entre 2012 e 2016, com coleta de dados na LILACS, IBECS, MEDLINE e BDENF. Utilizou-se o programa Statistical Package for Social Science for Windows (SPSS) 22.0, calculadas as frequências simples e relativa, e os resultados se apresentam em tabelas. Resultados: constituiu-se a amostra de 98 publicações. Verificou-se que 43,9% eram artigos provenientes dos Estados Unidos da América; 85,7% publicações na língua inglesa; 70,4% artigos originais com a temática mais frequente sobre medicação e produção científica, sendo maior e contínua nos primeiros 4 anos. Conclusão: constatou-se que a autoria dos estudos foi predominantemente internacional, indicando a necessidade do desenvolvimento de pesquisas sobre o tema com o intuito de mostrar evidências para a implantação de melhorias para a prevenção de eventos adversos e contribuir para a segurança na assistência de Enfermagem em nível nacional. Descritores: Segurança do Paciente; Erros Médicos; Cuidados de Enfermagem; Assistência ao Paciente; Qualidade da Assistência à Saúde; Enfermagem.

RESUMEN

Objetivo: describir la producción científica acerca de la seguridad en los cuidados de enfermería ante fallas con potencial para la ocurrencia de eventos adversos. Método: este es un estudio bibliométrico en artículos publicados entre 2012 y 2016, con la recopilación de datos en LILACS, IBECS, MEDLINE y BDENF. Hemos utilizado el programa Paquete Estadístico para Ciencias Sociales para Windows (SPSS) 22.0; calculan frecuencias simples y relativas, y los resultados se presentan en tablas. Resultados: la muestra estuvo constituida por 98 publicaciones. Se encontró que el 43,9% eran artículos procedentes de los Estados Unidos de América; el 85,7% de las publicaciones en inglés; 70,4% artículos originales con la temática más frecuentemente acerca de la medicación y la producción científica, siendo mayor y contínua en los primeros 4 años. Conclusión: hemos encontrado que la autoría de los estudios era predominantemente internacional, indicando la necesidad para el desarrollo de investigaciones acerca del tema con la intención de mostrar evidencia para la implementación de mejoras para la prevención de eventos adversos y contribuir a la seguridad de los cuidados de enfermería a nivel nacional. Descriptores: Seguridad del Paciente; Errores Médicos; Atención de Enfermería; Atención al Paciente; Calidad de la Atención de Salud; Enfermería.


Keywords


Segurança do Paciente; Erros Médicos; Cuidados de Enfermagem; Assistência ao Paciente; Qualidade da Assistência à Saúde; Enfermagem

References


Jarrar M, Abdul Rahman H, Don MS. Optimizing Quality of Care and Patient Safety in Malaysia: The Current Global Initiatives, Gaps and Suggested Solutions. Glob J Health Sci. 2015 Oct;8(6):44132. Doi: 10.5539/gjhs.v8n6p75

Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med. 2013 Mar;158(5 Pt 2):404-9. Doi: 10.7326/0003-4819-158-5-201303051-00007

Novaretti MCZ, Santos EV, Quitério LM, Daud-Gallotti RM. Nursing workload and occurrence of incidents and adverse events in ICU patients. Rev Bras Enferm. 2014 Sept/Oct;67(5):692-9. Doi: http://dx.doi.org/10.1590/0034-7167.2014670504

Andersson Å, Frank C, Willman AM, Sandman PO, Hansebo G. Adverse events in nursing: A retrospective study of reports of patient and relative experiences. Int Nurs Review. 2015 Sept;62(3):377-85. Doi: 10.1111/inr.12192

Forte ECN, Pires DEP, Padilha MI, Martins MMFPS. Nursing errors: a study of the current literature. Texto contexto-enferm. 2017 July;26(2):e01400016. Doi: http://dx.doi.org/10.1590/0104-07072017001400016

Wachter RM. Compreendendo a segurança do paciente: AMGH Editora; 2013.

Moffatt-Bruce SD, Ferdinand FD, Fann JI. Patient Safety: disclosure of medical errors and Risk Mitigation. Ann Thorac Surg. 2016 Aug;102(2):358-62. Doi: 10.1016/j.athoracsur.2016.06.033

Duarte SCM, Stipp MAC, Silva MM, Oliveira FT. Adverse events and safety in nursing care. Rev Bras Enferm. 2015 Jan/Feb;68(1):144-54. Doi: http://dx.doi.org/10.1590/0034-7167.2015680120p

Martinelli MF, Teixeira CF. Scientific communication about health in Brazil: a literature review. Cad Pesq Interdisc em Ci-s Hum-s. 2014 Jan/June;15(106):91-116. Doi: https://doi.org/10.5007/1984-8951.2014v15n106p91

Barata RB. Debate on the paper by Camargo Jr? Cad Saúde Pública. 2013 Sept; 29(9):1707-30. Doi: https://dx.doi.org/10.1590/0102-311XCO010913

Joint Commission on Accreditation of Healthcare Organizations. Improving america’s hospitals: a report on quality and safety: the Joint Commission [Internet].Oak Brook: JCAHO; 2015 [cited 2018 Oct 17]. Available from:

https://www.jointcommission.org/assets/1/18/TJC_Annual_Report_2015_EMBARGOED_11_9_15.pdf

Donaldson MS, Corrigan JM, Kohn LT. To err is human: building a safer health system: Washington: National Academies Press; 2000.

World Health Organization. World Alliance for Patient Safety. Global Patient Safety Challenge: 2005-2006. Clean Care is Safer Care [Internet]. Geneva: WHO; 2005 [cited 2018 Aug 25]. Available from: http://www.who.int/patientsafety/events/05/GPSC_Launch_ENGLISH_FINAL.pdf

Ministério da Saúde (BR), Fundação Oswaldo Cruz, Agência Nacional de Vigilância Sanitária. Documento de referência para o Programa Nacional de Segurança do Paciente [Internet]. Brasília: Ministério da Saúde; 2014 [cited 2018 June 15]. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/documento_referencia_programa_nacional_seguranca.pdf

World Health Organization. Ethical issues in patient safety research: interpreting existing guidance [Internet]. Geneva: WHO; 2013 [cited 2018 July 21]. Available from: http://www.who.int/patientsafety/research/ethical_issues/en/

World Health Organization. WHO Country Cooperation Strategy at a glance: Islamic Republic of Iran [Internet]. Geneva: WHO; 2017 [cited 2018 June 18]. Available from: http://apps.who.int/iris/handle/10665/136898

Garner P, Hill S, Schünemann H. Developing and implementing guidelines for health policy and clinical practice in Estonia: interim appraisal of progress [Internet]. Geneva: WHO; 2015 [cited 2018 June 18]. Available from: http://www.euro.who.int/en/countries/estonia/publications/developing-and-implementing-guidelines-for-health-policy-and-clinical-practice-in-estonia-interim-appraisal-of-progress-2015

Ejecutivo C. Panorama general de la aplicación de la reforma de la OMS. Desempeño de la OMS en los países [Internet]. Geneva: WHO; 2017 [cited 2018 July 19]. Available from: http://apps.who.int/gb/ebwha/pdf_files/WHA70/A70_50Add2-sp.pdf

Haraden C, Leitch J. Scotland's successful national approach to improving patient safety in acute care. Health Aff (Millwood). 2011 Apr;30(4):755-63. Doi: 10.1377/hlthaff.2011.0144

Adhikari R, Tocher J, Smith P, Corcoran J, MacArthur J. A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Nurse Educ Today. 2014 Feb;34(2):185-90. Doi: 10.1016/j.nedt.2013.10.008

Tobias GC, Bezerra ALQ, Moreira IA, Paranaguá TTB, Silva AEBC. Conhecimento dos enfermeiros sobre a cultura de segurança do paciente em hospital universitário. J Nurs UFPE on line. 2016 Mar;10(3):1071-9. Doi: 10.5205/reuol.8702-76273-4-SM.1003201617

World Health Organization. Patient safety: Medication Without Harm: WHO’S Third Global Patient Safety Challenge [Internet]. Geneva: WHO; 2017 [cited 2018 Aug 21]. Available from: https://www.who.int/patientsafety/medication-safety/en/

Sabouri M, Najafipour F , Jariani M , HamedanchiA , Karimi P. Patient safety culture as viewed by medical and diagnostic staff of selected Tehran Hospitals, Iran. Hosp Pract Res. 2017; 2(1):15-20. Doi: 10.15171/HPR.2017.04

Westat R, Sorra J, Gray L, Streagle S, Famolaro T, Yount N, et al. AHRQ Hospital survey on patient safety culture: User’s guide [Internet]. Rockville: AHRQ; 2016 [cited 2018 July 25]. Available from: https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospcult.pdf

Hershey K. Culture of safety. Nurs Clin. 2015 Mar;50(1):139-52. Available from: http://dx.doi.org/10.1016/j.cnur.2014.10.011

Ellison D. Communication skills. Nurs Clin. 2015 Mar;50(1):45-57. Doi: ttps://doi.org/10.1016/j.cnur.2014.10.004

Reis CT, Martins M, Laguardia J. Patient safety as a dimension of the quality of health care: a look at the literature. Cienc Saúde Coletiva. 2013 July;18(7):2029-36. Doi: http://dx.doi.org/10.1590/S1413-81232013000700018

Mendes W, Pavão ALB, Martins M, Moura MLO, Travassos C. The feature of preventable adverse events in hospitals in the State of Rio de Janeiro, Brazil. Rev Assoc Med Bras. 2013 Sept/Oct;59(5):421–8. Doi: https://doi.org/10.1016/j.ramb.2013.03.002

D’Amour D, Dubois CA, Tchouaket E, Clarke S, Blais R. The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional record review. Int J Nurs Stud. 2014 June; 51(6):882-91. Doi: 10.1016/j.ijnurstu.2013.10.017

Paranaguá TTB, Braga QP, Bezerra ALQ, Silva AEBC, Azevedo Filho FM, Sousa MRG. Incidents: instrument management assistance for patient safety in emergency room. Enferm Glob [Internet]. 2014 Apr [cited 2017 Dec 11];34:219-31. Available from: http://scielo.isciii.es/pdf/eg/v13n34/pt_administracion1.pdf




DOI: https://doi.org/10.5205/1981-8963-v12i12a234964p386-3393-2018



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