Patient safety management from the perspective of nurses

This is a cross-sectional, descriptive study of the survey type. Participants were seven hospitals, in which seven nurse managers and 49 sector coordinator nurses (n = 56) answered the instrument prepared by the author.

RESULTS

The results showed that 100% of hospitals have an adverse event reporting system, 71.4% have a Risk Management Committee and 80% have discussions about the events. There is agreement that these discussions lead to favorable changes for patient safety in the surveyed institutions. The employees' fear of punishment for their faults, and the underreporting of events were the aspects of greatest weakness found.

CONCLUSION

The institutions should develop organizational policies focused on stimulating event notification and on the implementation of measures directed to a non-punitive organizational culture.

Patient Safety; Safety Management; Nursing

Variables	f	%
There is an internal AE notification system
Yes	07	100.0
Form of AE notification
Electronic	04	57.1
Manual (written)	03	42.9
There is a risk management committee
Yes	05	71.4
No	02	28.6
There are nurses integrating the committee
Yes	05	71.4
There is no committee	02	28.6
The committee discusses the notified AE
Yes	04	57.1
No	01	14.3
There is no committee	02	28.6

Variables	f	%
Clinical Audit	04	57.1
Braden Scale	03	42.9
NAS (Nursing Activities Score)	03	42.9
Perroca Classification System	02	28.6
Norton Scale	01	14.3
MEWS Score (Modified Early Warning Score)	01	14.3
Fugulin Classification	01	14.3
TISS (Therapeutic Intervention Scoring System )	01	14.3
No instrument is used	01	14.3

Variables	f	%
Notification of a near miss.
Never	01	2.0
Rarely	11	22.5
Sometimes	13	26.5
Almost always	17	34.7
Always	07	14.3
Notification of an AE that affects the patient, but has no harmful potential.
Never	01	2.0
Rarely	02	4.1
Sometimes	06	12.2
Almost always	14	28.6
Always	26	53.1
Notification of an AE that affects patients, has harmful potential, but does not cause them any harm.
Never	01	2.0
Rarely	03	6.3

Variables	f	%
Employees are afraid that their mistakes appear in their functional records
Disagree	04	8,2
Neutral	01	2,0
Agree	31	63,3
Strongly agree	13	26,5
The forms of preventing errors are discussed at the unit
Rarely	02	4,2
Sometimes	06	12,2
Almost always	22	44,9
Always	19	38,8
Discussions on the errors have led to positive changes
Strongly disagree	01	2,0
Neutral	04	8,2
Agree	29	59,2
Strongly agree	15	30,6

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Lucilena Françolin. Avenida dos Bandeirantes, 3900. CEP 14040-902 - Ribeirão Preto, SP, Brazil. E-mail: lucilena.francolin@gruposaolucas.com.br

Brasil

Brasil

Patient safety management from the perspective of nurses* * Extracted from the dissertation "Gerenciamento da segurança assistencial nos serviços de enfermagem", School of Nursing of Ribeirão Preto, Universidade de São Paulo, 2013

Gestión de la seguridad del paciente bajo el punto de vista de los enfermeros

OBJECTIVE

METHOD

RESULTS

CONCLUSION

Patient safety management from the perspective of nurses^* * Extracted from the dissertation "Gerenciamento da segurança assistencial nos serviços de enfermagem", School of Nursing of Ribeirão Preto, Universidade de São Paulo, 2013