ASSESSMENT OF PATIENT SAFETY IN VACCINATION ROOMS

this is a cross-sectional study that analyzed 463 vaccination procedures in six vaccination rooms in Minas Gerais from June to July 2018. Data were obtained with the application of the Patient Safety Checklist for Vaccination Rooms through systematic observation of the vaccination procedure. Descriptive statistics were used for data analysis.

Results:

463 vaccination procedures were observed, and the mean overall adherence score was 58.5%, min. 43.3% and max. 74.1%. The items of higher adherence were related to the records of vaccine data (name, date, and batch) on the vaccination card; vaccine application with dose, route of administration, location and correct materials; and records in an information system. The items of lower adherence were related to health guidance; investigation of adverse events following immunization and the health status of the vaccinated person; records of vaccine laboratory and vaccination center on the vaccination card; vaccine workforce handwashing; and proper vaccine preparation.

Conclusion:

the mean overall score found in this study was 58.5% for the adherence to recommendations for vaccination procedures. This result highlights the need for educational interventions that promote patient safety in the vaccination room and studies analyzing the factors that prevent such adherence.

DESCRIPTORS:
Patient Safety; Vaccines; Immunization; Primary Health Care; Vaccination

Items	Adherence				Not applicable
	Yes		No		Not applicable
	n	%	n	%	n	%
Item 1 - Confirmed the vaccinee’s age by checking the birth date.	459	99.1	4	0.9	-	-
Item 2 - Identified the vaccine to be administered by checking the vaccination card.	422	91.1	2	0.4	39	8.4
Item 3 - Checked the age and the interval between doses recommended for the vaccine.	461	99.6	2	0.4	-	-
Item 4 - Investigated the occurrence of adverse events following immunization regarding the previous dose (if any).	1	0.2	190	41.0	272	58.7
Item 5 - Obtained information about the patient’s health status, evaluating contraindications.	15	3.2	448	96.8	-	-
Item 6 - Mentioned the name of the vaccine to be administered.	435	94.0	28	6.0	-	-
Item 7 - Mentioned the diseases the vaccine protects against.	142	30.7	321	69.3	-	-
Item 8 - Explained about the benefits of vaccination	20	4.3	443	95.7	-	-
Item 9 - Explained about the importance of completing the vaccination schedule (when necessary).	13	2.8	294	63.5	156	33.7
Item 10 - Personal data.	208	44.9	255	55.1	-	-
Item 11 - Name of vaccine.	463	100	-	-	-	-
Item 12 - Date of vaccine administration.	463	100	-	-	-	-
Item 13 - Batch number.	463	100	-	-	-	-
Item 14 - Vaccine laboratory.	4	0.9	459	99.1	-	-
Item 15 - Vaccine center.	11	2.4	452	97.6	-	-
Item 16 - Name of health professional who administered the vaccine.	443	95.7	20	4.3	-	-
Item 17 - Scheduled the vaccine with a pen (when necessary).	235	50.8	72	15.6	156	33.7
Item 18 - Explained about the follow-up visit (when necessary).	201	43.4	106	22.9	156	33.7
Item 19 - Explained about potential adverse events following immunization.	33	7.1	430	92,9	-	-

Items	Adherence				Not applicable
	Yes		No		Not applicable
	n	%	n	%	n	%
Item 20 - The vaccine professional analyzed the vaccine card and identified again the vaccine to be administered.	339	73.2	124	26.8	-	-
Item 21 - Washed the hands using an adequate technique.	3	0.6	460	99.4	-	-
Item 22 - Examined the product.	53	11.4	410	88.6	-	-
Item 23 - Properly prepared the vaccine (when necessary).	123	26.6	291	62.9	49	10.6
Item 24 - Labeled the vaccine with the date and time of vial opening (when necessary).	173	37.4	66	14.3	224	48.4
Item 25 - Vaccine was administered at correct dosage.	461	99.6	2	0.4	-	-
Item 26 - Vaccine was administered using a proper administration route.	463	100.0	-	-	-	-
Item 27 - Vaccine was administered with adequate materials.	462	99.8	1	0.2	-	-
Item 28 - Vaccine was administered at the adequate site.	461	99.6	2	0.4
Item 29 - Vaccine administration was performed with a proper technique.	279	60.3	184	39.7	-	-

Items	Adherence				Not applicable
	Yes		No		Not applicable
	n	%	n	%	n	%
Item 30 - Washed the hands using an adequate technique.	-	-	463	100.0	-	-
Item 31 - Inserted information in the National Immunization Program (SI-PNI) or equivalent system.	461	99.6	2	0.4	-	-

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] CORRESPONDING AUTHOR
Maria Helena Barbosa mhelena331@hotmail.com