Incidents: instrument management assistance for patient safety in emergency room
Abstract
This study aims to characterize the incidents arising of the health care, occurred in the emergency department of a university hospital of the sentinel hospitals network. Descriptive and retrospective study which examined notes that were made between September 2007 and March 2010, recorded in the books of intercurrence of this unity. Data were collected between January and March, 2010, structured in worksheets and analyzed descriptively, presenting the relative and absolute frequencies. Were identified the register of 75 incidents that were related to organization in the service or to the care. Were found more errors indices in medication, care omission and in notes and/or register in the sheet of evolution of the patient, highlighting the death as more serious consequence. The results points to the need of stimulate the construction and use of instruments of notification and incentive to the full notification of the incidents, because it constitute fundamental tool of quality and can orientate the service management face to indicators that should be improved in the environment of work to, thereby provide safe security and with quality.
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