Segurança do paciente na atenção primária: estudo das boas práticas e eventos adversos

Abstract

Patient safety has been a subject of much discussion in recent years and it is a crucial component in reducing adverse events and improving the quality of health services. Exploring issues related to patient safety in Primary Care (PHC) becomes a challenge as they are conducted with greater emphasis in hospital settings; however, the basic care provided, mostly occurs in PHC, which were analyzed in the proposed study. OBJECTIVE: To identify the profile of the practices of health professionals from the PHC units in Ceilândia; identify situations that may occur in PHC services that affect patient safety and quality of care; to raise the occurrence of factors related to communication and follow-up, exchange of information between health units that can affect the quality of patient care and safety. MATERIAL AND METHOD: A quantitative exploratory study was carried out in the city of Ceilândia - DF. For the information collection, a part of the Medical Office Survey on Patient Safety Culture (MOSPSC) was used; sections A, B, C and D. Participants were 17 nurses, 35 nursing technicians and 18 physicians working in the 5 Basic Health Units. RESULTS: 70 health professionals participated in the study, being 71.4% female and 28.6% male, with a mean age of 41 years. Regarding the questionnaire about situations that may occur in the service that affect patient safety and quality, 38.6% of the respondents found that a medical record was not available when necessary, this, makes it difficult to be safe and makes it prone to occurrence of adverse events. CONCLUSION: The fact that several adverse events occur in this area due to innumerable factors reinforces the importance of acquiring to this complexity a greater attention to the integral care of the user, avoiding a possible contrary event.