Avaliação da aplicação das normas de segurança do paciente na assistência de enfermagem em UTI

Abstract

Patient safety is defined by WHO as "minimizing the risk of unnecessary harm associated with health care." It is estimated that damage to health occurs in thousands of people every year in the world. The present study aimed to verify nursing care practices for patient safety in the Intensive Care Unit. It is a cross-sectional and observational analytical study. The study was developed in the clinical intensive care unit of a Tertiary Hospital in Fortaleza. The sample consisted of 74 observations of nursing care during the month of May 2019. Sixteen visits were randomly made to the unit during the afternoon shift. An instrument was used in the form of a checklist, addressing the international and national patient safety protocols. For the statistical evaluation, the qui-square distribution was used with a reference value of P <0.05. Only the items "the bed identified?", with a value of P = 0.009, and "did the bed and the bracelet contain the same information?", with a value of P = 0.001, of the "Patient Identification" domain were considered relevant statistics. The items that contemplate the mechanical ventilation also deserved a special evaluation because they obtained very different results when compared with the other items of the checklist. With this study it was possible to know the application of appropriate patient safety practices, as well as the use of bundles and checklists in nursing care. It is recommended the development of new researches so that there can be comparisons between the different moments experienced by the hospital, allowing to evaluate the consolidation of a safety culture in the institution.