Análise de um serviço de desintoxicação de um hospital público: um olhar para a segurança do paciente

Abstract

The National Patient Safety Program (PNSP) seeks the qualification of health care in order to reduce the incidence of adverse events by instituting standardized protocols for care practices in all health facilities. Patient safety is understood to reduce to an acceptable minimum level the risk of unnecessary damage associated with health care. In the field of Mental Health, the scarcity of studies involving this theme is evidenced, especially in detoxification services for the use of alcohol and other drugs. Therefore, it is not known for sure how these services work in practice and how the risk management and patient safety in these environments take place. From this perspective, this study aims to analyze the detoxification service offered by a reference hospital in mental health from the perspective of patient safety. This is a descriptive, cross-sectional, and quantitative research with an analysis period between March and November 2022, in which the techniques of documental analysis and non-participant observation were used for data collection. The results obtained show that hand hygiene practices (20%), prevention of falls (41.7%), patient identification (42.9%) and safety in the prescription, use and administration of medications (66.7%) presented the lowest percentages of compliance according to the recommendations of the protocols recommended by the Ministry of Health. On the other hand, effective communication (92.9%), aspects related to the operation of the service, human resources (81.8%) and infrastructure (70%), were the ones with the highest percentage of compliance. Thus, the analysis of a detoxification unit from the perspective of patient safety pointed out weaknesses and institutional potentialities, which can be used by managers in the planning of actions in favor of improvements in the quality offered to patients assisted there, contributing in a relevant way to the development of the culture if organizational security.