Acessibilidade / Reportar erro

Patient safety: understanding human error in intensive nursing care* * Extracted from the thesis: “Segurança do paciente no cotidiano da assistência de enfermagem em terapia intensiva: compreendendo o erro humano”, Programa de Pós-Graduação e Pesquisa, Escola de Enfermagem Anna Nery, Universidade Federal do Rio de Janeiro, 2015.

Seguridad del paciente: comprendiendo el error humano en la asistencia de enfermería en cuidados intensivos

ABSTRACT

Objective:

To analyze the active failures and the latent conditions related to errors in intensive nursing care and to discuss the reactive and proactive measures mentioned by the nursing team.

Method:

Qualitative, descriptive, exploratory study conducted at the Intensive Care Unit of a general hospital. Data were collected through interviews, participant observation and submitted to lexical analysis in the ALCESTE® software and to ethnographic analysis.

Results:

36 professionals of the nursing team participated in the study. The analysis originated three lexical classes: Error in intensive care nursing; Active failures and latent conditions related to errors in the intensive care nursing team; Reactive and proactive measures adopted by the nursing team regarding errors in intensive care.

Conclusion:

Reactive and proactive measures influenced the safety culture, in particular, the recognition of errors by professionals, contributing to their prevention, safety and quality care.

DESCRIPTORS:
Patient Safety; Medical Errors; Critical Care Nursing; Intensive Care Units; Nursing Care

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E-mail: reeusp@usp.br