Implementation of patient safety centers and the healthcare-associated infections

Cavalcante, Elisângela Franco de Oliveira; Pereira, Illiana Rose Benvinda de Oliveira; Leite, Maria Jalila Vieira de Figueiredo; Santos, Alexandy Michel Dantas; Cavalcante, Cleonice Andréa Alves

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Original Article • Rev. Gaúcha Enferm. 40 (spe) • 2019 • https://doi.org/10.1590/1983-1447.2019.20180306 copy

Implementation of patient safety centers and the healthcare-associated infections

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

OBJECTIVE

To verify the implementation of the Patient Safety Center and its relation to the control of Healthcare-associated Infections in hospitals of Natal.

METHOD

Quantitative, cross-sectional study. The sample consisted of 28 infection control professionals from 12 hospitals. Data were collected between February and August 2017, through a semi-structured questionnaire.

RESULTS

The Patient Safety Center was implemented in nine hospitals. Among the protocols implemented, the patient identification (66.70%), hand hygiene (50%) and fall prevention (50%) were the most important ones. Hospitals with the Center affirmed they develop patient safety training activities together with the professionals. 44.5% reported effective communication.

CONCLUSION

Although the actions implemented do not fully comply with the recommendations of the National Health Surveillance Agency, most of these actions are directly related to the control of infections in services.

Keywords:
Patient safety; Delivery of health care; Infection control; Cross infection

Variables
Implementation of the Patient Safety Center.
Presence of patient safety protocols.
Presence of mechanisms to identify, evaluate and correct problems in the procedures.
Presence of mechanisms to identify, evaluate and correct problems in the use of equipment, medicines, and supplies.
Development of training activities regarding patient safety and quality healthcare services together with the professionals.
Collaboration of the nursing team regarding risk surveillance and management.
Risk management actions according to healthcare services provided in each institution, set forth in the Patient Safety Plan.
Notices of damages/adverse events to ANVISA.

Hospital	Management bond	Organization of the NSP^* * Patient Safety Center	Participants members of the NSP	Patient Safety Protocols created (n=9)	Notices of adverse events to ANVISA (n=8)
H1	Public	No	-	-	-
H2	Philanthropic	No	-	-	-
H3	Public	Yes	Physicians, nurses, pharmaceutical care practitioners, nurse assistants, work safety technician	Yes	Yes
H4	Private	Yes	Physicians, nurses, nurse assistants, technical board, systems analyst	Yes	Yes
H5	Public	Yes	Physician, nurse, physical therapist, pharmaceutical care practitioner, social worker	Yes	Yes
H6	Public	Yes	Nurse, nursing technician, physical therapist, pharmaceutical care practitioner, biochemist, social worker	No	Yes
H7	Philanthropic	Yes	Nurse, managers, nursing manager, CCIH, pharmaceutical care practitioners	Yes	Yes
H8	Public	Yes	Nurses, physical therapists, pharmaceutical care practitioner, technical management	Yes	No
H9	Public	Yes	Nurse, physical therapist, and pharmaceutical care practitioner	Yes	Yes
H10	Private	Yes	Nurse and nursing technician	Yes	No
H11	Private	Yes	Physician, nurse, physical therapist, nutritionist, pharmaceutical care practitioner, and clinic engineer	Yes	Yes
H12	Public	No	---	Yes	Yes

Protocols implemented	Public	Private	Philanthropic	Total
Protocols implemented	Public	Private	Philanthropic	N	%
Patient identification	4	3	1	8	66.7
Hand hygiene	4	1	1	6	50.0
Surgical safety	2	2	1	5	41.7
Safety in drug prescription, use, and administration	3	1	0	4	33.3
Patient fall prevention	2	3	1	6	50.0
Prevention of pressure ulcers	2	2	1	5	41.7
Others	2	2	1	5	41.7

Activities developed in the NSP^* * Patient Safety Center	Public	Private	Philanthropic	Total
Activities developed in the NSP^* * Patient Safety Center	Public	Private	Philanthropic	N	%
Professional training activities regarding patient safety and quality health services.	5	3	1	9	100.0
Mechanisms to identify, evaluate, and correct problems in the procedures	4	2	1	7	77.8
Mechanisms to identify, evaluate, and correct problems in the use of equipment, medicines, and supplies	3	2	1	6	66.7
Active participation of the nurses in risk surveillance and management	2	2	1	5	55.6

Strategy created by the patient safety plan	Public	Private	Philanthropic	Total
Strategy created by the patient safety plan	Public	Private	Philanthropic	N	%
Identification, analysis, evaluation, monitoring, and communication of the risks in the healthcare service, in a systematic manner	4	2	1	7	77.8
Safety in the prescription, use and administration of blood and components of the blood	2	2	1	5	55.6
Safety in the use of equipment and materials	2	1	0	3	33.4
Maintenance of an adequate record of the use of orthoses and prostheses when such procedures happen	0	2	0	2	22.3
Prevention and control of adverse events in healthcare services, including infections related to health care	3	2	1	6	66.7
Safety in enteral and parenteral nutritional therapies	1	3	1	5	55.6
Encouragement to the participation of patients and their families in the care	2	0	0	2	22.3
Effective communication between the healthcare professionals and between the healthcare services	3	1	0	4	44.5

Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Rua São Manoel, 963 -Campus da Saúde , 90.620-110 - Porto Alegre - RS - Brasil, Fone: (55 51) 3308-5242 / Fax: (55 51) 3308-5436 - Porto Alegre - RS - Brazil
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[1] Corresponding author:
Elisângela Franco de Oliveira cavalcante. elisangelafranco2@gmail.com