Banca de QUALIFICAÇÃO: AIANNA RIOS MAGALHAES VERAS E SILVA

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : AIANNA RIOS MAGALHAES VERAS E SILVA
DATE: 15/04/2020
TIME: 15:00
LOCAL: Videoconferência
TITLE:
KEY WORDS:
PAGES: 155
BIG AREA: Engenharias
AREA: Engenharia de Produção
SUMMARY:

Nowadays, patient safety has become a worldwide concern, covering a range of aspects to consider, looking to ensure it, such as safe surgery, patient identification, hands sanitization, prevention of falls, safe use of medicines, safe care environment, among others, making the knowledge more intricate and the control of all these variables, when it comes to managing the system of patient care, such as hospitals, maternity, amongst others. Patient safety, as well as the causes of adverse events (AEs) and their consequences, to a greater or lesser extent, are related to the facilities and equipment quality, the services provided, the distribution of the staff to do the services, the daily and weekly work, the density or intensification of work, the complexity of the patients’ clinical conditions, the payment of the professionals, the management of the worker’s safety and health, the management of infections in the hospital, among others. In this context, the transportation and relocation of patients in the intra-hospital environment expresses concern due to the frequency it occurs, its complexity, given the occurring aspects, above mentioned, and the possible manifestations of adverse events related to these activities, in which are performed by the stretcher-bearers. However, there is a scarcity of researches that considers them as an important barrier to the occurrence of AEs. The understanding of safety, as proposed by Hollnagel, in the Safety II approach, emphasizes the importance of analyzing the work as it is actually ("work as doneWAD"), unlike analyzing the work as it was imagined ("work as imagined-WAI"), as is the Safety I approach. The Safety II approach values the workers’ knowledge and experience, who in this research are the stretcher-bearers, for they consider that they should know the work itself performed by them and also how and why things work out ("go right"). Unlike the Safety I approach that focuses on things that don't work out ("go wrong"), on the work risks. The actual work of the stretcher-bearer is much more than transporting the patient from one place to another. It consists of transporting and relocating efficiently and safely, and this brings together technological and organizational aspects, the patient's health conditions and the stretcher-bearers’ health conditions and cognitive strategies themselves, to avoid adverse events. Ergonomics presents itself, in this context, as a fundamental scientific and methodological field, through the Ergonomic Analysis of Work, to comprehend the work of the stretcher-bearer, to formulate a diagnosis of their work and to establish indications to improve the stretcher-bearer’s activity and the health units that take care of the patients, aiming their safety during the activity of transportation and relocation of the patient. Thus, the present work has as its main objective the analyzation of the stretcher-bearers’ activity in the Maternity School Januário Cicco (MEJC), situated in the city of Natal-RN, purposing to identify the causes of this work activity that impact patients’ safety. The objective is to indicate measures to improve stretcher-bearers’ work activity, to level down occurrence of possible adverse events, or vulnerabilities associated with the activity, and increase patient safety. Therefore, it will be adopted a method based on the Ergonomic Analysis of Work (TSA), which is characterized for applying observational and interactional techniques and also for adopting an inclusive and negotiable approach with interested subjects in solving the aforementioned problems. The preliminary results of the research show that the stretcher-bearers, when performing their work activities, face physical inequalities, due to the characteristics of the physical facilities (deterioration of equipment, inadequate layout, lack of elevator of access to unit B2, among others) of the MEJC and the equipment used. They also endure usual incidents (the urgency of transportation, high demand x low number of staff, high demand x availability equipment, etc.). To promote the efficiency and security of the service provided, stretcher-bearers often deal with adjustments, such as the development of strategies and actions, as in relying on the assistance of third parties to carry out certain transportations and relocations of patients, and make anticipations with forecasts of on-call demands that encounter intense flows in certain periods and days of the week. These regulations aim to mitigate or eliminate unintended movements and incidental variability, facilitating the execution of actions (transportation and relocations of the patient), efficiently and safely, thus, reducing the occurrence of associated adverse events.

BANKING MEMBERS:
Interno - 2329932 - JULIO FRANCISCO DANTAS DE REZENDE
Externa à Instituição - MARIA CHRISTINE WERBA SALDANHA - UFPB
Presidente - 1217772 - RICARDO JOSE MATOS DE CARVALHO