Banca de DEFESA: TOMAS PEREIRA JUNIOR

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : TOMAS PEREIRA JUNIOR
DATA : 22/02/2019
HORA: 14:30
LOCAL: sala RUTE, no 3º andar do prédio administrativo do HUOL/UFRN
TÍTULO:

PROFESSIONAL TRAINING FOR THE SAFETY OF THE CRITICAL PATIENT IN SUBSTITUTE RENAL THERAPY

PALAVRAS-CHAVES:

Patient safety; Renal dialysis; Health education.

PÁGINAS: 48
GRANDE ÁREA: Ciências da Saúde
ÁREA: Medicina
RESUMO:

INTRODUCTION: Patient safety is currently one of the most important issues for health system managers worldwide. It is defined as the set of initiatives or practices designed to avoid, prevent and reduce the adverse outcomes resulting from health care with the reduction of potential risks. From James Reason in his "Human Error", the "Swiss Cheese" model was proposed, where an active error is seen as the result of an aligned sequence of latent errors. He defends the need to create overlapping layers in order to "shield" the system, avoiding its flaws. A global milestone was established in 1999 through the publication of the Institute of Medicine (IOM) entitled "To Err is Human: Building a Safe Health Care System" which showed high mortality rates in North American hospitals (44 to 98,000 deaths/year) related to errors in health care. Patients with severe clinical conditions, multi-morbimortality, intense and fragmented use of the health system and high level of hospital exposure, are characterized by the increased risk of adverse events, including in this group, those with renal disease in renal replacement therapy. The Patient Safety Culture is defined by the Agency for Healthcare Research and Quality (AHRQ) as: "The product of values, attitudes, skills and behavioral patterns that determine the commitment, style and proficiency of managing a healthy and safe". An organization with a strong appeal in the security culture in its actions is characterized by the following virtues: Efficient communication, Teamwork, Leadership, Impartiality in assessments of failures, Patient-centered care, Evidence-based health actions and Continuing education of teams. In this context, we understand health education as a cornerstone for strengthening a system based on good practices, and indispensable for the improvement of professional skills. We use innovative initiatives called active teaching methodologies, where the student plays a central role in the process and is challenged to "learn to learn". OBJECTIVE: To train health professionals in the area of patient safety in order to reduce the incidence of adverse events during dialysis. METHODOLOGY: it was conducted a research-action study through an extension event of UFRN, directed to Doctors, Nurses and undergraduates from both areas, in the workshop format, through two modules, with a 10-hour workload, using conventional and active teaching methodologies. RESULTS: It was offered 33 vacancies, distributed among the internal and external public, only 22 students started the course, 94% of Nursing (05 graduates and 16 undergraduates) and only 01 undergraduate in Medicine. After the theoretical module, we performed an online evaluation with multiple choice questions, with a mean of 82%. During the practical module it was performed O.S.C.E. with two stations, with an average of 80.3% of hits for the group. It was also conducted an online satisfaction survey with 80% of satisfied participants. The authors considered the extension event to be successful in its objectives, and there is a need for continuity, improvement in its structure with better adjustment of programming, stimulation of new active teaching methodologies and strategies to motivate medical professionals to increase their participation.

MEMBROS DA BANCA:
Externa à Instituição - CAROLINA LARA NEVES - UFBA
Presidente - 2171406 - ELAINE LIRA MEDEIROS
Interna - 2644228 - SIMONE DA NOBREGA TOMAZ MOREIRA