Banca de DEFESA: RODRIGO DELLA TORRES

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : RODRIGO DELLA TORRES
DATA : 19/07/2018
HORA: 10:00
LOCAL: Sala de Reuniões do DSC
TÍTULO:

IMPROVEMENT OF PATIENT SAFETY CULTURE IN AN ONCOLOGY SERVICE

PALAVRAS-CHAVES:

Patient Safety, Patient Safety Culture, Quality of Health Care

PÁGINAS: 30
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Saúde Pública
RESUMO:

Introduction: It is undeniable that the constant concern for patient safety should be one of the main focuses of attention of the health services and the safety culture in these institutions has a great influence on this issue because it is the product of individual and group values, attitudes, perceptual abilities, and behavioral patterns that determine commitment to patient health and safety management, style and proficiency. In recent decades, there has been a significant mobilization around patient quality and safety programs in health organizations, but the implementation of a Patient Safety Program (PSP) in a systematic way, taking into account the high attributes level of safety culture, especially in outpatient oncology services, is still a poorly debated topic. Objectives: To improve the patient's safety culture in an oncology service and to evaluate the effect of implementing a safety program on the institution's culture. Methodology: Almost experimental study of the before and after type, without control group, performed from July 2017 to April 2018 in an ambulatory oncology service in the city of Ponta Grossa-Paraná. The questionnaire from the Agency for Healthcare Research and Quality (AHRQ), translated and validated for use in Brazil, was applied to health professionals before and after the implementation of the PSP in that specialized service. The questionnaire has 14 dimensions with 44 items and was applied to all professionals working in the institution, in both phases. In the process of implementing the PSP, data from the safety culture served as the basis for the design of the improvement cycle consisting of multidisciplinary meetings; definition of responsibilities; training and training program; implementation and adoption of policies and protocols; definition and measurement of structure, process and results indicators; among others. For the interpretation of the data, the definitions contained in the AHRQ manual (2016) were assumed - as negative the responses marked as: totally disagree, disagree, rarely, never, very bad and bad; as neutral: neither agree nor disagree, sometimes acceptable; as positive: I agree totally, agree, always, almost always, very good and excellent. Use of Microsoft Excel 2016 for data analysis. Results: Of the total of 60 professionals who were invited to participate in the survey, 43 (72%) answered the questionnaire, of which 37% were doctors, 12% comprised the nursing team, 10% the reception staff, 10% the hygiene team, 8% of radiology, 7% of the pharmacy, 7% of the administrative sector and the other 9%, nutritionist, psychologist and physiotherapist. In the pre-implantation stage of the PSP, there was a predominance of a negative result for six (43%) of the 14 dimensions, being: Organizational learning/continuous improvement, Feedback and communication regarding errors, Openness for communications, Frequency of reports of incidents are reported in the various modalities, Non-punitive responses to errors and Number of reported incidents. Four (28.5%) dimensions showed a predominance of neutrality: Expectations/actions to promote manager safety, Management support for patient safety, Generalized safety perceptions, Patient safety level; and four (28.5%) dimensions with a predominance of positive results: Teamwork in the area/sector, Teamwork among areas/ sectors, Personnel, Internal transfers and shift tickets. When the post-implantation phase of the PSP was evaluated, a significant improvement was observed in all dimensions of the patient's safety culture, which assumed a positive predominance. Conclusions: The improvement of the safety culture of an institution is directly related to quality management, and the measurement of the safety culture was an important quality improvement tool, insofar as it identified the fragilities of the organization, providing planning and assertive actions taken in the patient safety program. This provided a shift in the setting in the patient's safety culture in the oncology service, making their commitment to quality of health care more robust.

MEMBROS DA BANCA:
Presidente - 1645299 - MARISE REIS DE FREITAS
Externo à Instituição - PATRÍCIA PERES DE OLIVEIRA - UFSJ
Interno - 1868020 - ZENEWTON ANDRÉ DA SILVA GAMA