Banca de DEFESA: ROCHELLE RUFINO COSTA

Patient safety; Primary Health Care; Vaccination; Nursing care

Introduction: Vaccination is one of the best public health strategies, very important for the prevention of infectious diseases. The increase in the number of mistaken procedures makes it necessary to understand the processes involved in vaccine rooms to ensure the effectiveness of immunization agents and promote safe care for society. Objective: Evaluate adherence to quality and patient safety criteria in fourteen vaccine rooms in a capital in northeastern Brazil, before and after a cycle of improvement. Methodology: Quantitative, quasi-experimental, before-and-after study, without a control group, where an improvement cycle will be carried out based on the identification of non-conformities with quality and safety criteria in the vaccine room, established by the National Immunization Program. In data collection, a protocol with seven items and its sub-items will be used, of the checklist type, completed by two evaluators, simultaneously and independently, before and after 30 days of intervention. During the intervention, a training workshop on patient safety will be held in the vaccine room for professionals working in the units evaluated. Results: The preliminary analysis identified that 76% of non-conformities are related to measures taken with vaccine under suspicion, nursing behavior in the vaccine room and disposal of vaccines inside the refrigerator. In the final assessment, 27% of the rooms were classified as unsafe care and 66% as partially safe. These data point to weaknesses that compromise patient safety and the quality of immunization, on which we intend to intervene. Future perspectives: Improving adherence to safety and quality criteria in vaccination will allow for a comprehensive approach to aspects related to safe vaccination and will contribute to ensuring the effectiveness of immunization and preventing adverse events. In addition, it is expected that the discussion on patient safety among workers in vaccine rooms encourages reflection on the topic in a broader context in Basic Health Units, an important step for the advancement of the movement for Primary Health Care safer and more effective.