Banca de DEFESA: MONIKY KEULY MARCELO ROCHA LIMA
Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.STUDENT : MONIKY KEULY MARCELO ROCHA LIMA
DATE: 19/06/2023
TIME: 14:30
LOCAL: Em ambiente virtual (Google Meet)
TITLE:
KEY WORDS:
Accidents due to falls; emergency medical services; Quality of health care; Patient safety.
PAGES: 52
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:
Introduction: Patient safety is directly associated with the quality of health services. In the context of Emergency Care Units, there is a gap in the implementation of safety protocols recommended by the National Patient Safety Program, such as the fall prevention protocol. Falls in patients result in damage in 30% to 50% of cases, and 6% to 44% of these damages are of a serious nature, such as fractures, subdural hematomas and bleeding, these events increase the length of stay, health care costs in health units and the risk of death. Objective: Establish care to reduce the occurrence of falls in patients in the Emergency Care Unit. Methodology: An experimental, before-and-after study, with a concurrent time series and a quantitative and qualitative approach, which took place at the Messejana Emergency Care Unit, located in the city of Fortaleza, in the state of Ceará. For data collection, an instrument called safety walk was used, applied in axis two of the Unit. Axis two is a wing where patients who stay more than 24 hours in the unit remain, being accommodated on stretchers. The site has a number of 16 patient beds, which are with transfer request and awaiting regulation. Results: Comparing the results obtained in March 2022 and March 2023, we had a 61% and 83% rate of compliance with the fall prevention goal safety walk requirements, respectively, with 14 samples in 2022 and five samples collected in 2023. Regarding the requirement to carry out the assessment of the risk of falls upon admission stratified by grade, we had 0% compliance in 2022 and 80% in 2023; regarding the requirements related to carrying out the daily assessment of the risk of falls stratified by degree, we had 0% compliance in 2022 and 100% in 2023; in the compliance requirement in the nursing prescription checked for care (keep the upper bed rails raised and wheels locked) we had 86% compliance in 2022 and 60% in 2023; in the requirement regarding the nursing prescription checked regarding care (guidance of the patient on the use of non-slip footwear) we went from 86% of compliance to 80%; in the requirement regarding signage for stratified fall risk, we went from 0% to 100% compliance; and as for the environment close to the patient, free of obstacles, illuminated and dry, we maintained 100% compliance in both years. Conclusions: The improvements made went far beyond the fall prevention protocol and contributed to the strengthening of the safety culture in the institution, through practices included in the routine of the service, active surveillance and involvement of all employees. It is necessary for safety issues to be part of the permanent agenda of health services and, for this to happen, it is important that there is a systematic planning, considering actions, structure, methods, definition of responsibilities and execution deadlines. It is also known that the implementation and dissemination of a safety culture requires a lot of effort, considering that managers, leadership teams and assistance teams need to be committed to issues related to safety, since the culture reflects the behavior of team members. an institution.
COMMITTEE MEMBERS:
Presidente - 2262871 - ANA ELZA OLIVEIRA DE MENDONCA
Interna - 2330137 - VILANI MEDEIROS DE ARAUJO NUNES
Externo à Instituição - VICTOR GRABOIS - Fiocruz - RJ