Abstract
to describe the nursing team's adherence to patient safety actions in neonatal units using a validated instrument. a cross-sectional study, carried out through direct observation of the nursing team and descriptive analysis of 182 records of the "Checklist for patient safety in nursing care during hospitalization in Neonatal Intensive Care Units" in a hospital in the municipality of Belo Horizonte. there was evidence of adherence greater than 90.0% in the units concerning the use of the identification wristband and guidance of the companions. It was identified 79.0% of absence on the checking of wristband identification and 59.0% of the absence of an evaluation of the crib wheels' locks. Three of the 21 items included in the checklist did not show non-conformities. partial adherence to patient safety actions was observed, especially regarding the target of patient identification and prevention of falls, which exposes newborns to preventable adverse events.
Highlights
Patient safety, according to the World Health Organization (WHO), is described as the decreasing, to a minimum acceptable, of the risk or exposure to unnecessary danger in health care settings and is related to updated knowledge, available resources and the context in which assistance is provided[1].The errors and complications resulting from health care that cause harm to patients are called adverse events (AE), which can be preventable and represent a great challenge for the nursing team, as they weaken the quality of health care and the safety of the patient
The results concerning the assessment of the adherence to neonatal patient safety actions, according to the checklist, are shown in Table 1, according to the units assessed
The items that showed the highest frequency of adherence were related to the use of an identification wristband and provision of guidance to companions
Summary
Patient safety, according to the World Health Organization (WHO), is described as the decreasing, to a minimum acceptable, of the risk or exposure to unnecessary danger in health care settings and is related to updated knowledge, available resources and the context in which assistance is provided[1].The errors and complications resulting from health care that cause harm to patients are called adverse events (AE), which can be preventable and represent a great challenge for the nursing team, as they weaken the quality of health care and the safety of the patient. The occurrence of AE contributes to the increase in morbidity and mortality, the increase of hospital stay and costs, besides providing social burden and suffering to the user, his/her family and the professional who made the mistake[2]. In this sense, WHO created the World Alliance for Patient Safety in 2004, whose objective was to adopt better strategies that could result in improved patient care and, increased quality of care[3]. In 2005, with a focus on promoting the quality and safety of the care provided, WHO and the Joint Commission International (JCI) established the International Objectives for Patient Safety in the hospital environment. These objectives have been improved and currently include the following aspects: correct identification of patients, effective communication among health professionals, safety in drug administration, ensuring correct surgery in the correct place and patient, reducing infections associated with health care and, decrease the grievance associated with injuries or falls[3,4,5]
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