Abstract
ABSTRACT Objective: to identify with the nursing team strategies to promote the safety of the patient with heart disease using warfarin. Method: an exploratory and descriptive research with a qualitative approach, developed in clinical/surgical inpatient units at a public referral hospital in cardiovascular care. The participants were 20 professionals from the nursing team who work in these sectors. Data collection took place in May and June 2017, through discussion groups and covered the five stages of the Maguerez Arch, which were held in a single meeting that was repeated four times in order to involve the largest number of professionals. The obtained data were submitted to thematic analysis. Results: two categories emerged: Recognizing the problem and identifying its causes; and Building hypotheses of solution to the problem. The results showed that the group recognizes the use of oral anticoagulant as a risk factor for serious adverse events. Strategies such as knowing the target international normative relationship of each patient, providing information on the use of anticoagulant to patients and their families, among others, can contribute to make this care safer. Conclusion: the moments of discussion favored by this study served as learning to continue the future implementation of the strategies pointed out by the group and thus increasingly improve the care provided to patients with heart disease and their families.
Highlights
The antithrombotics are drugs used to prevent the formation and growth of blood thrombi
It is important for the health professionals to understand the definitions related to medication errors, and to know their causes, consequences and risk factors
The goal of identifying with the nursing team strategies to promote the safety of patients with heart disease on warfarin was achieved
Summary
The antithrombotics are drugs used to prevent the formation and growth of blood thrombi. The blood outside the blood vessel undergoes a process called coagulation, in which the figured elements (red blood cells, leukocytes, platelets) clump together to prevent its extravasation and stop bleeding. There are two classes of antithrombotics: anticoagulants that retard coagulation as they inhibit fibrin formation, and antiplatelet agents that act to prevent platelet aggregation.[1]. Using antithrombotic drugs brought many benefits to Medicine, such as making hemodialysis and major surgery feasible, since blood clotting in extracorporeal circuits can be avoided. Antithrombotic therapy has reduced the risk of developing thrombi in lower limb veins, reducing the number of deaths from pulmonary thromboembolism; reducing heart attack deaths and stroke risk in patients suffering from atrial fibrillation. It enables several tests to be performed whose blood elements need to be analyzed.[2,3]
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