Abstract
This case study with a qualitative approach presents an analysis of the perceptions of family caregivers/companions and health workers concerning adverse events in care contexts. A total of 15 companions and 23 health workers from pediatric hospitalization units of a university hospital in Porto Alegre, Brazil participated in this study from August to December 2010. Data were collected through semi-structured interviews and analyzed through thematic content analysis using QSR's Nvivo version 7.0. Seven thematic categories emerged from the analysis. The results highlight reviewing and checking workers' interventions and implementing effective communication among workers, caregivers and children. The main recommendations concern changing the organizational culture of health facilities, emphasizing safe care and a systemic view of the evaluation of adverse events.
Highlights
Health care delivery involves a number of circumstances that may compromise the safety of children and their companions
Health care circumstances related to adverse events that culminate in errors are acknowledged in the literature and in daily practice
The children’s companions were mainly mothers of low socio-economic status, who experienced inequalities related to education, access to basic services, and to the job market
Summary
Health care delivery involves a number of circumstances that may compromise the safety of children and their companions. Health care circumstances related to adverse events that culminate in errors are acknowledged in the literature and in daily practice. Such errors are responsible for millions of deaths around the world. Patient safety means to reduce unnecessary risks to the minimum possible level while providing health care. Such a strategy is designed to avoid, prevent, and minimize outcomes of adverse events arising in health care practices[2,3]. Adverse events include harm accruing from care provided by health workers not related to the patient’s primary disease.
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