Abstract
Objectives : To analyze public and private institutions that use risk management; investigate the strategies that these hospitals adopt for patient and professional safety and identify the positive and negative aspects that imply the risk management in the hospitals surveyed. Method : A descriptive study, quanti-qualitative, developed in four hospitals in the public and private network of Joao Pessoa - PB. The sample was represented by eight professionals responsible for risk management in the participating institutions. Data were collected from February to March 2016. The data were collected and analyzed using simple descriptive statistics. Results : It was observed that public hospitals have adopted a strategy of use of Personal Protective Equipment (PPE), professional development courses participations and the development of actions of epidemiological surveillance; and that private hospitals are limited to the PPE use and information about biosecurity procedures for patients and professionals. Conclusion : The institutions surveyed still do not follow the risk management standards as security strategic element, that discourages and emotionally wearing out health professionals. It is recommended the implementation of continuing education actions focused on risk management to improve the level of knowledge among professionals who serve in the public and in private sector.
Highlights
Risk management in the context of health services is a systematic and continuous implementation of policies, procedures, behaviors and resources in risk and adverse events assessment, which affect patient safety, human health, professional integrity, environment and corporate image [1].Risk management in health care began to develop in the United States from the decade of 50
About the professional category were identified that individuals responsible for risk management both in public hospitals and in private hospitals are the Occupational Safety Technicians 4 (50%) and nurses 4 (50%), and have an average of 35 years old
The complexity of working risk management in the hospital, occurs for several reasons: the variety of professional experts in various fields of knowledge; difficulty inserting them in the management process; resistance thereof to participate in training intra and/or extra-hospital; and the fact that most professionals are only abiding hours due to work overload due to various employments, even those not involved in this process
Summary
Risk management in the context of health services is a systematic and continuous implementation of policies, procedures, behaviors and resources in risk and adverse events assessment, which affect patient safety, human health, professional integrity, environment and corporate image [1].Risk management in health care began to develop in the United States from the decade of 50. From the 2000 decade, patient safety comes to the agenda of researchers around the entire world and become internationally recognized as a fundamental dimension of quality in health [3]. In this context, the analysis of different surveys conducted in several countries, such as England, Australia, Canada, Denmark, New Zealand, Portugal, France, Sweden, Spain, Netherlands and Brazil, showed a high number of cases of adverse events focusing on a portion significant of hospitalized patients, which concluded that approximately 10% of hospitalizations result in some kind of adverse event [4]
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