Abstract
to identify and analyze the factors that contribute to safety incident occurrence in the processes of prescribing, preparing and dispensing antineoplastic medications in pediatric oncology patients. a quality improvement study focused on oncopediatric pharmaceutical care processes that identified and analyzed incidents between 2019-2020. A multidisciplinary group performed root cause analysis (RCA), identifying main contributing factors. in 2019, seven incidents were recorded, 57% of which were prescription-related. In 2020, through active search, 34 incidents were identified, 65% relating to prescription, 29% to preparation and 6% to dispensing. The main contributing factors were interruptions, lack of electronic alert, work overload, training and staff shortages. the results showed that adequate recording and application of RCA to identified incidents can provide improvements in the quality of pediatric oncology care, mapping contributing factors and enabling managers to develop an effective action plan to mitigate risks associated with the process.
Highlights
OBJECTIVEHospital ship SS HOPE (Health Opportunity for People Everywhere), popularly known as The Hope Ship, operated as a transfer of the U.S government to the People to People Foundation[1], carrying out cruises (1960-1973), in the context of Cold War as a consequence of World War II, in which the super powers – the United States and soviet Union – vied for global hegemony
Its mission was to international cooperation with developing countries, bringing humanitarian aid and developing actions focused on education and health care
Some courses seem to serve the interests of Universidade Federal do Rio Grande do Norte (UFRN), given the publication of resolutions of the Teaching, Research and Extension Council (CONSEP - Conselho de Ensino, Pesquisa e Extensão)
Summary
OBJECTIVEHospital ship SS HOPE (Health Opportunity for People Everywhere), popularly known as The Hope Ship, operated as a transfer of the U.S government to the People to People Foundation[1], carrying out cruises (1960-1973), in the context of Cold War as a consequence of World War II, in which the super powers – the United States and soviet Union – vied for global hegemony. This team was responsible for developing health care and education actions through joint work between counterparts in the system known as counterparts[1] In this condition, the ship’s story records the following trips: Indonesia and South Vietnam (1960), Peru (1962-63), Ecuador (1963-64), Guinea (1964-65), Nicaragua (1966), Colombia (1967), Ceylon (1968-69), Tunisia (1969-70), West Indies (1971), all lasting 10 months and, in an unprecedented way, in Brazil where the ship was on two occasions, in Natal (1972) and Maceió (1973). This fact, apparently unusual, may relate to the following circumstances: geopolitical interests; Cold War; political instability in Latin America; precarious health services; lack of human resources in health; previous experiences of humanitarian aid programs in the North and the Northeast; and, use of military bases during World War II[3,4]
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