Reflections on patient safety incident reporting systems.
| Autor: | Harada MJCS; Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil., Silva AEBC; Universidade Federal de Goiás. Goiânia, Goiás, Brazil., Feldman LB; Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil., Tavares SS; Universidade de Sorocaba. Sorocaba, São Paulo, Brazil., Gerhardt LM; Rede Brazileira de Enfermagem e Segurança do Paciente Nacional. Porto Alegre, Rio Grande do Sul, Brazil., Lima Júnior AJ; Rede Brazileira de Enfermagem e Segurança do Paciente Nacional. Porto Alegre, Rio Grande do Sul, Brazil., Kolankiewicz ACB; Universidade Regional do Noroeste do Estado do Rio Grande do Sul. Ijuí, Rio Grande do Sul, Brazil. |
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| Jazyk: | English; Portuguese |
| Zdroj: | Revista brasileira de enfermagem [Rev Bras Enferm] 2021 Mar 05; Vol. 74Suppl 1 (Suppl 1), pp. e20200307. Date of Electronic Publication: 2021 Mar 05 (Print Publication: 2021). |
| DOI: | 10.1590/0034-7167-2020-0307 |
| Abstrakt: | Objective: To reflect on the main characteristics and recommendations of Incident Reporting Systems, discuss the population's participation in reporting, and point out challenges in the Brazilian system. Method: Reflection study, based on Ordinance No. 529/13, which instituted the National Patient Safety Program, under Collegiate Board Resolution (CBR) No. 36/13; reflections by experts were added. Results: Reporting systems are a source for learning and monitoring, allow early detection of incidents, investigations and, mainly, the generation of recommendations prior to recurrences, in addition to raising information for patients and relatives. There is little participation of the population in the reporting, regardless of the type of system and characteristics such as confidentiality, anonymity, and mandatory nature. Final Considerations: In Brazil, although reporting is mandatory, there is an urgency to advance the involvement and participation of the population, professionals, and institutions. To simplify data entry by improving the interface and importing data from the reporting system is an objective to be achieved. |
| Databáze: | MEDLINE |
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