Identifying patient risks during hospitalization

Autor: Lucélia Ferreira Lima, Lucila Coca Leventhal, Maria da Piedade do Pilar Fernandes
Jazyk: English<br />Portuguese
Rok vydání: 2008
Předmět:
Zdroj: Einstein (São Paulo), Vol 6, Iss 4, Pp 434-438 (2008)
Druh dokumentu: article
ISSN: 1679-4508
Popis: Objective: To identify the risks reported at a public institution andto know the main patient risks from the nursing staff point of view.Methods: A retrospective, descriptive and exploratory study. Thesurvey was developed at a hospital in the city of Taboão da Serra, SãoPaulo, Brazil. The study included all nurses working in care areas whoagreed to participate in the study. At the same time, sentinel eventsoccurring in the period from July 2006 to July 2007 were identified.Results: There were 440 sentinel events reported, and the main risksincluded patient falls, medication errors and pressure ulcers. Sixty-fivenurses were interviewed. They also reported patient falls, medicationerrors and pressure ulcers as the main risks. Conclusions: Riskassessment and implementation of effective preventive actions arenecessary to ensure patient’s safety. Involvement of a multidisciplinaryteam is one of the steps for a successful process.
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