Patient safety: understanding human error in intensive nursing care
Autor: | Sabrina da Costa Machado Duarte, Marluci Andrade Conceição Stipp, Maria Manuela Vila Nova Cardoso, Andreas Büscher |
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Jazyk: | English<br />Spanish; Castilian<br />Portuguese |
Rok vydání: | 2018 |
Předmět: | |
Zdroj: | Revista da Escola de Enfermagem da USP, Vol 52, Iss 0 (2018) |
Druh dokumentu: | article |
ISSN: | 1980-220X 1980-220x |
DOI: | 10.1590/s1980-220x2017042203406 |
Popis: | ABSTRACT Objective: To analyze the active failures and the latent conditions related to errors in intensive nursing care and to discuss the reactive and proactive measures mentioned by the nursing team. Method: Qualitative, descriptive, exploratory study conducted at the Intensive Care Unit of a general hospital. Data were collected through interviews, participant observation and submitted to lexical analysis in the ALCESTE® software and to ethnographic analysis. Results: 36 professionals of the nursing team participated in the study. The analysis originated three lexical classes: Error in intensive care nursing; Active failures and latent conditions related to errors in the intensive care nursing team; Reactive and proactive measures adopted by the nursing team regarding errors in intensive care. Conclusion: Reactive and proactive measures influenced the safety culture, in particular, the recognition of errors by professionals, contributing to their prevention, safety and quality care. |
Databáze: | Directory of Open Access Journals |
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