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
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