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Publication
A gestão do risco clínico e do risco não clínico no serviço de urgência da unidade de Faro do Centro Hospitalar Universitário do Algarve: a segurança do doente no processo contínuo de melhoria
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Authors
Advisor(s)
Abstract(s)
A segurança do doente, intimamente relacionada com a gestão do risco, revela-se uma
das componentes estruturantes e essenciais da qualidade dos cuidados de saúde (Thomas,
Studdert, Burstin et al., 2000). Este trabalho aborda esta temática no serviço de urgência
(SU), que se caracteriza por um ambiente complexo e desafiador devido às características
dos doentes, à elevada afluência e à pressão que existe sobre os profissionais. Esta
investigação procura abordar estas questões, utilizando um conjunto de problemas e
desafios colocados à gestão do risco diretamente ligada à segurança do doente no SU
polivalente da unidade de Faro do Centro Hospitalar Universitário do Algarve (CHUA),
considerados prioritários segundo um painel de especialistas internos que intervêm no
processo de gestão do serviço. Os dados utilizados neste trabalho, foram recolhidos no
SU em dois momentos distintos e foi utilizada uma técnica exploratória para a análise de
dados de Três Vias, neste caso o método DISTATIS (Abdi et al., 2005; Abdi et al., 2007).
A análise dos resultados desta investigação sobre as avaliações dos especialistas, permitiu
caracterizar as semelhanças e as diferenças nas opiniões manifestadas, bem como
possibilitaram avaliar a estabilidade e/ou instabilidade das mesmas. Por fim, e tendo por
base a informação sobre a coerência e a discordância manifestadas pelos especialistas, foi
possível identificar os problemas/desafios de segurança do doente no SU prioritários no
processo de tomada de decisão para uma gestão do risco mais eficiente do SU.
Patient safety, closely related to risk management, is one of the structuring and essential components of the quality of healthcare (Thomas, Studdert, Burstin et al., 2000). This study addresses this theme in the emergency unit (EU), which is characterized by a complex and challenging environment due to the characteristics of patients, the high affluence and the pressure that exists on professionals. This research seeks to address these issues, using a set of problems and challenges faced by the risk management and directly linked to patient safety, in the general emergency unit of the Faro University Hospital Center of the Algarve (CHUA), considered as a priority according to a panel of internal experts involved in the service management process. The data used in this work were collected in the EU at two different moments and a three-way data exploratory technique was used to analyze the data, in this case the DISTATIS method (Abdi et al., 2005; Abdi et al., 2007). The analysis of the results of this investigation on the experts' evaluations allowed to characterize the similarities and differences in the opinions expressed, as well as to assess their stability and/or instability. Finally, and based on the information on the consistency and disagreement expressed by the experts, it was possible to identify the priority problems/challenges of patient safety in the EU in the decisionmaking process for more efficient risk management in the EU
Patient safety, closely related to risk management, is one of the structuring and essential components of the quality of healthcare (Thomas, Studdert, Burstin et al., 2000). This study addresses this theme in the emergency unit (EU), which is characterized by a complex and challenging environment due to the characteristics of patients, the high affluence and the pressure that exists on professionals. This research seeks to address these issues, using a set of problems and challenges faced by the risk management and directly linked to patient safety, in the general emergency unit of the Faro University Hospital Center of the Algarve (CHUA), considered as a priority according to a panel of internal experts involved in the service management process. The data used in this work were collected in the EU at two different moments and a three-way data exploratory technique was used to analyze the data, in this case the DISTATIS method (Abdi et al., 2005; Abdi et al., 2007). The analysis of the results of this investigation on the experts' evaluations allowed to characterize the similarities and differences in the opinions expressed, as well as to assess their stability and/or instability. Finally, and based on the information on the consistency and disagreement expressed by the experts, it was possible to identify the priority problems/challenges of patient safety in the EU in the decisionmaking process for more efficient risk management in the EU
Description
Keywords
DISTATIS Sorting task Gestão do risco na saúde Serviços de urgência Segurança do doente