The practice of reporting adverse events in a teaching hospital

Abstract OBJECTIVE Understanding the practice of reporting adverse events by health professionals. METHOD A qualitative case study carried out in a teaching hospital with participants of the Patient Safety Center and the nursing team. The collection took place from May to December 2015, and was conducted through interviews, observation and documentary research to treat the data using Content Analysis. RESULTS 31 professionals participated in the study. Three categories were elaborated: The practice of reporting adverse events; Barriers in the effective practice of notifications; The importance of reporting adverse events. CONCLUSION Notification was permeated by gaps in knowledge, fear of punishment and informal communication, generating underreporting. It is necessary to improve the interaction between leaders and professionals, with an emphasis on communication and educational practice.

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Main Authors: Siman,Andréia Guerra, Cunha,Simone Graziele Silva, Brito,Maria José Menezes
Format: Digital revista
Language:English
Published: Universidade de São Paulo, Escola de Enfermagem 2017
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342017000100445
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spelling oai:scielo:S0080-623420170001004452018-03-22The practice of reporting adverse events in a teaching hospitalSiman,Andréia GuerraCunha,Simone Graziele SilvaBrito,Maria José Menezes Patient Safety Nursing Team Security Management Quality of Health Care Medical errors Abstract OBJECTIVE Understanding the practice of reporting adverse events by health professionals. METHOD A qualitative case study carried out in a teaching hospital with participants of the Patient Safety Center and the nursing team. The collection took place from May to December 2015, and was conducted through interviews, observation and documentary research to treat the data using Content Analysis. RESULTS 31 professionals participated in the study. Three categories were elaborated: The practice of reporting adverse events; Barriers in the effective practice of notifications; The importance of reporting adverse events. CONCLUSION Notification was permeated by gaps in knowledge, fear of punishment and informal communication, generating underreporting. It is necessary to improve the interaction between leaders and professionals, with an emphasis on communication and educational practice.info:eu-repo/semantics/openAccessUniversidade de São Paulo, Escola de EnfermagemRevista da Escola de Enfermagem da USP v.51 20172017-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342017000100445en10.1590/s1980-220x2016045503243
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country Brasil
countrycode BR
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libraryname SciELO
language English
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author Siman,Andréia Guerra
Cunha,Simone Graziele Silva
Brito,Maria José Menezes
spellingShingle Siman,Andréia Guerra
Cunha,Simone Graziele Silva
Brito,Maria José Menezes
The practice of reporting adverse events in a teaching hospital
author_facet Siman,Andréia Guerra
Cunha,Simone Graziele Silva
Brito,Maria José Menezes
author_sort Siman,Andréia Guerra
title The practice of reporting adverse events in a teaching hospital
title_short The practice of reporting adverse events in a teaching hospital
title_full The practice of reporting adverse events in a teaching hospital
title_fullStr The practice of reporting adverse events in a teaching hospital
title_full_unstemmed The practice of reporting adverse events in a teaching hospital
title_sort practice of reporting adverse events in a teaching hospital
description Abstract OBJECTIVE Understanding the practice of reporting adverse events by health professionals. METHOD A qualitative case study carried out in a teaching hospital with participants of the Patient Safety Center and the nursing team. The collection took place from May to December 2015, and was conducted through interviews, observation and documentary research to treat the data using Content Analysis. RESULTS 31 professionals participated in the study. Three categories were elaborated: The practice of reporting adverse events; Barriers in the effective practice of notifications; The importance of reporting adverse events. CONCLUSION Notification was permeated by gaps in knowledge, fear of punishment and informal communication, generating underreporting. It is necessary to improve the interaction between leaders and professionals, with an emphasis on communication and educational practice.
publisher Universidade de São Paulo, Escola de Enfermagem
publishDate 2017
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342017000100445
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