Nursing faults in the recovery period of surgical patients
This is a descriptive study based on the theory of human error, in order to analyze and classify nursing errors during the nursing care of surgical patients at recovery. Twenty-five (25) fault reports were collected through a semi-structured interview. Those reports were submitted to 15 nurse experts to evaluate the risk of seriousness; human, equipment and organizational factors involved; members interaction; information and reversibility of the accident. Faults were directly attributed to psychosocial and organizational aspects, equipment and seriousness. A multidimensional scaling test (MDS) was applied and a graph was obtained. It showed four groups of faults, due to problems related to sensory-motor, procedure, abstraction and supervision control. In conclusion, the faults were caused by non-defined personnel roles, continuing education deficiency, non-systematic observation, inadequate space and equipment.
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| Format: | Digital revista |
| Language: | English |
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Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
2006
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| Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692006000600008 |
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