Risk management of adverse events in a maternity hospital
ABSTRACT Objective: To investigate the root causes of adverse events in a maternity hospital through risk management. Method: Action research with seven nursing professionals given their expressive capillarity in the service. The study was conducted between January 2020 and February 2021. The field of study was a public maternity hospital, in which a situational diagnosis of adverse events was carried out, and a questionnaire was applied to employees. In the thematic seminars, quality improvement tools were applied to identify the root causes of adverse events. Similar reports were grouped and analyzed. Results: With risk management, the root causes for adverse events related to patient identification, falls and prescription, use and administration of medications were identified. Final considerations: Weaknesses were observed in many fields that support adverse events. The institution must adopt consistent investments and collective attention. The study is still ongoing.
| Main Authors: | , , , |
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| Format: | Digital revista |
| Language: | English |
| Published: |
Universidade Federal do Rio Grande do Sul. Escola de Enfermagem
2022
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| Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472022000100463 |
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