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.
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Universidade Federal do Rio Grande do Sul. Escola de Enfermagem
2022
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oai:scielo:S1983-144720220001004632022-10-31Risk management of adverse events in a maternity hospitalMoura,Maria Edileuza SoaresMaria,Rafael Carvalho deSilva,Maria Clara Santana daSilva,Misslane Morais da Health services Patient safety Risk management Safety management Nursing 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.info:eu-repo/semantics/openAccessUniversidade Federal do Rio Grande do Sul. Escola de EnfermagemRevista Gaúcha de Enfermagem v.43 20222022-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472022000100463en10.1590/1983-1447.2022.20210255.en |
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Moura,Maria Edileuza Soares Maria,Rafael Carvalho de Silva,Maria Clara Santana da Silva,Misslane Morais da |
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Moura,Maria Edileuza Soares Maria,Rafael Carvalho de Silva,Maria Clara Santana da Silva,Misslane Morais da Risk management of adverse events in a maternity hospital |
| author_facet |
Moura,Maria Edileuza Soares Maria,Rafael Carvalho de Silva,Maria Clara Santana da Silva,Misslane Morais da |
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Moura,Maria Edileuza Soares |
| title |
Risk management of adverse events in a maternity hospital |
| title_short |
Risk management of adverse events in a maternity hospital |
| title_full |
Risk management of adverse events in a maternity hospital |
| title_fullStr |
Risk management of adverse events in a maternity hospital |
| title_full_unstemmed |
Risk management of adverse events in a maternity hospital |
| title_sort |
risk management of adverse events in a maternity hospital |
| description |
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. |
| publisher |
Universidade Federal do Rio Grande do Sul. Escola de Enfermagem |
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2022 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472022000100463 |
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