Patient safety: understanding human error in intensive nursing care
ABSTRACT Objective: To analyze the active failures and the latent conditions related to errors in intensive nursing care and to discuss the reactive and proactive measures mentioned by the nursing team. Method: Qualitative, descriptive, exploratory study conducted at the Intensive Care Unit of a general hospital. Data were collected through interviews, participant observation and submitted to lexical analysis in the ALCESTE® software and to ethnographic analysis. Results: 36 professionals of the nursing team participated in the study. The analysis originated three lexical classes: Error in intensive care nursing; Active failures and latent conditions related to errors in the intensive care nursing team; Reactive and proactive measures adopted by the nursing team regarding errors in intensive care. Conclusion: Reactive and proactive measures influenced the safety culture, in particular, the recognition of errors by professionals, contributing to their prevention, safety and quality care.
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Universidade de São Paulo, Escola de Enfermagem
2018
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oai:scielo:S0080-623420180001004872018-12-18Patient safety: understanding human error in intensive nursing careDuarte,Sabrina da Costa MachadoStipp,Marluci Andrade ConceiçãoCardoso,Maria Manuela Vila NovaBüscher,Andreas Patient Safety Medical Errors Critical Care Nursing Intensive Care Units Nursing Care ABSTRACT Objective: To analyze the active failures and the latent conditions related to errors in intensive nursing care and to discuss the reactive and proactive measures mentioned by the nursing team. Method: Qualitative, descriptive, exploratory study conducted at the Intensive Care Unit of a general hospital. Data were collected through interviews, participant observation and submitted to lexical analysis in the ALCESTE® software and to ethnographic analysis. Results: 36 professionals of the nursing team participated in the study. The analysis originated three lexical classes: Error in intensive care nursing; Active failures and latent conditions related to errors in the intensive care nursing team; Reactive and proactive measures adopted by the nursing team regarding errors in intensive care. Conclusion: Reactive and proactive measures influenced the safety culture, in particular, the recognition of errors by professionals, contributing to their prevention, safety and quality care.info:eu-repo/semantics/openAccessUniversidade de São Paulo, Escola de EnfermagemRevista da Escola de Enfermagem da USP v.52 20182018-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342018000100487en10.1590/s1980-220x2017042203406 |
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Duarte,Sabrina da Costa Machado Stipp,Marluci Andrade Conceição Cardoso,Maria Manuela Vila Nova Büscher,Andreas |
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Duarte,Sabrina da Costa Machado Stipp,Marluci Andrade Conceição Cardoso,Maria Manuela Vila Nova Büscher,Andreas Patient safety: understanding human error in intensive nursing care |
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Duarte,Sabrina da Costa Machado Stipp,Marluci Andrade Conceição Cardoso,Maria Manuela Vila Nova Büscher,Andreas |
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Duarte,Sabrina da Costa Machado |
| title |
Patient safety: understanding human error in intensive nursing care |
| title_short |
Patient safety: understanding human error in intensive nursing care |
| title_full |
Patient safety: understanding human error in intensive nursing care |
| title_fullStr |
Patient safety: understanding human error in intensive nursing care |
| title_full_unstemmed |
Patient safety: understanding human error in intensive nursing care |
| title_sort |
patient safety: understanding human error in intensive nursing care |
| description |
ABSTRACT Objective: To analyze the active failures and the latent conditions related to errors in intensive nursing care and to discuss the reactive and proactive measures mentioned by the nursing team. Method: Qualitative, descriptive, exploratory study conducted at the Intensive Care Unit of a general hospital. Data were collected through interviews, participant observation and submitted to lexical analysis in the ALCESTE® software and to ethnographic analysis. Results: 36 professionals of the nursing team participated in the study. The analysis originated three lexical classes: Error in intensive care nursing; Active failures and latent conditions related to errors in the intensive care nursing team; Reactive and proactive measures adopted by the nursing team regarding errors in intensive care. Conclusion: Reactive and proactive measures influenced the safety culture, in particular, the recognition of errors by professionals, contributing to their prevention, safety and quality care. |
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Universidade de São Paulo, Escola de Enfermagem |
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2018 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342018000100487 |
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