Capucho Helaine Carneiro, Arnas Emilly Rasquini, Cassiani Silvia Helena De Bortoli
Departamento de Gestão e Incorporação de Tecnologias em Saúde do Ministério da Saúde, Brasília, Distrito Federal, Brasil.
Rev Gaucha Enferm. 2013 Mar;34(1):164-72. doi: 10.1590/s1983-14472013000100021.
This study's objective was to compare two types of voluntary incident reporting methods that affect patient safety, handwritten (HR) and computerized (CR), in relation to the number of reports, type of incident reported the individual submitting the report, and quality of reports. This was a descriptive, retrospective and cross-sectional study. CR were more frequent than HR (61.2% vs. 38.6%) among the 1,089 reports analyzed and were submitted every day of the month, while HR were submitted only on weekdays. The highest number of reports referred to medication, followed by problems related to medical-hospital material and the professional who most frequently submitted reports were nurses in both cases. Overall CR presented higher quality than HR (86.1% vs. 61.7%); 36.8% of HR were illegible, a problem that was eliminated in CR. Therefore, the use of computerized incident reporting in hospitals favors qualified voluntary reports, increasing patient safety.
本研究的目的是比较两种影响患者安全的自愿事件报告方法,即手写报告(HR)和计算机化报告(CR),比较内容包括报告数量、报告的事件类型、提交报告的个人以及报告质量。这是一项描述性、回顾性横断面研究。在所分析的1089份报告中,计算机化报告比手写报告更频繁(61.2%对38.6%),且每月每天都有提交,而手写报告仅在工作日提交。报告数量最多的是用药方面,其次是与医疗医院材料相关的问题,在两种情况下最常提交报告的专业人员都是护士。总体而言,计算机化报告的质量高于手写报告(86.1%对61.7%);36.8%的手写报告难以辨认,而计算机化报告则消除了这一问题。因此,医院使用计算机化事件报告有利于获得高质量的自愿报告,提高患者安全。