Gama Zenewton André da Silva, Saturno-Hernández Pedro Jesus, Ribeiro Denise Nieuwenhoff Cardoso, Freitas Marise Reis de, Medeiros Paulo José de, Batista Almária Mariz, Barreto Analúcia Filgueira Gouveia, Lira Benize Fernandes, Medeiros Carlos Alexandre de Souza, Vasconcelos Cilane Cristina Costa da Silva, Silva Edna Marta Mendes da, Faria Eduardo Dantas Baptista de, Dantas Jane Francinete, Neto José Gomes, Medeiros Luana Cristina Lins de, Sicolo Miguel Angel, Fonseca Patrícia de Cássia Bezerra, Costa Rosângela Maria Morais da, Monte Francisca Sueli, Melo Veríssimo de
Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, Brasil.
Centro de Investigación en Calidad en Salud, Instituto Nacional de Salud Pública, Cuernavaca, México.
Cad Saude Publica. 2016 Sep 19;32(9):e00026215. doi: 10.1590/0102-311X00026215.
Efficacious patient safety monitoring should focus on the implementation of evidence-based practices that avoid unnecessary harm related to healthcare. The ISEP-Brazil project aimed to develop and validate indicators for best patient safety practices in Brazil. The basis was the translation and adaptation of the indicators validated in the ISEP-Spain project and the document Safe Practices for Better Healthcare (U.S. National Quality Forum), recommending 34 best practices. A 25-member expert panel validated the indicators. Reliability and feasibility were based on a pilot study in three hospitals with different management formats (state, federal, and private). Seventy-five best practice indicators were approved (39 structure; 36 process) for 31 of the 34 recommendations. The indicators were considered valid, reliable, and useful for monitoring patient safety in Brazilian hospitals.
有效的患者安全监测应侧重于实施循证实践，以避免与医疗保健相关的不必要伤害。巴西ISEP项目旨在开发和验证巴西最佳患者安全实践的指标。其依据是对ISEP西班牙项目中验证的指标以及《改善医疗保健安全实践》（美国国家质量论坛）文件进行翻译和改编，该文件推荐了34项最佳实践。一个由25名成员组成的专家小组对这些指标进行了验证。可靠性和可行性基于在三家管理形式不同（州立、联邦和私立）的医院进行的试点研究。针对34项建议中的31项，75项最佳实践指标获得批准（39项结构指标；36项过程指标）。这些指标被认为对监测巴西医院的患者安全有效、可靠且有用。
