Siman Andréia Guerra, Cunha Simone Graziele Silva, Brito Maria José Menezes
Universidade Federal de Viçosa, Viçosa, MG, Brazil.
Universidade do Estado de Minas Gerais, Belo Horizonte, MG, Brazil.
Rev Esc Enferm USP. 2017 Oct 9;51:e03243. doi: 10.1590/S1980-220X2016045503243.
Understanding the practice of reporting adverse events by health professionals.
A qualitative case study carried out in a teaching hospital with participants of the Patient Safety Center and the nursing team. The collection took place from May to December 2015, and was conducted through interviews, observation and documentary research to treat the data using Content Analysis.
31 professionals participated in the study. Three categories were elaborated: The practice of reporting adverse events; Barriers in the effective practice of notifications; The importance of reporting adverse events.
Notification was permeated by gaps in knowledge, fear of punishment and informal communication, generating underreporting. It is necessary to improve the interaction between leaders and professionals, with an emphasis on communication and educational practice.
了解卫生专业人员报告不良事件的做法。
在一家教学医院对患者安全中心的参与者和护理团队进行了一项定性案例研究。收集工作于2015年5月至12月进行，通过访谈、观察和文献研究来收集数据，并采用内容分析法进行处理。
31名专业人员参与了该研究。阐述了三个类别：不良事件报告的做法；有效通报做法中的障碍；报告不良事件的重要性。
通报过程中存在知识差距、对惩罚的恐惧和非正式沟通等问题，导致报告不足。有必要改善领导者与专业人员之间的互动，重点是沟通和教育实践。
