Paixão Danieli Parreira da Silva Stalisz da, Batista Josemar, Maziero Eliane Cristina Sanches, Alpendre Francine Taporosky, Amaya Marly Ryoko, Cruz Elaine Drehmer de Almeida
Universidade Federal do Paraná, Postgraduate Program in Nursing. Curitiba, Paraná, Brazil.
Rev Bras Enferm. 2018;71(suppl 1):577-584. doi: 10.1590/0034-7167-2017-0504.
To investigate compliance of national patient safety protocols in Emergency Care Units (UPA) of the Paraná State.
From April until September 2016, the exploratory stage of the action research was conducted on stratified sampling with 377 patients of eight units, with use of verification instrument of basic safety actions.
The absence of systematic identification of patients, fall risk assessment and signaling and development of pressure injuries were evidenced. We observed that 52.8% of parenteral solutions in use were not identified and that, in only 29.4% of the cases, the allergic condition was investigated. In 80.6% of the emergency units there was availability of alcoholic solution to hand hygiene.
We concluded that the non-compliance of basic actions concerning patient safety exposes users to preventable adverse events and demands systematized actions to comply with government guidelines and promote quality of health assistance.
调查巴拉那州急诊护理单元（UPA）对国家患者安全协议的遵守情况。
2016年4月至9月，采用分层抽样法对8个单元的377例患者进行了行动研究的探索阶段，使用基本安全行动核查工具。
发现存在未对患者进行系统识别、未进行跌倒风险评估以及未对压力性损伤进行信号提示和预防等情况。我们观察到，52.8%正在使用的肠外溶液未进行标识，仅29.4%的病例对过敏情况进行了调查。80.6%的急诊单元备有用于手卫生的酒精溶液。
我们得出结论，患者安全基本行动的不遵守使使用者面临可预防的不良事件，需要采取系统化行动以遵守政府指南并提高卫生援助质量。
