重症监护病房中的患者安全文化：卫生专业人员的视角
Patient safety culture in intensive care units: perspective of health professionals.
作者信息
Souza Catharine Silva de, Tomaschewski-Barlem Jamila Geri, Rocha Laurelize Pereira, Barlem Edison Luiz Devos, Silva Thiago Lopes, Neutzling Bruna Ruoso da Silva
机构信息
Universidade Federal do Rio Grande (FURG), Escola de Enfermagem. Rio Grande, Rio Grande do Sul, Brasil.
出版信息
Rev Gaucha Enferm. 2019;40(spe):e20180294. doi: 10.1590/1983-1447.2019.20180294. Epub 2019 Apr 8.
OBJECTIVE
To identify the patient safety culture in intensive care units.
METHOD
This qualitative, exploratory-descriptive study was conducted with five physicians, five nurses and 24 nursing technicians working in the intensive care units of two hospitals in the South of Brazil: one public and one philanthropic. Semi-structured interviews were held in September and October 2016 and analyzed using discursive textual analysis.
RESULTS
Two categories emerged: Perception of error and Error management.
CONCLUSION
The professionals acknowledge the existence of errors in health care and assign their occurrence to individual failures and failures accruing from the organizational system but support a non-punitive culture of safety and encourage collective learning.
目的
识别重症监护病房的患者安全文化。
方法
本定性、探索性描述性研究对巴西南部两家医院重症监护病房的五名医生、五名护士和24名护理技术员进行。这两家医院，一家是公立医院，一家是慈善医院。2016年9月和10月进行了半结构化访谈，并采用话语文本分析法进行分析。
结果
出现了两类情况：对错误的认知和错误管理。
结论
专业人员承认医疗保健中存在错误，并将其发生归因于个人失误和组织系统产生的失误，但支持非惩罚性的安全文化并鼓励集体学习。
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