12 results

Risk factors associated with in-hospital falls reported to the Patient Safety Commitee of a teaching hospital

Adriane Kênia Moreira Silva ORCID logo , Dayane Carlos Mota da Costa ORCID logo , Adriano Max Moreira Reis ORCID logo

DOI: 10.31744/einstein_journal/2019AO4432

ABSTRACT Objective To investigate the use of fall-risk-increasing drugs among patients with falls reported to the Patient Safety Office of a hospital, and to identify the factors associated with high risk for fall. Methods A cross-sectional study, carried out in a teaching hospital. The study population was the universe of fall reports received by the Patient Safety Office. The dependent variable was a high risk for falls. The Medication Fall Risk Score was used to measure fall risk. Descriptive, univariate […]

When color helps

Ana Luiza Fontes de Azevedo Costa ORCID logo , Thiago Gonçalves dos Santos Martins ORCID logo , Ricardo Vieira Martins ORCID logo , Paulo Schor ORCID logo

DOI: 10.31744/einstein_journal/2019AO4410

ABSTRACT Objective: To reduce the inappropriate identification of eye drops, through the use of different colors. Methods: A group of 34 healthy volunteers was presented to two groups of four eye drops each. All eye drops were placed in identical, unlabelled vials. In one group, all four eye drops were transparent. In the other group, each had a different color. A number was assigned to each eye drop, and the volunteer was asked to identify it by color. We measured […]

Types and frequency of errors in the preparation and administration of drugs

Josiane Ribeiro Mendes ORCID logo , Maria Carolina Barbosa Teixeira Lopes ORCID logo , Cássia Regina Vancini-Campanharo ORCID logo , Meiry Fernanda Pinto Okuno ORCID logo , Ruth Ester Assayag Batista ORCID logo

DOI: 10.1590/S1679-45082018AO4146

ABSTRACT Objective: To identify compatibility, types and frequency of errors in preparation and administration of intravenous drugs. Methods: A cross-sectional and descriptive study performed at the emergency department of a university hospital in the city of São Paulo (SP). The sample consisted of 303 observations of the preparation and administration of intravenous drugs by nursing aides, nursing technicians and registered nurses, using a systematized script, similar to a checklist. The following variables were collected: errors related to dispensing, omission, schedule, […]

Fracture risk assessment in home care patients using the FRAX® tool

Vitor Moraes Rocha ORCID logo , Heloisa Amaral Gaspar ORCID logo , Claudio Flauzino de Oliveira ORCID logo

DOI: 10.1590/S1679-45082018AO4236

ABSTRACT Objective To assess the ten-year risk of hip and osteoporotic fracture in home care patients using the FRAX® tool. Methods A retrospective, cross-sectional observational study including patients aged ≥ 40 and ≤ 90 years and receiving home care from a private provider. The risk of fracture was calculated using an online calculator. High risk was defined as risk of hip fracture greater than 3% or risk of osteoporotic fracture greater than 20%. Data were expressed as absolute number (n), […]

Formulation, implementation and evaluation of a distance course for accreditation in patient safety

Poliana Nunes Wanderlei, Erik Montagna

DOI: 10.1590/S1679-45082018GS4316

ABSTRACT Objective To formulate and to implement a virtual learning environment course in patient safety, and to propose ways to estimate the impact of the course in patient safety outcomes. Methods The course was part of an accreditation process and involved all employees of a public hospital in Brazil. The whole hospital staff was enrolled in the course. The accreditation team defined the syllabus. The education guidelines were divided into 12 modules related to quality, patient safety and required organizational […]

Patient safety: knowledge between multiprofessional residents

João Lucas Campos de Oliveira, Simone Viana da Silva, Pamela Regina dos Santos, Laura Misue Matsuda, Nelsi Salete Tonini, Anair Lazzari Nicola

DOI: 10.1590/S1679-45082017AO3871

ABSTRACT Objective To assess the knowledge of multiprofesional residents in health about the security of the patient theme. Methods Cross-sectional study, quantitative, developed with graduate courses/residence specialties of health in a public university of Paraná, Brazil. Participants (n=78) answered a questionnaire containing nine objective questions related to patient safety. Data were analyzed using descriptive statistics, in proportion measures. The minimum 75% of correct answers was considered the cutoff for positive evaluation. Results The sample was predominantly composed of young people […]

Brachial insertion of fully implantable venous catheters for chemotherapy: complications and quality of life assessment in 35 patients

Igor Yoshio Imagawa Fonseca, Mariana Krutman, Kenji Nishinari, Guilherme Yazbek, Marcelo Passos Teivelis, Guilherme André Zottele Bomfim, [...]

DOI: 10.1590/s1679-45082016ao3606

ABSTRACTObjectiveTo prospectively evaluate the perioperative safety, early complications and satisfaction of patients who underwent the implantation of central catheters peripherally inserted via basilic vein.Methods Thirty-five consecutive patients with active oncologic disease requiring chemotherapy were prospectively followed up after undergoing peripheral implantation of indwelling venous catheters, between November 2013 and June 2014. The procedures were performed in the operating room by the same team of three vascular surgeons. The primary endpoints assessed were early postoperative complications, occurring within 30 days after […]

Impact of telemedicine in hospital culture and its consequences on quality of care and safety

Milton Steinman, Renata Albaladejo Morbeck, Philippe Vieira Pires, Carlos Alberto Cordeiro Abreu Filho, Ana Helena Vicente Andrade, Jose Claudio Cyrineu Terra, [...]

DOI: 10.1590/S1679-45082015GS2893

ABSTRACTObjectiveTo describe the impact of the telemedicine application on the clinical process of care and its different effects on hospital culture and healthcare practice.Methods The concept of telemedicine through real time audio-visual coverage was implemented at two different hospitals in São Paulo: a secondary and public hospital, Hospital Municipal Dr. Moysés Deutsch, and a tertiary and private hospital, Hospital Israelita Albert Einstein.Results Data were obtained from 257 teleconsultations records over a 12-month period and were compared to a similar period […]

Teaching patient safety in the medical undergraduate program at the Universidade Federal de São Paulo

Elena Bohomol, Isabel Cristina Kowal Olm Cunha

DOI: 10.1590/S1679-45082015AO3089

ObjectiveTo analyze the Educational Project of the undergraduate medical course to verify what is taught regarding Patient Safety and to enable reflections on the educational practice.MethodsA descriptive study, using document research as strategy. The document of investigation was the Educational Project of the medical course, in 2006, at the Escola Paulista de Medicina of the Universidade Federal de São Paulo. The theoretical framework adopted was the Multi-Professional Patient Safety Curriculum Guide of the World Health Organization, which led to the […]

Implementation of vertical clinical pharmacist service on venous thromboembolism prophylaxis in hospitalized medical patients

Celina Setsuko Haga, Cassio Massashi Mancio, Micheline da Costa Pioner, Fabricia Aparecida de Lima Alves, Andreia Ramos Lira, João Severino da Silva, [...]

DOI: 10.1590/S1679-45082014AO2526

Objective:To describe the vertical clinical pharmacist service’s interventions in prevention of venous thromboembolism.Methods: This prospective study was done at a private hospital. From January to May 2012, the clinical pharmacist evaluated medical patients without prophylaxis for thromboembolism. If the patient fulfilled criteria for thromboembolism and did not have contraindications, the clinical pharmacist suggested inclusion of pharmacologic agents and/or mechanical methods for venous thromboembolism prevention. In addition, the appropriate dose, route of administration, duplicity and replacement of the drug were suggested.Results: […]

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