covid-19之前和期间的儿科患者安全事件:一项混合方法研究

Q2 Nursing

Texto Contexto Enfermagem Pub Date : 2023-05-19 DOI:10.1590/1980-265x-tce-2022-0179en

Ananda Rosa Borges, A. Magalhães, Gabrielli de Oliveira Lima, Thiago da Silva, D. Dornfeld, Deise Vacario de Quadros, W. Wegner

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引用次数: 0

摘要

【摘要】目的:分析某大学医院儿科患者安全事件概况，重点比较2019冠状病毒病大流行前和期间的通报情况，以及护理专业人员的认知。方法:在巴西南部的一所大学医院进行了一项混合方法和趋同策略研究。这些数据是从一个数据库中收集的，该数据库在2021年3月至9月期间有1663份通知。应用纳入标准后，共找到2019年1月至2020年12月期间发生的418起患者安全事件记录，采用SPSS 18.0进行描述性统计分析;采用主题内容分析法，对18名护理专业人员进行半结构化访谈。结果:儿科记录的安全事件与静脉注射药物和液体、男性和婴儿年龄组有关。2019年(219件)与2020年(199件)的通报数量没有相关差异，仅减少了20件(-9.13%)。在专业人员的感知中，在这种情况下也没有表现变化。结论:在调查期间，儿科病房发生的患者安全事件的特征几乎没有统计学上的显著差异，这证实了护理专业人员的看法，即该机构对事件的情况没有显著变化。鼓励通知和改进这一系统的战略仍然需要为儿科患者提供一个安全的环境。

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PEDIATRIC PATIENT SAFETY INCIDENTS BEFORE AND DURING COVID-19: A MIXED-METHODS STUDY

ABSTRACT Objective: to analyze the profile of pediatric patient safety incidents in a university hospital, with a particular focus on comparing notifications before and during the COVID-19 pandemic and on Nursing professionals' perception. Method: a mixed-methods and convergent strategy study conducted at a university hospital from southern Brazil. The data were collected from a database with 1,663 notifications between March and September 2021. After applying the inclusion criteria, a total of 418 records of patient safety incidents occurred between January 2019 and December 2020 were found, which were analyzed by descriptive statistics with SPSS 18.0; semi-structured interviews were carried out with 18 Nursing professionals, using thematic content analysis. Results: the safety incidents recorded in the pediatric units were more related to intravenous medications and fluids, male gender and infant age group. There were no relevant differences when comparing the notifications from 2019 (219) with those from 2020 (199), with a reduction of only 20 (-9.13%). In the professionals' perception, there was also no expressive change in this situation. Conclusions: the characteristics of the patient safety incidents that occurred in pediatric units showed few statistically significant differences in the periods investigated, corroborating the Nursing professionals' perception that there was no significant change in the institution's scenario regarding incidents. Strategies to encourage notifications and improvements in this system are still required to provide a safe environment to pediatric patients.

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来源期刊

Texto Contexto Enfermagem Nursing-General Nursing

CiteScore

1.80

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Texto & Contexto Enfermagem provides space for reflection and deepening of knowledge about issues of practice, teaching and research in health and nursing, at national and international levels. The journal is published quarterly in the rolling pass or Continuous flow mode, accepting manuscripts in Portuguese, English or Spanish, in the categories original article, reflection, experience report and review. Contributions designated to the dissemination of unpublished original research results are prioritized for publication. Special issues are published at the discretion of the Board of Directors and Associate Editors. All manuscripts are published in two versions, one of which is English, aiming to cover the largest number of readers worldwide. The editorial policy of Texto & Contexto Enfermagem is based on rigorous quality criteria for indexing and publishing (including technical and normative aspects, graphic and textual quality and excellence in scientific content); on responsibility for shared management between the Board of Directors, Editorial Board and Internal and External Editors Associates; and on the rigorous and constructive peer review, preserving the anonymity of authors and reviewers (double blinded).