Influ??ncia da gest??o de processos administrativos na seguran??a de pacientes internados em unidades de terapia intensiva

Detalhes bibliográficos
Ano de defesa: 2014
Autor(a) principal: Santos, Edz??ngela de Vasconcelos lattes
Orientador(a): Novaretti, Marcia Cristina Zago lattes
Banca de defesa: Aquino, Simone lattes, Malik, Ana Maria lattes
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Nove de Julho
Programa de Pós-Graduação: Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de
Departamento: Administra????o
País: Brasil
Palavras-chave em Português:
gest??o
gest??o em sa??de
eventos adversos
seguran??a do paciente
processos administrativos
incidentes
Palavras-chave em Inglês:
management
health management
adverse events
patient safety
administrative process
errors
incidents
Área do conhecimento CNPq:
ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS
Link de acesso: http://bibliotecatede.uninove.br/handle/tede/1125
Resumo: In literature, incidents arising from healthcare assistance are well defined. Nevertheless, there are incidents related to administrative processes that are rarely studied, specifically in ICU. This study aims to analyze the influence of the management of administrative processes in the safety of ICU patients. We used descriptive exploratory empirical approach to perform this research. Data from medical records were obtained and collected daily. Additional information form medical and nursing visits were also noted in an appropriate form for reporting safety incidents and, compared with the records in the chart. Double-checking the records with the printed data collection was performed. In this study, 9,396 incidents were found in 202 admissions. Of these, 653 (6.94%) in 148 admissions were classified as administrative incidents. Thus, we conclude that the administrative incidents occupy a small but important portion of total incidents (6.94%), occurring in processes that directly affect the care provided, and may cause serious damage and even death. Almost all safety incidents related to administrative failures were preventable type, therefore fitting the development and implementation of measures to prevent such occurrences, and consequently contributing to the improvement of management and care for critical patients.
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spelling Novaretti, Marcia Cristina Zagohttp://lattes.cnpq.br/7914282268625215Aquino, Simonehttp://lattes.cnpq.br/0253559588991007Malik, Ana Mariahttp://lattes.cnpq.br/982910293837775625560011860http://lattes.cnpq.br/0882530815072030Santos, Edz??ngela de Vasconcelos2015-07-17T16:11:52Z2014-11-27Santos , Edz??ngela de Vasconcelos. Influ??ncia da gest??o de processos administrativos na seguran??a de pacientes internados em unidades de terapia intensiva. 2014. 80 f. Disserta????o( Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de) - Universidade Nove de Julho, S??o Paulo .http://bibliotecatede.uninove.br/handle/tede/1125In literature, incidents arising from healthcare assistance are well defined. Nevertheless, there are incidents related to administrative processes that are rarely studied, specifically in ICU. This study aims to analyze the influence of the management of administrative processes in the safety of ICU patients. We used descriptive exploratory empirical approach to perform this research. Data from medical records were obtained and collected daily. Additional information form medical and nursing visits were also noted in an appropriate form for reporting safety incidents and, compared with the records in the chart. Double-checking the records with the printed data collection was performed. In this study, 9,396 incidents were found in 202 admissions. Of these, 653 (6.94%) in 148 admissions were classified as administrative incidents. Thus, we conclude that the administrative incidents occupy a small but important portion of total incidents (6.94%), occurring in processes that directly affect the care provided, and may cause serious damage and even death. Almost all safety incidents related to administrative failures were preventable type, therefore fitting the development and implementation of measures to prevent such occurrences, and consequently contributing to the improvement of management and care for critical patients.Na literatura est??o bem definidos os incidentes decorrentes de a????es assistenciais, por??m, h?? uma parcela de incidentes n??o classific??veis, relacionados essencialmente a processos administrativos sobretudo em UTI. Nesse sentido, o presente estudo objetivou analisar a influ??ncia da gest??o de processos administrativos na seguran??a de pacientes internados em quatro UTIs cl??nicas. A metodologia utilizada conta com uma abordagem emp??rica de car??ter explorat??rio-descritivo e estrat??gia de pesquisa-a????o. As informa????es relacionadas ?? caracteriza????o da popula????o e a potenciais eventos adversos foram registradas em formul??rios apropriados, criados pela autora. As visitas m??dicas e de enfermagem foram acompanhadas com car??ter observacional, anotadas em impresso pr??prio para relatos de eventos adversos e comparadas com a revis??o di??ria dos registros dos prontu??rios. Foi realizada dupla checagem dos prontu??rios com os impressos de coleta de dados. Neste estudo, foram encontrados 9.396 incidentes em 202 admiss??es, sendo 653 (6,94%), em 148 admiss??es, classificados como incidentes administrativos. Dessa forma, conclu??mos que os incidentes administrativos ocupam uma pequena, por??m, importante parcela do total de incidentes e ocorrem em processos que interferem diretamente na assist??ncia prestada, podendo gerar danos graves ou at?? a morte. Quase a totalidade dos incidentes de seguran??a relacionada ??s falhas administrativas foi do tipo evit??vel, cabendo ent??o o desenvolvimento e implanta????o de medidas de preven????o dessas ocorr??ncias e, consequentemente contribuindo para a melhoria da gest??o e assist??ncia ao paciente cr??tico.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2015-07-17T16:11:52Z No. of bitstreams: 1 Edzangela de Vasconcelos Santos.pdf: 2212555 bytes, checksum: 062fb866a8c14cd3a67c1143d081e054 (MD5)Made available in DSpace on 2015-07-17T16:11:52Z (GMT). No. of bitstreams: 1 Edzangela de Vasconcelos Santos.pdf: 2212555 bytes, checksum: 062fb866a8c14cd3a67c1143d081e054 (MD5) Previous issue date: 2014-11-27application/pdfporUniversidade Nove de JulhoPrograma de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??deUNINOVEBrasilAdministra????ogest??ogest??o em sa??deeventos adversosseguran??a do pacienteprocessos administrativosincidentesmanagementhealth managementadverse eventspatient safetyadministrative processerrorsincidentsADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOSInflu??ncia da gest??o de processos administrativos na seguran??a de pacientes internados em unidades de terapia intensivainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-710462410973612412600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALEdzangela de Vasconcelos Santos.pdfEdzangela de Vasconcelos Santos.pdfapplication/pdf2212555http://localhost:8080/tede/bitstream/tede/1125/2/Edzangela+de+Vasconcelos+Santos.pdf062fb866a8c14cd3a67c1143d081e054MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82089http://localhost:8080/tede/bitstream/tede/1125/1/license.txt7b5ba3d2445355f386edab96125d42b7MD51tede/11252017-05-26 13:10:34.488oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2017-05-26T16:10:34Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false
dc.title.por.fl_str_mv Influ??ncia da gest??o de processos administrativos na seguran??a de pacientes internados em unidades de terapia intensiva
title Influ??ncia da gest??o de processos administrativos na seguran??a de pacientes internados em unidades de terapia intensiva
spellingShingle Influ??ncia da gest??o de processos administrativos na seguran??a de pacientes internados em unidades de terapia intensiva
Santos, Edz??ngela de Vasconcelos
gest??o
gest??o em sa??de
eventos adversos
seguran??a do paciente
processos administrativos
incidentes
management
health management
adverse events
patient safety
administrative process
errors
incidents
ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS
title_short Influ??ncia da gest??o de processos administrativos na seguran??a de pacientes internados em unidades de terapia intensiva
title_full Influ??ncia da gest??o de processos administrativos na seguran??a de pacientes internados em unidades de terapia intensiva
title_fullStr Influ??ncia da gest??o de processos administrativos na seguran??a de pacientes internados em unidades de terapia intensiva
title_full_unstemmed Influ??ncia da gest??o de processos administrativos na seguran??a de pacientes internados em unidades de terapia intensiva
title_sort Influ??ncia da gest??o de processos administrativos na seguran??a de pacientes internados em unidades de terapia intensiva
author Santos, Edz??ngela de Vasconcelos
author_facet Santos, Edz??ngela de Vasconcelos
author_role author
dc.contributor.advisor1.fl_str_mv Novaretti, Marcia Cristina Zago
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/7914282268625215
dc.contributor.referee1.fl_str_mv Aquino, Simone
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/0253559588991007
dc.contributor.referee2.fl_str_mv Malik, Ana Maria
dc.contributor.referee2Lattes.fl_str_mv http://lattes.cnpq.br/9829102938377756
dc.contributor.authorID.fl_str_mv 25560011860
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/0882530815072030
dc.contributor.author.fl_str_mv Santos, Edz??ngela de Vasconcelos
contributor_str_mv Novaretti, Marcia Cristina Zago
Aquino, Simone
Malik, Ana Maria
dc.subject.por.fl_str_mv gest??o
gest??o em sa??de
eventos adversos
seguran??a do paciente
processos administrativos
incidentes
topic gest??o
gest??o em sa??de
eventos adversos
seguran??a do paciente
processos administrativos
incidentes
management
health management
adverse events
patient safety
administrative process
errors
incidents
ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS
dc.subject.eng.fl_str_mv management
health management
adverse events
patient safety
administrative process
errors
incidents
dc.subject.cnpq.fl_str_mv ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS
description In literature, incidents arising from healthcare assistance are well defined. Nevertheless, there are incidents related to administrative processes that are rarely studied, specifically in ICU. This study aims to analyze the influence of the management of administrative processes in the safety of ICU patients. We used descriptive exploratory empirical approach to perform this research. Data from medical records were obtained and collected daily. Additional information form medical and nursing visits were also noted in an appropriate form for reporting safety incidents and, compared with the records in the chart. Double-checking the records with the printed data collection was performed. In this study, 9,396 incidents were found in 202 admissions. Of these, 653 (6.94%) in 148 admissions were classified as administrative incidents. Thus, we conclude that the administrative incidents occupy a small but important portion of total incidents (6.94%), occurring in processes that directly affect the care provided, and may cause serious damage and even death. Almost all safety incidents related to administrative failures were preventable type, therefore fitting the development and implementation of measures to prevent such occurrences, and consequently contributing to the improvement of management and care for critical patients.
publishDate 2014
dc.date.issued.fl_str_mv 2014-11-27
dc.date.accessioned.fl_str_mv 2015-07-17T16:11:52Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv Santos , Edz??ngela de Vasconcelos. Influ??ncia da gest??o de processos administrativos na seguran??a de pacientes internados em unidades de terapia intensiva. 2014. 80 f. Disserta????o( Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de) - Universidade Nove de Julho, S??o Paulo .
dc.identifier.uri.fl_str_mv http://bibliotecatede.uninove.br/handle/tede/1125
identifier_str_mv Santos , Edz??ngela de Vasconcelos. Influ??ncia da gest??o de processos administrativos na seguran??a de pacientes internados em unidades de terapia intensiva. 2014. 80 f. Disserta????o( Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de) - Universidade Nove de Julho, S??o Paulo .
url http://bibliotecatede.uninove.br/handle/tede/1125
dc.language.iso.fl_str_mv por
language por
dc.relation.cnpq.fl_str_mv -710462410973612412
dc.relation.confidence.fl_str_mv 600
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Nove de Julho
dc.publisher.program.fl_str_mv Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de
dc.publisher.initials.fl_str_mv UNINOVE
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Administra????o
publisher.none.fl_str_mv Universidade Nove de Julho
dc.source.none.fl_str_mv reponame:Biblioteca Digital de Teses e Dissertações da Uninove
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