Seguran??a do paciente relacionada ?? pr??tica de medica????o ap??s a implanta????o de um sistema de prontu??rio eletr??nico
Ano de defesa: | 2018 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , , , |
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: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://bibliotecatede.uninove.br/handle/tede/1742 |
Resumo: | This research aims to analyze the main factors that affect the adoption of technological innovation in health information systems in a Hospital Unit and the reflexes of this adoption for professionals involved in the prescription and administration of medication, influencing safety indicators of the patient. The PEP is characterized as an instrument of access to the medical information necessary for both the professional and the patient and allows the integration of information inserted in real time by multidisciplinary professionals involved in the provision of patient care, improving communication and quality during patient care . Despite the advantages offered by the PEP, there are still many challenges to be faced, such as the high cost for adequate computerization of Hospital Units and the resistance of health professionals to join the system. The research is a case study, whose approach to research was qualitative and quantitative, exploratory and descriptive. A total of 134 handwritten medical prescriptions and 268 electronic medical prescriptions were analyzed, both analyzed in 30 consecutive days, considering the analysis period determined for phase of the study. Of the handwritten prescriptions 34% had erasures and 89,1% presented illegibility in at least on of the prescription items. |
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Bittar, Ol??mpio Jos?? Nogueira VianaBittar, Ol??mpio Jos?? Nogueira VianaTess, Beatriz Helena CarvalhoAssis, Sonia Francisca Monken deSerinolli, Mario IvoFouto, Nuno Manoel Martins DiasMoura, Mara Michele Nunes de2018-04-02T18:28:39Z2018-02-27Moura, Mara Michele Nunes de. Seguran??a do paciente relacionada ?? pr??tica de medica????o ap??s a implanta????o de um sistema de prontu??rio eletr??nico. 2018. 76 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/1742This research aims to analyze the main factors that affect the adoption of technological innovation in health information systems in a Hospital Unit and the reflexes of this adoption for professionals involved in the prescription and administration of medication, influencing safety indicators of the patient. The PEP is characterized as an instrument of access to the medical information necessary for both the professional and the patient and allows the integration of information inserted in real time by multidisciplinary professionals involved in the provision of patient care, improving communication and quality during patient care . Despite the advantages offered by the PEP, there are still many challenges to be faced, such as the high cost for adequate computerization of Hospital Units and the resistance of health professionals to join the system. The research is a case study, whose approach to research was qualitative and quantitative, exploratory and descriptive. A total of 134 handwritten medical prescriptions and 268 electronic medical prescriptions were analyzed, both analyzed in 30 consecutive days, considering the analysis period determined for phase of the study. Of the handwritten prescriptions 34% had erasures and 89,1% presented illegibility in at least on of the prescription items.Esta pesquisa tem por objetivo analisar os principais fatores que afetam a ado????o da inova????o tecnol??gica em sistemas de informa????es na ??rea de sa??de em uma Unidade Hospitalar e os reflexos dessa ado????o para os profissionais envolvidos no processo de prescri????o e administra????o de medica????o, influenciando indicadores de seguran??a do paciente. O PEP se caracteriza como um instrumento de acesso ??s informa????es m??dicas necess??rias tanto ao profissional quanto ao paciente e possibilita a integra????o de informa????es inseridas em tempo real por profissionais multidisciplinares envolvidos na presta????o da assist??ncia dos pacientes, melhorando a comunica????o e qualidade durante o atendimento ao paciente. Apesar das vantagens proporcionadas pelo PEP, existem ainda muitos desafios a serem enfrentados, tais como o alto custo para a informatiza????o adequada ??s Unidades Hospitalares e a resist??ncia de parte dos profissionais da sa??de em aderirem ao sistema. A pesquisa constitui um estudo de caso, cuja abordagem de pesquisa adotada foi ?? qualitativa e quantitativa, de natureza explorat??ria e descritiva. Foram analisadas 134 prescri????es m??dicas manuscritas e 268 prescri????es m??dicas eletr??nicas, ambas analisadas em 30 dias consecutivos, considerando o per??odo de an??lise determinado para cada fase do estudo. Das prescri????es manuscritas 35% apresentavam rasuras e 89,1% apresentavam ilegibilidade em pelo menos um dos itens constantes da prescri????o.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2018-04-02T18:28:39Z No. of bitstreams: 1 Mara Michele Nunes de Moura.pdf: 1541991 bytes, checksum: b4c601550062a21e3fcb52847facead8 (MD5)Made available in DSpace on 2018-04-02T18:28:39Z (GMT). No. of bitstreams: 1 Mara Michele Nunes de Moura.pdf: 1541991 bytes, checksum: b4c601550062a21e3fcb52847facead8 (MD5) Previous issue date: 2018-02-27application/pdfporUniversidade Nove de JulhoPrograma de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??deUNINOVEBrasilAdministra????oprontu??rio eletr??nico do pacienteseguran??a do pacienteadministra????o de medica????oinformatiza????o na ??rea da sa??deelectronic patient recordpatient safetymedication administrationin the health area informatizationADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOSSeguran??a do paciente relacionada ?? pr??tica de medica????o ap??s a implanta????o de um sistema de prontu??rio eletr??nicoPatient safety related to practice of medication after the implementation of an electronic pronouner systeminfo: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:UNINOVEORIGINALMara Michele Nunes de Moura.pdfMara Michele Nunes de Moura.pdfapplication/pdf1764797http://localhost:8080/tede/bitstream/tede/1742/2/Mara+Michele+Nunes+de+Moura.pdfbfa6ca4ee05894fe57bb92718cb49ebcMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/1742/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/17422018-04-02 17:16:07.02oai: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:2018-04-02T20:16:07Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Seguran??a do paciente relacionada ?? pr??tica de medica????o ap??s a implanta????o de um sistema de prontu??rio eletr??nico |
dc.title.alternative.eng.fl_str_mv |
Patient safety related to practice of medication after the implementation of an electronic pronouner system |
title |
Seguran??a do paciente relacionada ?? pr??tica de medica????o ap??s a implanta????o de um sistema de prontu??rio eletr??nico |
spellingShingle |
Seguran??a do paciente relacionada ?? pr??tica de medica????o ap??s a implanta????o de um sistema de prontu??rio eletr??nico Moura, Mara Michele Nunes de prontu??rio eletr??nico do paciente seguran??a do paciente administra????o de medica????o informatiza????o na ??rea da sa??de electronic patient record patient safety medication administration in the health area informatization ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
title_short |
Seguran??a do paciente relacionada ?? pr??tica de medica????o ap??s a implanta????o de um sistema de prontu??rio eletr??nico |
title_full |
Seguran??a do paciente relacionada ?? pr??tica de medica????o ap??s a implanta????o de um sistema de prontu??rio eletr??nico |
title_fullStr |
Seguran??a do paciente relacionada ?? pr??tica de medica????o ap??s a implanta????o de um sistema de prontu??rio eletr??nico |
title_full_unstemmed |
Seguran??a do paciente relacionada ?? pr??tica de medica????o ap??s a implanta????o de um sistema de prontu??rio eletr??nico |
title_sort |
Seguran??a do paciente relacionada ?? pr??tica de medica????o ap??s a implanta????o de um sistema de prontu??rio eletr??nico |
author |
Moura, Mara Michele Nunes de |
author_facet |
Moura, Mara Michele Nunes de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Bittar, Ol??mpio Jos?? Nogueira Viana |
dc.contributor.referee1.fl_str_mv |
Bittar, Ol??mpio Jos?? Nogueira Viana |
dc.contributor.referee2.fl_str_mv |
Tess, Beatriz Helena Carvalho |
dc.contributor.referee3.fl_str_mv |
Assis, Sonia Francisca Monken de |
dc.contributor.referee4.fl_str_mv |
Serinolli, Mario Ivo |
dc.contributor.referee5.fl_str_mv |
Fouto, Nuno Manoel Martins Dias |
dc.contributor.author.fl_str_mv |
Moura, Mara Michele Nunes de |
contributor_str_mv |
Bittar, Ol??mpio Jos?? Nogueira Viana Bittar, Ol??mpio Jos?? Nogueira Viana Tess, Beatriz Helena Carvalho Assis, Sonia Francisca Monken de Serinolli, Mario Ivo Fouto, Nuno Manoel Martins Dias |
dc.subject.por.fl_str_mv |
prontu??rio eletr??nico do paciente seguran??a do paciente administra????o de medica????o informatiza????o na ??rea da sa??de |
topic |
prontu??rio eletr??nico do paciente seguran??a do paciente administra????o de medica????o informatiza????o na ??rea da sa??de electronic patient record patient safety medication administration in the health area informatization ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
dc.subject.eng.fl_str_mv |
electronic patient record patient safety medication administration in the health area informatization |
dc.subject.cnpq.fl_str_mv |
ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
description |
This research aims to analyze the main factors that affect the adoption of technological innovation in health information systems in a Hospital Unit and the reflexes of this adoption for professionals involved in the prescription and administration of medication, influencing safety indicators of the patient. The PEP is characterized as an instrument of access to the medical information necessary for both the professional and the patient and allows the integration of information inserted in real time by multidisciplinary professionals involved in the provision of patient care, improving communication and quality during patient care . Despite the advantages offered by the PEP, there are still many challenges to be faced, such as the high cost for adequate computerization of Hospital Units and the resistance of health professionals to join the system. The research is a case study, whose approach to research was qualitative and quantitative, exploratory and descriptive. A total of 134 handwritten medical prescriptions and 268 electronic medical prescriptions were analyzed, both analyzed in 30 consecutive days, considering the analysis period determined for phase of the study. Of the handwritten prescriptions 34% had erasures and 89,1% presented illegibility in at least on of the prescription items. |
publishDate |
2018 |
dc.date.accessioned.fl_str_mv |
2018-04-02T18:28:39Z |
dc.date.issued.fl_str_mv |
2018-02-27 |
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 |
Moura, Mara Michele Nunes de. Seguran??a do paciente relacionada ?? pr??tica de medica????o ap??s a implanta????o de um sistema de prontu??rio eletr??nico. 2018. 76 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/1742 |
identifier_str_mv |
Moura, Mara Michele Nunes de. Seguran??a do paciente relacionada ?? pr??tica de medica????o ap??s a implanta????o de um sistema de prontu??rio eletr??nico. 2018. 76 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/1742 |
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por |
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600 |
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openAccess |
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Universidade Nove de Julho |
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Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de |
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UNINOVE |
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Brasil |
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Administra????o |
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Universidade Nove de Julho |
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