Navegando por Palavras-chave "Risk Management"
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- ItemSomente MetadadadosAnálise Da Estrutura Organizacional Dos Núcleos De Segurança Do Paciente Em Instituições De Saúde Da Rede Sentinela Do Município De São Paulo(Universidade Federal de São Paulo (UNIFESP), 2017-11-30) Macedo, Renata Soares De [UNIFESP]; Bohomol, Elena [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The concern about Patient Safety was highlighted by studies that revealed unsafe health systems. The World Health Organization has positioned itself in 2004 and proposed the Global Patient Safety Alliance. In Brazil, in 2013, the National Patient Safety Program was launched, establishing the obligation to create the Patient Safety Nucleus in health care institutions. Objective: To develop and validate an instrumental of self-evaluation of the Patient Safety Nucleus and to describe the organizational structure of the hospitals of the Sentinela Network in the city of São Paulo. Method: In the first stage, carried out a non-experimental methodological study, divided into the following stages. (I) literature review; (II) validation of content of the preliminary instrument regarding clarity and pertinence by nine judges with experience in Quality Management and Patient Safety; (III) validation of the reliability of the final instrument by 12 coordinators of Patient Safety Nucleus. In the second stage, it was an exploratory and descriptive study, composed of 12 coordinators of the Patient Safety Nucleus. The participants answered to the self-assessment instrumental after consenting to the Free and Informed Consent Term. Discreptive statistics were used to present the results. Results: The validation of the content of the instrument was evidenced by consensus above 70% of the judges. The Internal consistency reached Cronbach’s alpha 0.857 for general instrument, 0.825 for the Domain Structure and 0.809 for the Domain Process. The instrument is structured in two domains, six topics and 65 items. The second stage evidenced that the Patient Safety Nucleus is implanted in the services and has the support and participation of the top management. In almost half of the nuclei the Structure Domain: “Human Resources and Materials” are shared with other sectors. In the Domain process, it was verified that the nuclei have totally or partially implanted the topics “Implantation of the Patient Safety Nucleus” and “Main activities of the Patient Safety Nucleus”. The items that presented the lowest percentages of implantation were: “Strategies for disclousere of the results to teams” and “ Notify the Adverse Events to the National Health Surveillance Service”. Improvement points were identified regarding “Guidelines and Actions of Sentinel Events Prevention”, “Strategies and actions for Risk Management” and “Training of health professionals” Conclusion: The instrument reached the evidences of content validity and reliability for self-evaluation of Patient Safety Nuclei in health services. In the services studied it was verified that there is a need to develop strategies for non-punitive culture, disclosure of results to teams, event notification, Sentinel Events prevention, Risk Management and Training of Professionals.
- ItemSomente MetadadadosA análise de risco nas regulações envolvidas na importação de alimentos: estudo integrado da regulação sanitária, do setor regulado e dos fiscais federais(Universidade Federal de São Paulo (UNIFESP), 2019-07-11) Barros, Simone Crispim Fernandes [UNIFESP]; Stedefeldt, Elke [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The area of international food trade in Brazil presents itself in a complex international and national context with diverse actors and antagonistic interests, from the perspective of protection and security of the population and bureaucracy for free trade. Given this, the study aimed to verify if the process of food importation in Brazil, from the perspective of the practice of federal sanitary surveillance, includes the items described in the Risk Analysis, according to Codex Alimentarius. The study covers the qualitative and quantitative research of cross-sectional, descriptive and exploratory design, and is guided by the theme: Legislation of food imports under the scope of the National Health Surveillance Agency (Anvisa). A priori, documentary research was used to describe the evolution and knowledge of the national and international scenario in which food imports are inserted. Afterwards, a case study based on content analysis followed, in which the categorical grouping is guided by Bardin (2016). To understand the procedures described by Bardin, Bauer and Gaskell (2002) were used as theoretical reference. The quantitative approach was performed through the relative and absolute frequency of the findings, to explore and discuss the articulations and changes related to Anvisa regarding the introduction of the Foreign Trade Facilitation Agreement and its convergence with the Risk Analysis, according to Codex Alimentarius. The conclusion was to clarify the understanding of the concept of risk, danger by the companies involved in the food import process and risk, danger and health risk by Anvisa federal inspectors based in the Santos port complex. The results demonstrated the evolution in the food import regulatory framework, influenced by the impositions of the World Trade Organization and its Agreements, providing regulatory tools convergent with the international determinations. On the other hand, these changes have gaps in stages related to Risk Assessment and Risk Communication, which are pointed out by those responsible for operating these laws in Brazil - Anvisa federal inspectors - and confirmed by the workers of the companies involved in the importation of food, both in conducting the consent of these foods, as well as their perceptions of danger, risk and health risk.
- ItemAcesso aberto (Open Access)Gestão de risco e controle interno: uma abordagem nas unidades de Controladoria da Universidade Federal de São Paulo(Universidade Federal de São Paulo (UNIFESP), 2019-07-12) Coelho, Renan Eduardo [UNIFESP]; Fernandes, Francisco Carlos [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This study analyzes the adjustment and application of practices of risk management and internal controls in controllership units of the Federal University of São Paulo, based on the methodology of Committee of Sponsoring Organizations of The Treadway Commission - COSO. The study is a (field) survey using quantitative methods. The focus and the proceedings are descriptive and bibliographic. There was a questionnaire made in person related to their profiles, also related to practices of risk management and internal controls used in controllership units from Unifesp, perception of those risks and their satisfaction to the controls and, finally, improvement suggestions. The sample was composed by the administrative technical servers in education, dotted on controllership units of Federal University of São Paulo. Among 14 subjects, the sample was composed by 10 complete interviews, having a 71.43% of participation. To analyze the data there has been a matrix of importance and performance, based on Slack's matrix technique. The results show crucial elements of risk management and internal controls used on the controllership units of UNIFESP, such as: the improvement of controls judged as fail and the maintenance of the opne channel of cummunication among all the organization levels. However, there is also an excessive focus in accordancy and few elements that point the definition of appetite to the risk in the units studied. Also, the results emphasized that the financial risks are the ones that affect the most the controllership units of UNIFESP and the legal risks for the servants were the ones with more satisfaction in relation to their controls. There are also some limitations in the study, as the universe of subjects who involved only the administrative technical servers in education of the controllership units of the University. Accordingly to this one, ther is other limitation related to the interviewed perspective, for the opinion of only one person may not reflect the complete reality.
- ItemAcesso aberto (Open Access)Supplier quality management: an application of logistic regression in the risk analysis(Universidade Federal de São Paulo (UNIFESP), 2019-11-04) Slavov, Rafael [UNIFESP]; Martins, Camila Bertini [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Supplier quality management is one of the key supply chain challenges. Some contributors are: the number of demands against a limited number of suppliers, the search for new high technology products, the constant development of products due to the component obsolescence and finally the demand of customers for low-cost products with good quality and on time delivery. One of the most investigated supplier’s management approach is risk analysis, which aims to identify potential problems in advance and provide time for corrections or improvements. However, there are questions about which methods are best and how they are applied. In this context, the present work executed a systematic literature review and considering the most methods used, was applied a logistic regression model as an alternative proposal for the risk analysis performed in the supplier’s quality management of an aerospace company. The model was analyzed based on the logistic regression model and the risk calculated by the company.