Navegando por Palavras-chave "Seguranca do paciente"

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    Assertividade e tempo de permanencia de cateteres intravenosos perifericos com insercao guiada por ultrassonografia em criancas e adolescentes
    (Universidade de São Paulo, Escola de Enfermagem, 2013-06-01) Avelar, Ariane Ferreira Machado [UNIFESP]; Peterlini, Maria Angélica Sorgini [UNIFESP]; Pedreira, Mavilde da Luz Gonçalves [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Randomized controlled trial which aimed to verify whether the use of vascular ultrasound (VUS) increases assertiveness in the use of peripheral venous catheter in children, and the catheter dwell time, when compared to traditional puncture. Data were collected after approval of theethical merit. Children and adolescents undergoing VUS-guided peripheral intravenous (GVUS) or puncture guided by clinical assessment of the venous conditions(CG) were included in the study. Significance level was set at p<0.05. The sample was composed of 382 punctures, 188 (49.2%) in VUS Gand 194 (50.8%) in CG, performed in 335 children. Assertiveness was found in 73 (71.6%) GVUS catheters and in 84 (71.8%) of the CG (p=0.970), and catheter dwell time presented a median of less than one day in both groups (p=0.121), showing nostatistically significant difference. VUS did not significantly influence the results of the dependent variables investigated.ClinicalTrials.govNCT00930254.
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    The WHO Surgical Safety Checklist: knowledge and use by Brazilian orthopedists
    (Sociedade Brasileira de Ortopedia e Traumatologia, 2013-12-01) Motta Filho, Geraldo Da Rocha [UNIFESP]; Silva, Lucia De Fatima Neves Da; Ferracini, Antonio Marcos; Bahr, Germana Lyra; Instituto Nacional de Traumatologia e Ortopedia; Universidade Federal de São Paulo (UNIFESP); Fundacao Oswaldo Cruz Escola Nacional de Saude Publica; Fundacao Getulio Vargas; Hospital San Rafael; Audencia School of Management; Universidade Federal do Rio de Janeiro
    Objective:The research examined Brazilian orthopedists' degree of knowledge of the World Health Organization Surgical Safety Checklist.Methods:A voluntary survey was conducted among the 3231 orthopedists taking part in the 44th Brazilian Congress of Orthopedics and Traumatology in November 2012, using a questionnaire on the use of WHO Surgical Safety Checklist. A statistical analysis was done upon receipt of 502 completed questionnaires.Results:Among the 502 orthopedists, 40.8% reported the experience of wrong site or wrong patient surgery and 25.6% of them indicated miscommunication as the main cause for the error. 35.5% of the respondents do not mark the surgical site before sending the patient to the operating room and 65.3% reported lack of knowledge of the World Health Organization (WHO) Surgical Safety Checklist, fully or partially. 72.1% of the orthopedists have never been trained to use this protocol.Discussion:Medical errors are more common in the surgical environment and represent a high risk to patient safety. Orthopedic surgery is a high volume specialty with major technical complexity and therefore with increased propensity for errors. Most errors are avoidable through the use of the WHO Surgical Safety Checklist. The study showed that 65.3% of Brazilian orthopedists are unaware of this protocol, despite the efforts of WHO for its disclosure.