Patient safety in primary health care: the perceptions of professionals working in family health teams
DOI:
https://doi.org/10.12707/RV20082Keywords:
patient safety, family health strategy, patient care team, primary health careAbstract
Background: Given that a considerable amount of care is provided in primary health care settings, a better understanding of patient safety at this level of care is essential.
Objective: To explore the perceptions of patient safety among healthcare professionals working in family health teams.
Methodology: An exploratory study, using a qualitative approach, was carried out with 23 health professionals (nurses, nurse technicians, physicians, and community health agents) from 6 family health strategy teams in Brazil. Data were collected through semi-structured interviews and analyzed using Bardin’s thematic content analysis method.
Results: Two thematic categories emerged from the data analysis: (Lack of) Knowledge about patient safety principles and Professionals’ actions and strategies for promoting patient safety.
Conclusion: Patient safety in primary health care is an issue still poorly understood among the study participants. The nurses were the only professionals who highlighted its current impact.
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References
Bardin, L. (2012). Análise de Conteúdo. Edições 70.
Institute Of Medicine. (2000). To err is human: Building a safer health system. National Academies Press.
Lawson, S., Reid, J., Morrow, M., & Gardiner, K. (2018). Simulation- based education and human factors training in postgraduate medical education: A Northern Ireland perspective. The Ulster Medical Journal, 87(3), 163-167.
Lee, J. Y. (2015). Effective communication for patient safety. Journal of the Korean Medical Association, 58(2),100-104. http://dx.doi.org/10.5124/jkma.2015.58.2.100
Lyson, H. C., Ackerman, S., Lyles, C., Schillinger, D., Williams, P., Gourley, G., Sarkar, U. (2018). Redesigning primary care in the safety net: A qualitative analysis of team-based care implementation. Healthcare, 9(4), 1- 8. https://doi.org/10.1016/j.hjdsi.2018.09.004
Marchon, S. G., Junior, W. V., & Pavão, A. L. (2015). Características dos eventos adversos na atenção primária à saúde no Brasil. Caderno de Saúde Pública, 31(11), 2313-2330. https://doi.org/10.1590/0102-311X00194214
Marchon, S. G., & Junior, W. V. (2014). Segurança do paciente na atenção primária à saúde: Revisão sistemática. Caderno de Saúde Pública, 30(9), 1-21. http://dx.doi.org/10.1590/0102-311X00114113
Menezes, A. C., Penha, C. S., Amaral, F. M., Pimenta, A. M., Ribeiro, H. C., Pagano, A. S., & Mata, L. R. (2020). Latino Students Patient Safety Questionnaire: Adaptação transcultural para estudantes brasileiros de enfermagem e de medicina. Revista Brasileira de Enfermagem, 73(Supl. 6), 1-8. http://dx.doi.org/10.1590/0034-7167-2019-0621
Michel, P., Brami, J., Chanelière, M., Kret, M., Mosnier, A., Dupie, I., Haeringer-Cholet , A., Keriel-Gascou, M., Maradan, C., Villebrun, F., Makeham, M., & Quenon, J. L. (2017). Patient safety incidents are common in primary care: A national prospective active incident reporting survey. Plos One, 12(2). https://doi.org/10.1371/journal.pone.0165455
Paranaguá, T. T., Bezerra, A. L., Tobias, G. C., & Ciosak, S. I. (2016). Suporte para aprendizagem na perspectiva da segurança do paciente na atenção primária em saúde. Revista Latino-Americana de Enfermagem, 24, 1-9. https://doi.org/10.1590/1518-8345.0784.2771
Portaria nº 2.436, do Ministério da Saúde. (2017). Diário Oficial. https://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/prt2436_22_09_2017.html
Ribeiro, H. C., Montenegro, L. C., Mata, L. R., & Marchon, S. G. (2017). Qualidade e segurança no cuidado na atenção primária à saúde. Guanabara Koogan.
Resolução nº 466 do Ministério da Saúde. Diário Oficial. https://bvsms.saude.gov.br/bvs/saudelegis/cns/2013/res0466_12_12_2012.html
Resolução - RDC nº 36 do Ministério da Saúde. Diário Oficial. http://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2013/rdc0036_25_07_2013.html
Reis, G. A., Hayakawa, L. Y., Murassaki, A. C., Matsuda, L. M., Gabriel, C. S., & Oliveira, M. L. (2017). Implantação das estratégias de segurança do paciente: Percepções de Enfermeiros Gestores. Texto Contexto Enfermagem, 26(2), 1-9. https://doi.org/10.1590/0104-07072017000340016
Vasconcelos, P. F., Freitas, C. H., Jorge, M. S., Carvalho, R. E., Freire, V. E., Araújo, M. F., Aguiar, M. I., Oliveira, G. Y., Anjos, J. S., & Oliveira, A. C. (2019). Safety attributes in primary care: Understanding the needs of patients, health professionals, and managers. Public Health, 17(1), 31-40. https://doi.org/10.1016/j.puhe.2019.03.021
Wild, C. F., Silveira, A., Favero, N. B., Rosa, E. O., Gueterres, E. C., & Leal, S. D. (2014). Educação em saúde na sala de espera de uma policlínica infantil: Relato de experiência. Revista de Enfermagem da UFSM, 4(3), 660-666. https://doi.org/10.5902/2179769212397
World Health Organization. (2008). Cuidados de saúde primários: Agora mais que nunca. https://www.who.int/eportuguese/publications/whr08_pr.pdf
World Health Organization. (2009). Conceptual framework for the international classification for patient safety. https://www.who.int/patientsafety/implementation/taxonomy/ICPS-report/en
