Assistência segura: processo formativo e avaliação cognitiva de estudantes de medicina em um hospital universitário

Abstract

The secure assistance to health has converted into a quality indicator and is destined to the prevention of adverse events, such as: falls, drug administration errors, failures in the patient identification, surgical errors, hospital-acquired infections, improper handling of medical-hospital equipment and device. The teaching of this thematic in the graduation courses is stimulated by the world health organization curricular guide, and by the national program of patient safety, despite it is still incipient in the medical courses curricula. In the Medicine Course of the Federal University of Rio Grande do Norte (UFRN), it is offered as an optional discipline, but with low participation of students. This dissertation aimed to analyze the impact in the hospital practice of medicine students in a University Hospital, after the intervention of teaching about safe assistance. This is a quasi-experimental, longitudinal and qualitative study. The population was composed by medical course students of the UFRN, during the mandatory internship, realized in the Onofre Lopes University Hospital (HUOL), from january to june 2017. A structured questionnaire with closed questions, using the Likert scale, was applied to students at the beginning and end of the stage in order to evaluate their knowledge about safe assistance. They also realized a medical prescription to a predetermined clinical case at the beginning and end of the stage, which was evaluated through indicators of safe prescription. The students participated in a course ministered by teachers and members of the Patient Safety Nucleus from the HUOL. The participants were 94 students who initiated the internship at the time of the intervention. In the initial questionnaire, we noted a deficient knowledge about patient safety, in which only 15% or less of the participants have studied about public policies or affirmed to know the National Program of Patient Safety. After the course, there was a significant improvement in the response to several items. In the medical prescription activity, there was an improvement in the conformity of medical prescription items, if it compares the moments before and after the evaluation of medicine students. The knowledge about patient safety is fragile in the internship students from the UFRN, and there was a significant improvement with the participation in the introductory course about patient safety.