Cultura de notificação de eventos adversos em uma Unidade de Terapia Intensiva

Abstract

The present study aimed to analyze the culture of reporting adverse events from the perspective of professionals in the intensive care unit of From a public institution that makes up the Maternal and Child Care Network of the municipality of Natal, state of Rio Grande do Norte, Brazil. This is an epidemiological, cross-sectional, descriptive and analytical study with a quantitative approach that addressed the culture of reporting adverse events in the environment of an Intensive Care Unit. Data were collected through the Hospital Safety Culture E-questionnaire, a total of 68 professionals who worked directly and/or indirectly in patient care participated in the survey, including nursing technicians (39.71%), physiotherapists, therapists occupational therapists and speech therapists (13.24%), nurses (11.76%), radiology, laboratory and pharmacy technicians (11.76%), clinical staff physicians (8.82%), pharmacists (5.88%) , nutritionists (2.94%), and others (5.88%). As for the culture of reporting incidents/adverse events, it was identified that 79.41% of the participants reported not having made any notifications in the last 12 months. The dimensions Frequency of reported events (47.8%), Openness to communication (48.9%), Feedback and communication about errors (49.5%) and Non-punitive response to errors (24.53) were classified as fragile considering who had a percentage of positive responses below 50%. The present study made it possible to reflect on the reporting culture as a dimension of patient safety that seeks to create a positive environment for reporting incidents and formulating actions and managing changes mediated by a continuous process of organizational learning.