Carvalho, Ricardo José Matos deFialho, Valdeiza Dantas de Andrade2023-02-022023-02-022021-09-23FIALHO, Valdeiza Dantas de Andrade. Segurança do paciente neonato em uma UTI neonatal de uma maternidade: estratégias adotadas pela equipe de enfermagem para evitar e mitigar eventos adversos. Orientador: Ricardo José Matos de Carvalho. 2021. 175f. Dissertação (Mestrado em Engenharia de Produção) - Centro de Tecnologia, Universidade Federal do Rio Grande do Norte, Natal, 2021.https://repositorio.ufrn.br/handle/123456789/51165In the neonatal period, there is a large rate of hospitalization in Neonatal Intensive Care Units (NICU) and also the highest rate of infant death. At the end of the hospital stay, it is expected that the patient is recovered or in a better state of health, compared to the beginning of hospitalization, however, during this period, situations may occur in patient care, which can cause adverse events (AEs). Given the above, patient safety emerges as a fundamental issue for managers to ensure the efficiency of management of health facilities and the quality of service. The present work aims to carry out an analysis of the activities performed by the nursing staff of the Neonatal Intensive Care Unit (neonatal ICU) of a Brazilian Maternity, in order to identify and analyze the contracting agents present in the activity, the occurrence of AEs and the strategies and regulations undertaken by professionals to prevent or mitigate adverse events and ensure patient safety. Bibliographic, documentary and field research were carried out. The field research consisted of the application of the Ergonomic Work Analysis (EWA) method, focusing on the activity of the nursing team during the care process of newborns in the NICU, in order to clarify the work process and obtain the diagnosis of the activity. Between 2014 and 2020, the number of notifications of incidents in maternity hospitals increased by almost 170 times, from 12 occurrences to 2039 occurrences, respectively. From 2016 to 2020, 925 incidents were reported in the maternity NICU. Infections related to healthcare and medication represent 60% of incident notifications that occurred in the NICU between 2016 and 2020. In the period from 2016 to 2020, 466 adverse events were reported, representing 50.38% of the total notifications incidents that occurred in the NICU. The average annual number of patients admitted to the NICU in the period from 2016 to 2020 was approximately 7778 patients. The average daily stay of newborn patients in the NICU ranged from 12.85 days to 20.02 days, from 2016 to 2020. In addition to the quantitative data, it was observed in field research that the NICU nursing team faces limitations that may to be transformed into areas for improvement, such as: communications between the team and with other sectors, dimensioning and attributions of the team, continued training, physical structure and organization of the sector, alignment between system data and real data, among others. In view of the findings, indications for improvement were suggested in order to avoid and mitigate adverse events with newborn patients. This research contributes to an expansion of technical-scientific knowledge in the field of ergonomics and safety management of newborn patients admitted to a Neonatal Intensive Care Unit – NICU.Acesso AbertoErgonomiaUTI neonatalEnfermagemEventos adversosSegurança do pacientemasterThesisCNPQ::ENGENHARIAS::ENGENHARIA DE PRODUCAO