Patient safety: understanding human error in intensive nursing care

Objective: To analyze the active failures and the latent conditions related to errors in intensive nursing care and to discuss the reactive and proactive measures mentioned by the nursing team. Method: Qualitative, descriptive, exploratory study conducted at the Intensive Care Unit of a general hosp...

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Detalles Bibliográficos
Autores: Duarte, Sabrina da Costa Machado, Stipp, Marluci Andrade Conceição, Cardoso, Maria Manuela Vila Nova, Büscher, Andreas
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:Brasil
Institución:Universidade de São Paulo (USP)
Repositorio:Revista da Escola de Enfermagem da USP (Online)
Idioma:inglés
portugués
OAI Identifier:oai:revistas.usp.br:article/155239
Acceso en línea:https://www.revistas.usp.br/reeusp/article/view/155239
Access Level:acceso abierto
Palabra clave:Patient Safety
Medical Errors
Critical Care Nursing
Intensive Care Units
Nursing Care.
Descripción
Sumario:Objective: To analyze the active failures and the latent conditions related to errors in intensive nursing care and to discuss the reactive and proactive measures mentioned by the nursing team. Method: Qualitative, descriptive, exploratory study conducted at the Intensive Care Unit of a general hospital. Data were collected through interviews, participant observation and submitted to lexical analysis in the ALCESTE® software and to ethnographic analysis. Results: 36 professionals of the nursing team participated in the study. The analysis originated three lexical classes: Error in intensive care nursing; Active failures and latent conditions related to errors in the intensive care nursing team; Reactive and proactive measures adopted by the nursing team regarding errors in intensive care. Conclusion: Reactive and proactive measures influenced the safety culture, in particular, the recognition of errors by professionals, contributing to their prevention, safety and quality care.