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Risco em bloco operatório: proposta de medidas para o sistema nacional de saúde responder a eventos adversos
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Não é novo que os acidentes em meio hospitalar acontecem com bastante frequência, causando danos, não só para os doentes, mas também para as instituições e para os profissionais de saúde envolvidos nestes eventos. A comunicação tem revelado ser uma das principais causas de eventos adversos e tem sido alvo de estudo por parte de vários autores cujos comentários, descobertas e ideias serão referidas ao longo desta dissertação. Para além da comunicação entre os médicos que leva à ocorrência destes erros, existe outro tipo de comunicação muito importante: a comunicação entre o médico ou enfermeiro envolvido no evento adverso e o doente que sofreu o dano e aos seus familiares. Quando as coisas correm mal é importante ter alguém responsável por estabelecer a comunicação e saber a maneira como esta vai ser feita. Para isso é necessário que haja treino por parte dos profissionais de saúde, assim como protocolos de medidas para saber atuar quando ocorre um evento adverso.
Esta monografia, tem, portanto, como objetivo fulcral, propor uma série medidas para o sistema nacional de saúde que deverão ser tomadas aquando a ocorrência de um evento adverso, focando a comunicação com o doente e seus familiares, com a ajuda de uma sistematização da literatura já existente noutros países.
It is not new that accidents happen in the hospital environment frequently enough, causing harm not only to the patients, but also to the institutions and health professionals involved in these events. Communication has been shown to be a major cause of adverse events and has been the subject of study by several authors whose comments, findings and ideas, will be talked about throughout this dissertation. In addition to communication between doctors that lead to the occurrence of errors, there is another very important type of communication: the communication between the doctor or nurse involved in the adverse event and the patient who suffered the harm and their family members. When things go wrong, it is important to have someone responsible for establishing the communication and how that communication should be done. For that, training of the health professionals is required, as well as protocols establishing the measures on how to react when an adverse event occurs. This monograph’s main objective is therefore, to propose a series of measures for the national health system that must be taken at the occurrence of an adverse event, focusing on communication between the patient and his family, with the help of a systematization of existing literature in other countries.
It is not new that accidents happen in the hospital environment frequently enough, causing harm not only to the patients, but also to the institutions and health professionals involved in these events. Communication has been shown to be a major cause of adverse events and has been the subject of study by several authors whose comments, findings and ideas, will be talked about throughout this dissertation. In addition to communication between doctors that lead to the occurrence of errors, there is another very important type of communication: the communication between the doctor or nurse involved in the adverse event and the patient who suffered the harm and their family members. When things go wrong, it is important to have someone responsible for establishing the communication and how that communication should be done. For that, training of the health professionals is required, as well as protocols establishing the measures on how to react when an adverse event occurs. This monograph’s main objective is therefore, to propose a series of measures for the national health system that must be taken at the occurrence of an adverse event, focusing on communication between the patient and his family, with the help of a systematization of existing literature in other countries.
Descrição
Trabalho Final de Mestrado Integrado, Ciências Farmacêuticas, Universidade de Lisboa, Faculdade de Farmácia, 2016
Palavras-chave
Evento adverso Sistema Nacional de Saúde Comunicação com o doente Dano Proposta de medidas Mestrado Integrado - 2016