Segurança do paciente nas unidades de pronto atendimento em Salvador, Bahia, Brasil.

Abstract

The concern with patient safety (SP) must involve all health services that are part of the Health Care Networks (RAS). The Emergency Care Units (UPA), as a point of attention of the RAS, are structures of intermediate complexity, and must operate 24 hours a day. This study has the general objective: To analyze the actions/practices of Patient Safety developed in Emergency Care Units in the city of Salvador, Bahia, Brazil. The specific objectives are: Identify patient safety practices developed in the UPAs; describe the challenges for patient safety in UPAs. Inclusion criteria were considered for the UPAS and an online questionnaire was applied through google forms to seven health professionals from December 2020 to February 2021, assigned to the Patient Safety Centers in the UPAs for more than six months. Documentary analysis was also performed. The collected data were systematized, organized and processed in a matrix and the contents were analyzed using the thematic analysis technique. All ethical aspects were respected. The results showed that the UPAs of the study constituted the Patient Safety Centers (NSP) by a multidisciplinary team, but most did not have the doctor and pharmacist as members. Most of SP's plans and protocols were implemented and implemented through continuing education and the promotion of SP culture. The UPAs implemented protocols that describe actions for the adoption of hand hygiene, patient identification, phlebitis, sepsis and allergies. The NSP actions performed were patient identification at the bedside, educational actions, informative posters on hand hygiene, decubitus change clock, electronic medical records. Due to the Covid-19 pandemic, educational actions were intensified, focusing on hand hygiene, Personal Protective Equipment (PPE) and control of health care-related infections (IRAS). As challenges, the need to problematize SP, instrumentalization of future professionals and offer support to the centers to act in the promotion of SP culture stand out. This study may contribute to encouraging managers and health professionals to reflect on the subject, bringing safety and quality of care in health services to the agenda of priorities, and the need to implement, implement, monitor and evaluate SP actions.