Avaliação do nível de conformidade com requisitos técnicos e legais de segurança assistencial e seus fatores associados em hospitais da rede do estado de Minas Gerais - 2012

Abstract

The currently available knowledge on the causes of noticeable flaws in healthcare suggests that many losses (to people and organizations) might be prevented through organizational changes focusing on changes in the management systems, structure, processes in which health care professionals work for delivering good results. Considering health organizations urgent necessity to pursue excellence, aiming at the increasing of he safety levels in attendance, which pervades the structural, process, organizational and, fundamentally, behavioral aspects observed on health care professionals, not only the technical-scientific aspect, but, above all management and human. This researchs main objective is the evaluation of technical requirements of management nature of the conditions associated to healthcare security within the Minas Gerais State hospital network, using data that were already collected from the State Federation of UNIMEDS (FEDERAMINAS) in 2012 and its correlation to the healthcare institutions size, the diversity of the assistance services rendered, the location, the juridical nature. The sample consisted of 194 general hospitals from a total of 568 in the State of Minas Gerais which were submitted to evaluation for organizational diagnosis between 2012/01/01 and 2012/08/30, with management purposes. Methodology: A cross-sectional study study that assesses predictive variables of the safety level of medical institutions in Minas Gerais, Brazil. Data collection was performed by nurses auditors calibrated with the instrument inspired by the ISO standards, ONA Accreditation and legislation applicable to the provision of service in healthcare. The data were compared with the National Register of Health Facility (CNES). The research, which is in line with the theoretical framework, demonstrated that the technical management of these factors is of primary importance as a key condition of the quality of pre-conditions for the provision of health care service for the safe handling.The research has revealed that the network shows high prevalence of low management conditions as for the factors associated to hospital safety (number of inhabitants, hospital beds and the juridical nature), exposing the attended population to enhanced Healthcare risk that bears relation with the institutions size, the geographic location, and the population of the county seat.