Padrão de segurança assistencial: implantação da identificação de pacientes em um hospital

Abstract

The patient identification process is essential to ensure the safety and quality of care in health institutions. The implementation of the bracelet method is a common practice and is one of the indicators of auditable processes and the quality of care. However, several factors lead institutions, mainly public, not to adhere to this method among which may be mentioned organizational problems, lack of material resources, human and equipment, cultural factors, among others. All these induce non-compliance, thereby generating unwanted adverse and sentinel, described by the National Accreditation Organization - ONA, as an unexpected occurrence involving death or variation of the process, any physical injury, psychological or risk of its occurrence. This work consists of an intervention project which took place in a hospital Steel Valley, Minas Gerais, in order to implement the identification of the patient hospitalized in any hospital unit, study setting, as designated by WHO (World Health health) as a primary step for security assistance. This identification process is an essential step in the effective communication process that enables minimize the occurrence of failures from the hospital patient care, seeking to ensure her assigned treatment, free from damage, based on safety and quality of the Ministry of Health . Because of the risk stratification of emergency for patient care, it was proposed to the Patient Safety Center (NPS) the implementation of the method of identifying patients admitted from the time of admission, through bracelets and identification on the bed , the first containing the name, date of birth and identification on the bed that includes the data on the bracelet with the admission date of the increase in the hospital and in the industry, age, record number, physician and matching bed. The project began in February 2015, with the planning of the same along with the NSP newly set up in the hospital. In March there was the training of nursing staff, as the standardization of identification and its importance for the health care, after have been developed Cheklist to verify the membership of the nursing team and the identification watching the conformities and non-conformities and are assessed on the identification bracelet and identification on the bed of 140 patients admitted in April, with a compliance rate above 80%. It was concluded that patient identification bracelets with and the beds are key practices that can bring numerous benefits to healthcare safety for both health professionals and for hospitalized patients. Through this work and the results obtained can reiterate the assertion of organizations advocating the patient safety strategies and understand why identification is an internationally best practice and charged incessantly by health systems