Quality and patient safety: experience report in the management of hospitals in the municipality of Rio De Janeiro
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Municipal Health Department of Rio de Janeiro, Brazil
Municipal Health Department, Rio de Janeiro, Brazil
Municipal Health Department of Rio de Janeiro, Rio de Janeiro, Brazil
Publication date: 2023-04-27
Popul. Med. 2023;5(Supplement):A920
Background and Objective: Risk management is the systemic and continuous application of policies and behaviors in the identification, analysis, evaluation, communication and control of risks and adverse events that affect the patient. Implementation strategies range from drafting protocols to implementing incident surveillance and monitoring systems. In this context, Ordinance 529 of the Ministry of Health (MS) regulates the Implementation of Patient Safety Centers (NSP) in the hospital environment. The NSP must promote and support the implementation of actions aimed at patient safety, guided by International Safety Goals, which serve as alerts for the prevention of major health incidents. The objective of this study is to report the experience of the Implementation of Clinical Governance, focusing on risk management in Emergency Hospitals of the municipal health network of Rio de Janeiro. Methods: After diagnosis, the management model to be implemented in the Emergency Hospitals of Rio de Janeiro was defined – Care Centered on the Patient and Family with Risk Management; defined and structured the specialized human resource for strengthening the NSP and risk assessments; Forums were held to support the implementation of quality tools; applied Risk Mapping in the Hospital environment; implemented management support processes, such as the Safety Hudle; carried out periodic follow-up visits for the Continuous Improvement Cycle. Results: In 06 months of implantation, 100% of the Units with registered NSP/MS are noted; Increased number of reports of adverse events and near misses; better performance in operational and care indicators, culminating positively in the patients journey in the hospital. Conclusions: The implementation of this Model could guide hospitals in building a safety culture, creating an educational environment that encourages patient care with fewer incidents and damage. Care risk management must be a basic premise, regardless of the mandatory rules and regulations. Descriptors: risk management, patient safety, health public
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