Are we teaching patient safety to our academics? The experience of a course in the countryside of São Paulo

Main Article Content

Aniz Kassis Neto
Juliane Bibiano Ferreira
Rôksanny Carneiro Carrijo
Emerson Roberto dos Santos
Patrícia da Silva Fucuta
Julio Cesar André
Alba Regina de Abreu Lima

Abstract

Nowadays, one of the biggest concerns in the health care field is centered on patient safety with a primary focus on the errors of the medical team. In 2009, WHO created a guide for universities aimed at patient safety in which it suggests new ways of approaching patients, thus improving the quality of trained professionals and dramatically reducing adverse events. There is a consensus that there is a restructuring of a system that currently presents serious failures that result in permanent harm to the objective of the medical team, which is the well-being of the patient, as well as an efficient inspection of the Decree Number 529/13 in Brazilian universities. It is in this context that the present work proposes to highlight the gap currently existing in Brazilian universities, based on the sampling of one of them, located in the countryside of São Paulo. Prospective intervention study using a quantitative and qualitative methodology, carried out in two stages: analysis of teaching plans and application of the quantitative and qualitative perception instrument to professors. Was not found in the teaching plans of the modules of the medical course at Universidade Brasil the concept of patient safety. Semi-structured questionnaire was answered by 47 teachers, 11 (23.4%) of the basic cycle and 36 (76.6%) of the clinical cycle and internship. Professors at Universidade Brasil consider that the themes are extensivily addressed in their classes, although they are not described in most of the modules' teaching plans. Medical education in Brazil needs a qualitative leap, and that leap is certainly in the area of patient safety.  In the context of implementation, the multiprofessional edition of the World Health Organization (WHO) patient safety curriculum guide can be used as guidance and a current and very promising development in relation to the acquisition and examination of the skills necessary for safe care for the patient is the establishment of interprofessional training wards. Considering that medical students are the future driving force of change in health care, it is necessary to encourage quality improvement and patient safety education to offer the patient-centered. The graduation, at any time and since day one, is the moment of formation, therefore favorable to the teaching of this topic for students in the health care field, and all teachers should be involved with these contents. 

Downloads

Download data is not yet available.

Article Details

How to Cite
Neto , A. K. ., Ferreira , J. B. ., Carrijo , R. C. ., dos Santos , E. R. ., Fucuta , P. da S. ., André, J. C. ., & Abreu Lima , A. R. de . (2020). Are we teaching patient safety to our academics? : The experience of a course in the countryside of São Paulo. International Journal for Innovation Education and Research, 8(5), 348-363. https://doi.org/10.31686/ijier.vol8.iss5.2350
Section
Articles
Author Biographies

Aniz Kassis Neto , Suel Abujamra Institute São Paulo / SP, Brazil

Resident Medical in Ophthalmology

Juliane Bibiano Ferreira , Primary Care, Pereira Barreto / SP, Brazil

Medical

Rôksanny Carneiro Carrijo , Primary Care, Fernandópolis / SP, Brazil

Medical

Emerson Roberto dos Santos , Medical School of Medicine of São José do Rio Preto - FAMERP / SP, Brazil

Postgraduate Student in Posgraduation Program in Nursing

Patrícia da Silva Fucuta , HB/FUNFARME / SP, Brazil

Gastro-Hepatology Service at Hospital de Base of São José do Rio Preto

Julio Cesar André, FAMERP / SP, Brazil

Center for the Study and Development of Health Education – CEDES, Medical School of Medicine of São José do Rio Preto

Alba Regina de Abreu Lima , FAMERP / SP, Brazil

Center for the Study and Development of Health Education – CEDES, Medical School of Medicine of São José do Rio Preto

References

A. A. B. Bueno, and C. S. Fassarella, “Segurança do Paciente: uma reflexão sobre sua trajetória histórica” Rev. Rede Cuid. Saúde., vol. 6, no. 1, pp. 1-9, 2012. Available at http://publicacoes.unigranrio.edu.br/index.php/rcs/article/view/1573/843

A. E. Silva, S. H. Cassiani, A. I. Miasso, and S. P. Opitz “Problemas na comunicação: uma possível causa de erros de medicação”, Acta Paul. Enferm., vol. 20, no. 3, pp. 272-276, Jul/Sept 2007. https://doi.org/10.1590/S0103-21002007000300005

A. I. Miasso, C. R. Grou, S. H. B. Cassiani, A. E. B. C Silva, and F. T. Fakih, “Erros de medicação: tipos, fatores causais e providencias em quatro hospitais brasileiros”, Rev. Esc. Enferm. USP., vol. 40, no. 4, pp. 524-532, 2006. https://doi.org/10.1590/S0080-62342006000400011

A. M. Reis, T. C. Marques, S. P. Opitz, A. E. Silva, F. R. Gimenes, T. C. Teixeira, R. E. F. Lima, and S. H. B. Cassiani, “Errors in medicine administration – profile of medicines: knowing and preventing”, Acta Paul. Enferm., vol. 23, no. 2, pp. 181-186, Mar/Apr 2010. https://doi.org/10.1590/S0103-21002010000200005

A. Q. Neto, “Segurança dos pacientes, profissionais e organizações: um novo padrão de assistência à saúde”, RAS., vol. 8, no. 33, pp. 153-158, 2006. Available at http://www.nascecme.com.br/artigos/RAS33_seguranca.pdf

A. R. L. Grigoleto, F. R. E. Gimenes, and M. C. Q. Avelar MCQ, “Segurança do cliente e as ações frente ao procedimento cirúrgico”, Rev. Eletronica Enferm., vol. 13, no. 2, pp. 347-354, Apr/Jun 2013. Available at http://www.scielo.br/pdf/tce/v22n2/en_v22n2a05.pdf

A. R. P. D. Corona, and A. C. G. Peniche ACG, “A cultura de segurança do paciente na adesão ao protocolo da cirurgia segura”, Rev. SOBECC., vol. 20, no. 3, pp. 179-185, 2015. Available at https://revista.sobecc.org.br/sobecc/article/view/88/pdf

B. P. Davis, C. Clevenger, R. Dillard, D. Moulia, and D. D, "Disbelief and Sadness: First-Year Health Profession Students' Perspectives on Medical Errors”. J Patient Saf., Mar 2020. https://doi.org/10.1097/PTS.0000000000000691

C. A. Vincent, A. Charles, and A. Coulter, “Patient safety: what about the patient?”, Qual. Saf. Health Care., vol. 11, no. 1, pp. 76,80, Mar. 2002. https://doi.org/10.1136/qhc.11.1.76

C. G. Victora, M. L. Barreto, M. C. Leal, C. A. Monteiro, M. I. Schmidt, and J. Paim, “Condições de saúde e inovações nas políticas de saúde no Brasil: o caminho a percorrer”, Lancet, Supl Saúde no Brasil 6, pp. 90-102, 2011. http://download.thelancet.com/flatcontentassets/pdfs/brazil/brazilpor6.pdf

C. Nascimento, and P. B. Draganov, “História da qualidade em segurança do paciente”, Hist. Enferm. Rev. Eletronica., vol. 6, no. 6, pp. 299-309, 2015. Available at http://here.abennacional.org.br/here/seguranca_do_paciente.pdf

C. S. Bartlett, and S. A. Huerta, “Creating Change: An Experiential Quality Improvement and Patient Safety Curriculum for Medical Students”, MedEdPORTAL. vol. 14, pp. 10660, Jan 2018. https://doi.org/10.15766/mep_2374-8265.10660

D. W. Bates, “Preventing medication errors: a summary”, Am. J. Health Syst. Pharm., vol. 64, n. 14, pp. S3-9, Suppl9, Jul 2007. https://doi.org/10.2146/ajhp070190

D. W. Vituri, S. M. Lima, C. C. T. Kuwabara, R. B. Gil, and Y. D. M. Évora, “Dimensionamento de enfermagem hospitalar: modelo OPAS/OMS” Texto & Contexto Enferm., vol. 20, no. 3, pp.547-556, Jul/Sept 2011. https://doi.org/10.1590/S0104-07072011000300017

E. Bohomol, and L. H. Ramos, “Erro de medicação: importância da notificação no gerenciamento da segurança do paciente”, Rev. Bras. Enferm., vol. 60, no. 6, pp. 32-36, Jan 2007. https://doi.org/10.1590/S0034-71672007000100006

E. Opitz, S. Bösner, S. Heinis, E. C. Stibane, A. and Jerrentrup A, “Teaching patient safety during undergraduate medical studies”, Internist., Mar. 2020. https://doi.org/10.1007/s00108-020-00772-6

F. Paese, and G. T. M. Dal Sasso, “Patient safety culture in primary health care”, Texto & Contexto Enferm., vol. 22, no. 2, pp 302-310, Apr/Jun 2013. Available at http://www.scielo.br/pdf/tce/v22n2/en_v22n2a05.pdf.

J. BathkeI, P. A. Cunico, E. C. S. Maziero, F. L. F. Cauduro, L. M. M. Sarquis, and E. D. A. Cruz, “Infrastructure and adherence to hand hygiene: challenges to patient safety”, Rev. Gaúcha Enferm., vol. 34, no. 2, pp. 78-85, Jun 2013. Available at http://www.scielo.br/pdf/rgenf/v34n2/en_v34n2a10.pdf

J. C. Nascimento, and P. B. Draganov, “História da qualidade em segurança do paciente”, Hist. Enferm. Rev. Eletronica., vol. 6, no. 2, pp. 299-399, 2015. Available at http://here.abennacional.org.br/here/seguranca_do_paciente.pdf

J. G. Lupoli Junior, C. F. Angelo, and M. Tanabe, “O comportamento de equipe em processos decisórios gerenciais: um experimento com grupos de trabalho”, R. Adm. Eletrônica, vol. 1, no. 2, pp. 1=22, Jul/Dec 2008 Available at http://200.232.30.99/Revista_eletronica/v1n2/artigos/v1n2a3.pdf

J. Sanko, M. Mckay, I. Shekhter, I. Motola, and D. J. Birnbach. “What participants learn, with, from and about each other during inter-professional education encounters: A qualitative analysis”, Nurse Educ. Today., vol. 88, pp. 104386, Mar 2020. https://doi.org/10.1016/j.nedt.2020.104386

L. C. Lobo, Educação Médica nos Tempos Modernos, Rev. Bras. Educ. Med., Rio de Janeiro, vol. 39, no. 2, pp. 328-332, Jun 2015. Disponível em <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022015000200328&lng=en&nrm=iso>. acesso em 11 de abril de 2020. https://doi.org/10.1590/1981-52712015v39n2e00062015

L. M. Faria, and S. H. Cassiani, “Medication interaction: knowledge of nurses in intensive care units”, Acta Paul. Enferm., vol. 24, no. 2, pp..264-270. Jan/Feb 2001. https://doi.org/10.1590/S0103-21002011000200017

L. Trindande, and M. J. Lange, “A perspectiva histórica e principais desenvolvimentos da segurança do paciente”. In P. Sousa, and W. Mendes, Segurança do paciente: conhecendo os riscos nas organizações de saúde. Rio de Janeiro, FIOCRUZ, 2014. Vol. 1, pp. 39-56.

M. C. G. Rigobello, R. E F. L. Carvalho, S. H. B. Cassiani, T. Galon, H. C. Capucho, and N. N. Deus, “The climate of patient safety: perception of nursing professionals”, Acta Paul. Enferm., vol. 25, no. 5, pp.728-735, May 2012. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002012000500013&Ing=en

M. H. Barbosa, E. M. Sousa, M. M. S. Félix, K. F. Oliveira, and E. Barichello, “Clima de segurança do paciente em um hospital especializado em oncologia”, Rev. Eletronica Enferm, vol 17, no. 4, pp. 1-9, Oct/Dec 2016. Available at https://www.fen.ufg.br/fen_revista/v17/n4/pdf/v17n4a17.pdf

M. K. Ray, S. B. Gelmon, M. DiVeronica, and K. Lepin, “Faculty Development in Improvement Science: Building Capacity and Expanding Curricula Across an Academic Health Center”, J. Grad. Med. Educ., vol. 11, no. 6, pp. 678-684, Dec. 2019. https://doi.org/10.4300/JGME-D-19-00287.1

Ministério da Saúde, Brasil, Portaria nº 529, de 1º de abril de 2013, “Institui o Programa Nacional de Segurança do Paciente (PNSP)”. Available at http://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0529_01_04_2013.html

Ministério da Saúde. Brasil. Documento de referência para o Programa Nacional de Segurança do Paciente. Brasília (DF), Ministério da Saúde, 2014. Available at http://bvsms.saude.gov.br/bvs/publicacoes/documento_referencia_programa_nacional_seguranca.pdf»

R. Flin, C. Burns, K. Mearns, S. Yule, and E. M. Robertson, “Measuring safety climate in healthcare”, Qual. Saf. Health Care., vol. 15, n. 2, pp. 109-115, Apr 2006. https://doi.org/10.1136/qshc.2005.014761

R. M. Daud-Gallotti, C. V. Morinaga, M. Arlindo-Rodrigues, I. T. Velasco, M. A. Martins, and I. C. Tiberio, “A new method for the assessment of patient safety competencies during a medical school clerkship using an objective structured clinical examination”, Clinics., vol. 66, no. 7, pp. 1209-1215, 2011. https://doi.org/10.1590/s1807-59322011000700015

R. M. Oliveira,I. M. T. A. Leitão, L. M. S. Silva, S. V. Figueiredo, R. L. Sampaio, and M. M. Gondim, “Estratégias para promover segurança do paciente: da identificação dos riscos às práticas baseadas em evidências”, Esc. Anna Nery., vol. 18, no. 1, pp. 122-129, Jan/Mar 2014. Available at http://www.scielo.br/pdf/ean/v18n1/en_1414-8145-ean-18-01-0122.pdf

T. E. Carraro, “Contribuições de Florence Nightingale: uma revisão integrativa da literatura”, Esc. Anna Nery Rev. Enferm., vol.17, no. 3, pp. 573-579, Jul 2013. Available at http://www.scielo.br/pdf/ean/v17n3/1414-8145-ean-17-03-0573.pdf

T. Scott, R. Mannion, H. Davies, and M. Marshall, “The quantitative measurement of organizational culture in health care: a review of the available instruments”, Health Serv. Res., vol. 38, no. 3, pp. 923-945, Jun 2003. https://doi.org/10.1111/1475-6773.00154

W. Mendes, M. Martins, S. Rozenfeld, and C. Travassos, “The assessment of adverse events in hospitals in Brazil”, Int. J. Qual. Health Care., vol. 21, no. 4, pp. 279-284, Aug 2009. https://doi.org/10.1093/intqhc/mzp022

World Health Organization, Patient Safety Curriculum Guide for Medical Schools, Genebra, 2009. Available at https://www.who.int/patientsafety/education/curriculum_guide_medical_schools/en/

X. Zhong, Y. Song, C. Dennis, D. J. Slovensky, L. Y. Wei, J. Chen, and J. Ji, “Patient safety culture in Peking University Cancer Hospital in China: baseline assessment and comparative analysis for quality improvement”. BMC Health Serv. Res., vol. 19, no. 1, pp. 1008, Dec. 2019. https://doi.org/10.1186/s12913-019-4837-z

Most read articles by the same author(s)