Nursing faults in the recovery period of surgical patients

Revista Latino-Americana de Enfermagem

Tânia Couto Machado Chianca¹ 

[1] ,Minas Gerais Federal University College of Nursing

关键词: postoperative care;    iatrogenic disease;    health facilities;    cuidados postoperatorios;    enfermedad iatrogénica;    instituciones de salud;    cuidados pós operatórios;    doença iatrogênica;    instituições de saúde;   

DOI  :  10.1590/S0104-11692006000600008

来源: SciELO

【 摘 要 】

This is a descriptive study based on the theory of human error, in order to analyze and classify nursing errors during the nursing care of surgical patients at recovery. Twenty-five (25) fault reports were collected through a semi-structured interview. Those reports were submitted to 15 nurse experts to evaluate the risk of seriousness; human, equipment and organizational factors involved; members interaction; information and reversibility of the accident. Faults were directly attributed to psychosocial and organizational aspects, equipment and seriousness. A multidimensional scaling test (MDS) was applied and a graph was obtained. It showed four groups of faults, due to problems related to sensory-motor, procedure, abstraction and supervision control. In conclusion, the faults were caused by non-defined personnel roles, continuing education deficiency, non-systematic observation, inadequate space and equipment.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License