Patient safety

understanding human error in intensive nursing care

Authors

  • Sabrina da Costa Machado Duarte Universidade Federal do Rio de Janeiro, Escola de Enfermagem Anna Nery, Departamento de Metodologia da Enfermagem
  • Marluci Andrade Conceição Stipp Universidade Federal do Rio de Janeiro, Escola de Enfermagem Anna Nery, Departamento de Metodologia da Enfermagem
  • Maria Manuela Vila Nova Cardoso Universidade Federal do Rio de Janeiro, Escola de Enfermagem Anna Nery, Departamento de Metodologia da Enfermagem
  • Andreas Büscher Hochschule Osnabrück, Fakultät Wirtschafts und Sozialwissenschaften

DOI:

https://doi.org/10.1590/s1980-220x2017042203406

Keywords:

Patient Safety, Medical Errors, Critical Care Nursing, Intensive Care Units, Nursing Care.

Abstract

Objective: To analyze the active failures and the latent conditions related to errors in intensive nursing care and to discuss the reactive and proactive measures mentioned by the nursing team. Method: Qualitative, descriptive, exploratory study conducted at the Intensive Care Unit of a general hospital. Data were collected through interviews, participant observation and submitted to lexical analysis in the ALCESTE® software and to ethnographic analysis. Results: 36 professionals of the nursing team participated in the study. The analysis originated three lexical classes: Error in intensive care nursing; Active failures and latent conditions related to errors in the intensive care nursing team; Reactive and proactive measures adopted by the nursing team regarding errors in intensive care. Conclusion: Reactive and proactive measures influenced the safety culture, in particular, the recognition of errors by professionals, contributing to their prevention, safety and quality care.

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Published

2019-02-27

Issue

Section

Original Article

How to Cite

Patient safety: understanding human error in intensive nursing care. (2019). Revista Da Escola De Enfermagem Da USP, 52, e03406. https://doi.org/10.1590/s1980-220x2017042203406