ABSTRACT
Objetivo: Descrever a implantação de um protocolo de cirurgia segura em um hospital de grande porte. Metodologia: Relato de experiência desenvolvido no centro cirúrgico de um hospital da região Sul de Santa Catarina, a partir de um projeto institucional envolvendo a equipe multiprofissional. Ao total, realizaram-se 12 reuniões de trabalho e discussão entre 2012 e 2013. Resultados: O processo de implantação do protocolo de cirurgia segura teve início em 2013, com base nos dez passos propostos pela Organização Mundial da Saúde para cirurgia segura. Inicialmente, houve dificuldades estruturais e resistência a mudanças por alguns profissionais. Porém, em 2017, foi possível a concretização de ações que contemplassem as exigências do Ministério da Saúde. Conclusão: As capacitações e o envolvimento das equipes de trabalho foram fundamentais para a promoção de uma cultura de segurança do paciente no centro cirúrgico.
Objective: To describe the implementation of a safe surgery protocol in a large hospital. Methodology: this is an experience report developed in the operating room of a hospital in the southern region of Santa Catarina, based on an institutional project that involves a multidisciplinary team. In total, hold 12 discussion and discussion meetings between 2012 and 2013. Results: The process of implementing the safe surgery protocol started in 2013, based on the ten steps proposed by the World Health Organization for safe surgery. Initially, there were structural difficulties and resistance to change by some professionals. However, in 2017, it was possible to carry out actions that addressed the requirements of the Ministry of Health. Conclusion: The training and involvement of the work teams were essential to promote a culture of patient safety in the operating room.
Subject(s)
Quality of Health Care , Organizational Culture , Safety Management , Patient SafetyABSTRACT
Abstract INTRODUCTION: Coronavirus disease 2019 (COVID-19), a potentially fatal disease, is caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). The number of cases has increased rapidly, but information on the clinical characteristics remains limited. METHODS: Cohort study. We collected and analyzed epidemiological, demographic, and clinical data of critically and noncritically ill patients and compared the outcomes. RESULTS: The mean age of hospitalized patients with COVID-19 was 54 years (standard deviation 16.9; 53.8% men), 29% required ICU admission, and 18.6% died. CONCLUSIONS: The main risk factors for ICU admission were age over 60 years, obesity, and preexisting chronic lung diseases.