ABSTRACT
Abstract The adoption of safe practices by health services drives out health harms and preventable deaths at all levels of health care. This study aimed to understand how patient safety actions are organized in the conception of primary health care professionals in a municipality in the state of Bahia. exploratory research, with a qualitative approach, was performed through in person and online interviews with two Nurses and three Dental Surgeons, with broad knowledge of the researched matter and working in traditional primary care and Family Health teams. Data were analyzed through content analysis. It was perceived that knowledge of the researched topic was insufficient and that there was a need for the matter to become part of the teams' discussion agenda. The reports point out that, in the interviewees' view, actions related to patient safety are not yet implemented in the researched location. It was identified the need for structuring actions aimed at preventing adverse events and institutionalizing safety in health care.
Resumo A adoção de práticas seguras pelos serviços de saúde afasta danos à saúde e mortes evitáveis em todos os níveis assistenciais. Este estudo objetivou compreender como se organizam as ações de segurança do paciente na concepção de profissionais da atenção primária em saúde de um município do estado da Bahia. Realizou-se pesquisa exploratória, de abordagem qualitativa, por meio de entrevistas presenciais e online com dois Enfermeiros e três Cirurgiões-Dentistas, com amplo conhecimento do assunto pesquisado e atuação nas equipes da atenção básica tradicionais e da Saúde da Família. Os dados foram analisados por meio de análise de conteúdo. Percebeu-se conhecimento insuficiente do tema pesquisado e a necessidade de o assunto entrar na pauta de discussão das equipes. Os relatos apontam que, na visão dos entrevistados, as ações relacionadas à segurança do paciente ainda não estão implantadas no local pesquisado. Identificou-se a necessidade de estruturação das ações voltadas a prevenção de eventos adversos e a institucionalização da segurança no cuidado em saúde.
Subject(s)
Primary Health Care , Quality of Health Care , Organizational Culture , Patient Safety , BrazilABSTRACT
The purpose of this study was to investigate the influence of exercise order on volume load (VL) and myoelectric activation (EMG) during the bench press (BP), military press (MP) and close-grip bench press (CGBP) exercises executed with a barbell and Smith machine. Twelve men experienced in resistance training performed four different exercise sessions in randomised order. Each session consisted of four sets of a given exercise order: O1 = CGBP + MP + BP with barbell; O2 = inverse O1 with barbell, O3 = same O1 with Smith Machine; O4 = same O2 with Smith machine. EMG was assessed for the Clavicular head pectoralis major (PMC), anterior deltoid (AD), triceps brachii long head (TBLH) and biceps brachii (BB). Results showed that VL in BP was affected by exercise order, independent of the mode (p < 0.05). However, the CGBP showed higher VL in O1. Moreover, when the BP was positioned last in the sequence (O1 and O3), myoelectric activity was higher for PMC, AD and TBLH (p < 0.05). Findings were similar in the CGBP (PMC and TBLH), but for the AD (Smith machine > barbell, p < 0.05). Therefore, it appears that the order and modes of exercises influence both volume load and myoelectric activation patterns during multiple set of resistance training.
