Patient safety culture in central sterile supply departments: nurses' perceptions.

OBJECTIVE: To know the perceptions of nurses with experience in Central Sterile Supply Departments about the safety culture. METHODS: A qualitative study developed with 12 nurses from hospitals in the South and Southeast Brazilian regions, with data collected in March 2021 through online interviews. Bardin's content analysis was performed with the support of the IRaMuTeQ software. RESULTS: The interpretations were classified considering the following aspects: indirect care provided by Central Sterile Supply Departments (27.16%), low visibility of Central Sterile Supply Departments for patient safety (26.92%), difficulty in internal communication (30.69%) and difficulties learning from errors and fair culture (15.23%). CONCLUSIONS: The perceptions about the safety culture are related to the quality control of processes and to infection prevention; however, there were perceptions about its low recognition and devaluation. The communication, learning from errors and fair culture subcultures proved to be weak.

Patient safety culture in central sterile supply departments: nurses' perceptions / Cultura de seguridad del paciente en un centro de materiales y esterilización: percepciones de enfermeras / Cultura de segurança do paciente em centro de material e esterilização: percepções de enfermeiros

ABSTRACT Objective To know the perceptions of nurses with experience in Central Sterile Supply Departments about the safety culture. Methods A qualitative study developed with 12 nurses from hospitals in the South and Southeast Brazilian regions, with data collected in March 2021 through online interviews. Bardin's content analysis was performed with the support of the IRaMuTeQ software. Results The interpretations were classified considering the following aspects: indirect care provided by Central Sterile Supply Departments (27.16%), low visibility of Central Sterile Supply Departments for patient safety (26.92%), difficulty in internal communication (30.69%) and difficulties learning from errors and fair culture (15.23%). Conclusions The perceptions about the safety culture are related to the quality control of processes and to infection prevention; however, there were perceptions about its low recognition and devaluation. The communication, learning from errors and fair culture subcultures proved to be weak.

RESUMEN Objetivo Conocer las percepciones de enfermeras con experiencia en Centros de Materiales y Esterilización sobre la cultura de seguridad. Métodos Estudio cualitativo desarrollado con 12 enfermeras de hospitales de las regiones Sur y Sudeste de Brasil, con datos recolectados en marzo de 2021 a través de entrevistas en línea. El análisis de contenido de Bardin se realizó con apoyo del software IRaMuTeQ. Resultados Las interpretaciones se clasificaron considerando los siguientes aspectos: atención indirecta provista por los Centros de Materiales y Esterilización (27,16%), escasa visibilidad de los Centros de Materiales y Esterilización para la seguridad del paciente (26,92%), dificultad en la comunicación interna (30,69%) y dificultad en aprender de los errores y cultura justa (15,23%). Conclusiones Las percepciones sobre la cultura de seguridad están relacionadas con el control de calidad de los procesos y la prevención de infecciones; sin embargo, hubo percepciones sobre su escaso reconocimiento y sobre su desvalorización. Las subculturas de comunicación, aprendizaje de los errores y cultura justa demostraron ser frágiles.

RESUMO Objetivo Conhecer percepções de enfermeiros com experiência em Centro de Material e Esterilização sobre cultura de segurança. Métodos Estudo qualitativo, desenvolvido com 12 enfermeiras de hospitais das regiões Sul e Sudeste do Brasil, com dados coletados em março de 2021 por meio de entrevistas on-line. Procedeu-se a análise de conteúdo de Bardin, com apoio do software IRaMuTeQ. Resultados Interpretações foram classificadas considerando os seguintes aspectos: cuidado indireto do Centro de Material e Esterilização (27,16%), baixa visibilidade do Centro de Material e Esterilização para a segurança do paciente (26,92%), dificuldade de comunicação interna (30,69%) e dificuldades no aprendizado com erros e cultura justa (15,23%). Conclusões Percepções sobre cultura de segurança estão relacionadas com o controle de qualidade dos processos e prevenção de infecções, entretanto, houve percepções sobre baixo reconhecimento e desvalorização destes processos. As subculturas comunicação, aprendizado com erros e cultura justa demonstraram-se fragilizadas.

Steam Sterilization Chemical Indicators Are Not Adequate for Monitoring Real Steam Sterilization Cycles.

Chemical indicators are commonly used in hospitals to monitor steam sterilization conditions, indicating that medical devices are safe to be used. The results are stored for future evidence in the event of an infection incident root cause analysis. This type of indicator is also becoming an option for cycle monitoring in pharmaceutical steam sterilizers, improving cycle control. They are constructed and tested according to published standards, but contradictory results between chemical indicators and cycle printouts have a critical impact on process control. We found that Type 6 chemical indicators used in steam sterilizer cycles did not perform according to their intended use, showing an "approved" result in a "failed" cycle (a false positive). This study demonstrated that Type 6 chemical indicator specifications are not adequate for monitoring steam sterilizers. A change in standards is therefore needed.

Riscos ergonômicos e psicossociais em centro cirúrgico / Ergonomic and psychosocial risks in the operating room

O trabalho do enfermeiro em centro cirúrgico (CC) requer conhecimento científico e também a análise de sua condição de trabalho. A sobrecarga física e emocional pode afetar o desempenho do profissional...