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      A segurança do paciente como dimensão da qualidade do cuidado de saúde: um olhar sobre a literatura Translated title: Patient safety as a dimension of the quality of health care: a look at the literature

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          Abstract

          O cenário moderno e competitivo dos sistemas de prestação de cuidados de saúde contrapõe-se às suas demandas ascendentes e aos recursos nem sempre suficientes. A preocupação com a segurança do paciente, importante dimensão da qualidade do cuidado de saúde, constitui atualmente tema de relevância crescente entre pesquisadores do todo o mundo. Os eventos adversos ocorrem em qualquer local onde se prestam cuidados de saúde e na maioria das situações são passíveis de medidas preventivas. O objetivo deste artigo é apresentar, por meio de uma revisão bibliográfica, o discurso sobre a segurança do paciente a partir do século XXI, enfocando sua relevância enquanto problema global de saúde pública; discorrer sobre os desafios relacionados às lacunas e perspectivas em termos de pesquisa acerca do tema e sua abordagem na realidade brasileira. Verifica-se que a investigação sobre a segurança do paciente ainda não possui o benefício de ter suas abordagens bem estabelecidas; e ainda, que múltiplas barreiras e desafios precisam ser enfrentados na concepção de delineamentos de estudos e na utilização de técnicas de pesquisa.

          Translated abstract

          The modern and competitive reality of health care delivery systems is often hampered by increasing demands and often insufficient resources. The concern about patient safety - an important dimension of healthcare quality - is nowadays an issue of growing significance among researchers around the world. Adverse events occur in any places where health care delivery services are delivered and in most situations these events are subject to preventive actions. The scope of this paper is to present, by means of a literature review, the concept of patient safety in the twenty-first century, focusing on its significance as a worldwide public health problem; to discuss the challenges related to the gaps and perspectives involving research into the issue and the way it is addressed in the Brazilian reality. It is revealed that research into patient safety still lacks the benefits of having well established approaches, and also that multiple barriers and challenges must be overcome in the concepts of study outlines and the use of research techniques.

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          Most cited references38

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          To Err Is Human : Building a Safer Health System

          (2000)
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            Defining and classifying clinical indicators for quality improvement.

            J Mainz (2003)
            This paper provides a brief review of definitions, characteristics, and categories of clinical indicators for quality improvement in health care. Clinical indicators assess particular health structures, processes, and outcomes. They can be rate- or mean-based, providing a quantitative basis for quality improvement, or sentinel, identifying incidents of care that trigger further investigation. They can assess aspects of the structure, process, or outcome of health care. Furthermore, indicators can be generic measures that are relevant for most patients or disease-specific, expressing the quality of care for patients with specific diagnoses. Monitoring health care quality is impossible without the use of clinical indicators. They create the basis for quality improvement and prioritization in the health care system. To ensure that reliable and valid clinical indicators are used, they must be designed, defined, and implemented with scientific rigour.
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              Human error: models and management

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                csc
                Ciência & Saúde Coletiva
                Ciênc. saúde coletiva
                ABRASCO - Associação Brasileira de Saúde Coletiva (Rio de Janeiro )
                1413-8123
                July 2013
                : 18
                : 7
                : 2029-2036
                Affiliations
                [1 ] Fundação Oswaldo Cruz Brazil
                [2 ] Fundação Oswaldo Cruz Brazil
                Article
                S1413-81232013001500018
                10.1590/S1413-81232013000700018
                aa7fdfa2-30fa-45dc-b6ec-e2a6525c525d

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Public Health

                Self URI (journal page): http://www.scielosp.org/scielo.php?script=sci_serial&pid=1413-8123&lng=en
                Categories
                Health Policy & Services

                Public health
                Patient safety,Adverse events,Medical error,Quality of healthcare,Segurança do paciente,Eventos adversos,Erro médico,Qualidade do cuidado de saúde

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