ADHERENCE TO REPORTING HEALTHCARE-RELATED INCIDENTS BY CARE PROFESSIONALS
Patient safety; Notification; Risk management; Adverse event; Incidents.
Patient Safety achieved its benchmark in 1999, when the document to err is human was published, which brought alarming data on adverse events that occurred in hospitals in the United States due to medical errors. In Brazil, Ordinance No. 529, of April 1, 2013, was created, which established the National Patient Safety Program (PNSP) in order to contribute to the qualification of health care in all health facilities in the national territory. Through this Ordinance, the Patient Safety Culture can be characterized in five operationalized characteristics, among them, the culture that encourages and rewards notification related to safety and the culture that, from the occurrence of incidents, promotes organizational learning . But given this context, it is necessary that errors are reported, described and notified, so that the cause of the problem is known and an intervention is carried out in an educational, preventive and non-punitive nature, since the record serves as a communication and discussion instrument. between management and assistance. In this perspective, adherence to the reporting of incidents related to health care by care professionals has become an important element to produce actions to improve Patient Safety. Thus, this research has the general objectives of analyzing adherence to the reporting of incidents related to health care by care professionals in a teaching hospital and to develop an institutional protocol for the evaluation and permanent improvement of adherence to the reporting of incidents related to health care. . This is a Convergent Care Research (PCA) with a qualitative approach, which will have the University Hospital Onofre Lopes as its study setting. The research participants will be health professionals who work in direct assistance to patients, in the first stage, and by them and by professionals who work in the hospital's risk management, in the second stage. Initially, data collection will take place through individual interviews capable of identifying knowledge and practices for reporting incidents related to health care. Then, Convergence Groups will be held, with health professionals participating in the second stage of the study, which will be divided into three moments: 1st moment, presentation and discussion of data from the first stage of the study and follow-up of the script for thematic debate; 2nd moment, construction of the protocol and the 3rd moment, validation of the protocol. Therefore, the Convergence Group will allow for the exchange of knowledge and discussion among the participants in order to subsidize the collective construction of an institutional protocol. The analysis of the data produced in the investigation stages will be through the analytical stages proposed in the PCA: apprehension, synthesis and theorization. The Atlas Ti software will be used to organize and process the data. It is expected that the results of this research will contribute to promoting professionals' adherence to incident notifications, thus reflecting on the improvement of care and, consequently, on patient safety.