PATIENT SAFETY WITH COVID-19 IN THE HOSPITAL CONTEXT: SCOPING REVIEW
Health Services; Patient Safety; Hospital Units; Coronavirus Infections; COVID-19; Pandemics.
Introduction: COrona VIrus Disease - COVID-19, with its high transmissibility, has brought new challenges to health institutions. It required the redefinition of care flows and the creation of new protocols to offer safe and quality care. It is known that Patient Safety proposes measures to prevent and reduce incidents in health services, which result in unnecessary harm to the patient. Therefore, a set of skills developed in the field of patient safety are essential to adapt to a constantly changing environment. Objective: to map in the scientific literature the actions taken to promote patient safety with COVID-19 in the hospital context. Methodology: based on the scope review method, the steps proposed by the Joana Briggs Institute were followed. The research question was constructed based on the PCC method (Population, Concept, and Context): P: patients with COVID-19; C: promotion of safe care; C: hospital units. Searches were carried out in March 2022 in nine data sources, namely Cumulative Index to Nursing and Allied Health Literature, Cochrane library, Latin American and Caribbean Literature in Health Sciences, National Library of Medicine, and National Institutes of Health, Scientific Electronic Library Online, Science Direct, Elsevier's Scopus, Web of Science, Wiley Online Library. Results: of the 12,264 scientific articles found, 15 studies were selected to compose the final sample. The most recurrent patient safety practices were the contingency and reorganization of beds, rooms, and operating rooms, in addition to the isolation and distancing practiced by patients and professionals. Regarding the areas where the studies were developed, there was a predominance of surgical centers (26%), followed by adult and pediatric Intensive Care Units (20%). Conclusion: contingency practices and reorganization of beds, rooms, and operating rooms, isolation and distancing practiced by patients and professionals, use of personal protective equipment, patient risk classification, postponement of medical procedures, reorganization of triage, health education and training of professionals, swab patients, disinfection of equipment and environments and use of telehealth were present and had a positive impact in the context of the COVID-19 pandemic, to reduce the chances of complications to the user's health.