Loading...
Publication
Gestão de risco no erro e quase-erro em medicina transfusional
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 2.7 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: A transfusão de sangue e componentes é uma terapêutica frequente no tratamento de doenças que necessitem da sua reposição. O procedimento recorre a produtos biológicos, pelo que não está imune a riscos e potenciais erros. Cabe à gestão hospitalar encontrar estratégias de mitigação.
Objetivos: Identificar erros e potenciais riscos associados ao processo transfusional na área da enfermagem, especificamente: enumerar os tipos de erro, validar a escala RBTKQ e avaliar os conhecimentos dos enfermeiros nos cuidados prestados ao doente transfundido.
Metodologias: Foi construída e validada a escala RBTKQ, com base num questionário de Hijji et al. (2012). A investigação é quantitativa, analítica, transversal, numa lógica descritivo-correlacional. A amostra é aleatória simples, constituída por 148 enfermeiros do território português. Na recolha de dados utilizou-se questionário com variáveis sociodemográficas e
institucionais/situacionais e a escala RBTKQ. Realizou-se uma Scoping Review sobre erros no processo transfusional hospitalar.
Resultados e Conclusões: A escala RBTKQ é adequada aos critérios avaliados. Os participantes mostraram nível de conhecimento moderado (61,57 %) nas várias dimensões analisadas, tendo capacidade para gerir os riscos associados ao processo transfusional. A
implementação, de políticas institucionais relacionadas com a transfusão influenciam, positivamente, o seu conhecimento. Os erros reportados no processo transfusional são transversais tanto em Portugal como em estudos internacionais.
Introduction: Blood transfusion and its components is a frequent therapeutic approach in the treatment of diseases or conditions that require their replacement. The procedure involves biological products; thus, it is not immune to risks and potential errors. It is up to hospital management to find mitigation strategies. Aims: Errors and potential risks associated with the transfusion process in the nursing intervention area are analysed, specifically: enumerating types of errors, validating the RBTKQ scale, and evaluating nurses' knowledge in the care provided to transfused patients. Methodologies: The RBTKQ scale was constructed and validated based on a questionnaire by Hijji et al. (2012). The research is quantitative, identify, cross-sectional, following a descriptive-correlational logic. A simple random sample of 148 nurses from the Portuguese territory was studied. Data collection involved a questionnaire with sociodemographic and institutional/situational variables, as well as the RBTKQ scale. A Scoping Review on errors in the hospital transfusion process was conducted. Conclusions: The RBTKQ scale proved to be appropriate for the evaluated criteria. Participants demonstrated a moderate level of knowledge (61.57%) in the various dimensions analysed, showing the ability to manage risks associated with the transfusion process. The implementation of institutional policies related to transfusion positively influences their knowledge. The reported errors are prevalent throughout the hospital transfusion process and consistent with international studies and Portugal.
Introduction: Blood transfusion and its components is a frequent therapeutic approach in the treatment of diseases or conditions that require their replacement. The procedure involves biological products; thus, it is not immune to risks and potential errors. It is up to hospital management to find mitigation strategies. Aims: Errors and potential risks associated with the transfusion process in the nursing intervention area are analysed, specifically: enumerating types of errors, validating the RBTKQ scale, and evaluating nurses' knowledge in the care provided to transfused patients. Methodologies: The RBTKQ scale was constructed and validated based on a questionnaire by Hijji et al. (2012). The research is quantitative, identify, cross-sectional, following a descriptive-correlational logic. A simple random sample of 148 nurses from the Portuguese territory was studied. Data collection involved a questionnaire with sociodemographic and institutional/situational variables, as well as the RBTKQ scale. A Scoping Review on errors in the hospital transfusion process was conducted. Conclusions: The RBTKQ scale proved to be appropriate for the evaluated criteria. Participants demonstrated a moderate level of knowledge (61.57%) in the various dimensions analysed, showing the ability to manage risks associated with the transfusion process. The implementation of institutional policies related to transfusion positively influences their knowledge. The reported errors are prevalent throughout the hospital transfusion process and consistent with international studies and Portugal.
Description
Dissertação, Mestrado, Gestão de Unidades de Saúde, Instituto Politécnico de Santarém, Escola Superior de Gestão e Tecnologia, 2025
Keywords
Conhecimento Enfermeiros Erro Processo transfusional hospitalar Quase-erro Knowledge Nurses Error Hospital transfusion process
Citation
Pinto, C. (2025). Gestão de risco no erro e quase-erro em medicina transfusional (Mestrado). Escola Superior de Gestão e Tecnologia, Santarém. Disponível na WWW em:<http://hdl.handle.net/10400.15/5806>