| Descricão e Informacões Adicionais(en) | Objectives: The study aimed to identify the working process of the Quality and Patient Safety Centers (NQSP) of hospitals to support the development of an information management system to report and monitor health care incidents in hospitals.
Method: A mixed, predominantly qualitative study, was conducted with those responsible for the NQSP of nine public hospitals in Federal District, Brazil. The data collection took place through a semi-structured interview, with qualitative analysis aided by the IRaMuTeQ software
Results: The corpus was divided in four major categories. The category with more elementary context units (ECU) was Work Team (86 ECU, 34,5%), followed by Reporting Culture (83 ECU, 33,2%), Operational Organization (45 ECU, 18,6%), and Action Plan (34 ECU, 13,7%). Variation in notification methods was identified, which varied from impressed forms in one NQSP, to only electronic in six NQSP, and both forms in two NQSP. The collected data showed that most of the respondents (n=8, 88,8) believe that an eletronic reporting system would improve their work process, and also, all of them reported that nursing profession are the ones who most report incidents. Some difficulties were mentioned, such as lack of staff, poor adherence to NQSP training, lack of notification tools, turnover of the professionals, and low infrastructure.
Conclusion: It was observed that the working process of the studied NQSPs is organized in four major pillars, with emphasis on the Work Team and Reporting Culture. The implantation of a computerized system is recommended by the interviewees to strengthen the operational organization, as well as the preposition of action plans based on consistent information, aiming to give dynamism to work and standardize the notification and investigation processes. |
