In 2018, Klaus Schwab, professor, engineer and economist, cited the digitalization of healthcare as the Fourth Industrial Revolution. The various technological innovations in information and data control applied to the production of goods and services involve hospital technologies. Unified electronic medical records, different forms of monitoring and care of…
Introduction In April 2013, ANVISA published Ordinance No. 529, which introduces the concern for Patient Safety into Brazilian healthcare. The ordinance was of great value even 14 years after the publication of the report “To Err is Human”, considered the first milestone in Patient Safety…
First, we need to define the word waste. In the dictionary, the masculine noun waste means “excessive expense or spending; squandering” and “use without benefit; loss”. These meanings already give an idea of how waste is harmful at any time. In healthcare, the LEAN methodology seeks to reduce variations and improve processes…
Introduction The current health system, in addition to not investing in disease prevention, lacks integration or teamwork, and is fragmented. Patients do not receive the attention and care they deserve and need. The lack of safety causes countless incidents throughout Brazil. Actions are needed to…
Concern about human error and organizational accident risk management is relatively recent. For at least two decades, several studies in different countries have evaluated patient safety in hospitals, but more attention is needed to system failures in order to measure and evaluate what happened in order to…
In 2017, the WHO launched a global challenge to reduce serious and preventable harm related to medicines by 2022% by 50. To help in this journey, hospital administration will need more robust monitoring systems. Some available tools are: Global Trigger Tool (GTT) Medication Safety Thermometer (MST) They…
Currently, social transformations and transformations in health systems seek a more collaborative and participatory model for people, in which they have greater access to information and make choices regarding their health.
The Patient Safety Movement Foundation - PSMF is a global, non-profit foundation with a mission to eliminate preventable medical errors. According to the PSMF, Adverse Events (AEs) are responsible for approximately 4,8 million deaths per year worldwide, a number equivalent to…
In 400 BC, the Greek physician Hippocrates said: “First, do no harm” – the quote shows the importance of managing actions related to patients, so that events that cause harm are avoided. In other words, there is always a “quid pro quo” (something for…
Adverse Events (AEs) caused by medications are those that present the greatest individual risk of harm to patients in hospitals. The medication chain involves several sectors of the hospital: Standardization Receipt Distribution Unitarization Prescription Clinical Pharmacology Medication administration Medication return. In all these steps, it is essential to…