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Revista de Enfermagem Referência

Print version ISSN 0874-0283

Abstract

CORREIA, Tânia Sofia Pereira; MARTINS, Maria Manuela Ferreira Pereira da Silva  and  FORTE, Elaine Cristina Novatzki. Processes developed by nurse managers regarding the error. Rev. Enf. Ref. [online]. 2017, vol.serIV, n.12, pp.75-84. ISSN 0874-0283.  https://doi.org/doi.org/10.12707/RIV16073.

Background: In the current context of patient safety promotion, nurse managers play a key role in health care. Objectives: To identify nurse managers' perceptions and their management strategies regarding the error, and to analyze the corrective and preventive measures implemented by them. Methodology: Qualitative study, based on James Reason's theory, with semi-structured interviews to a convenience sample of 14 nurse managers of a hospital center in the central region of Portugal. Content analysis was performed using the ATLAS.ti software. Results: Eight categories were identified and grouped into two thematic areas. The following categories were identified: Analysis with the nurse, and Report to the physician in the Person approach; and Analysis with the team, Adverse event reporting, Working Group, Awareness, Analysis of complaints, and Positive reinforcement in the System approach. Conclusion: Systemic categories outnumbered individual categories. Participants emphasized the need to improve adherence to reporting. No strategies for error prevention were identified.

Keywords : patient safety; safety management; risk management; nursing care.

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