Health incident reporting for clinical risk management
an experience with a focus on nursing
DOI:
https://doi.org/10.18041/1794-5232/cultrua.2015v12n1.3830Keywords:
patient safety, nursing care, risk managementAbstract
The aim of this study is to describe the experience in the implementation of the Health Incident Reporting System for the health safety of patients, carried out by the nursing staff at the National Institute of Respiratory Diseases (INER). Responding to the institutional plan of quality and patient safety, in 2011 the Department of Nursing launches a plan to identify health trends incidents in order to develop preventive strategies. It was necessary to promote a culture of incident reporting, developing the following process: launch phase: situation analysis, risk management with a proactive approach, prevention; definition of improvement strategies to minimize each risk and design security barriers, evaluation of results, dissemination and validation of the process. As a result of the process, it was found that the reporting of incidents in the INER is increasing. In 2009, 85 were reported, in 2010, 78, in 2011 193 were registered, in 2012, 437, in 2013, 429 and from January to June 2014, 220 incidents of health were reported. The results of the electronic league for reporting incidents INER, showed that Nursing is the discipline that fuels this system. However, the effort was not enoug eas to get involved in the reporting of health events that happen in this institute.
Downloads
References
2. Cárdenas R. Cómo lograr la calidad en bienes y servicios. México: Editorial Limusa, Grupo Noriega Editores; 1993.
3. México, Secretaría de Salud. Programa de Acción. Cruzada Nacional por la Calidad de los Servicios de Salud. México; 2001.
4. México, Secretaría de Salud. La calidad de la atención a la salud en México a través de sus instituciones: 12 años de experiencia. México: Secretaría de Salud; 2012
5. Vítolo F. La notificación de incidentes, errores y eventos adversos. [Citado junio 20 de 2015] Disponible en: http://www. nobleseguros.com/articulos_noble/21.pdf.
6. Kohn LT, Corrigan JM, Donaldson MS, Eds. To err is human: Building a safer health system. Committee on Health Care in America. Institute of Medicine. Washington D: National Academy Press; 1999.
7. Consejería de salud. Guía de diseño y mejora continua de procesos asistenciales integrados: calidad por sistema. 2ª ed. Sevilla: Junta de Andalucía; 2009.
8. Kotter John P. Liderando el cambio. México, Editorial: Mc. Graw Hill editores; 2002.
9. Bañeres J, Cavero E, López L, Orrego C, Suñol R. Sistemas de registro y notificación de incidentes y eventos adversos. Madrid: Ministerio de Sanidad y Consumo; SF. p.153.
10. Cortés JM. Técnicas de prevención de riesgos laborales: seguridad e higiene del trabajo, 9ª ed. Barcelona: Editorial Tébar S.L; 2007.
11. Organización Mundial de la Salud. Marco conceptual de la clasificación internacional para la seguridad del paciente. 2009. [citado junio 20 de 2015] Disponible en: http://www. who.int/patientsafety/implementation/icps/ icps_full_reportes.
12. Heinrich HW. Industrial accident prevention: a scientific approach. New York, London: McGraw-Hill; 1941.
13. entehospitalizado. orial Panamericana; 2007
