Objective: to assess patient safety culture in a university hospital. Method: cross-sectional stu... more Objective: to assess patient safety culture in a university hospital. Method: cross-sectional study with data collection through the Hospital Survey on Patient Safety Culture applied in electronic device. A total of 381 employees were interviewed, corresponding to 46% of the sum of eligible professionals. Data were analyzed descriptively. the Cronbach’s alpha was used to calculate the frequency and reliability. Results: most were women (73%) from the nursing area (50%) and with direct contact with patients (82%). The composites related to “teamwork within units” (58%, α=0.68), “organizational learning - continuous improvement” (58%, α=0.63), “supervisor/manager expectations and actions promoting patient safety” (56%, α=0.73) had higher positive responses. Nine composites had low positive responses, with emphasis on “nonpunitive response to error” (18%, α=0.40). Only the item “in this unit, people treat each other with respect” had positive response above 70%. The patient safety asse...
RESUMO Os problemas de gestao dos residuos de servico de saude no Amazonas sao um fato, e a neces... more RESUMO Os problemas de gestao dos residuos de servico de saude no Amazonas sao um fato, e a necessidade de resolve-los tambem. Com o crescimento populacional expansivo da cidade tambem aumentaram as demandas hospitalares e consequentemente os residuos de servico de saude. Aliado a este fato, o municipio nao possui uma politica pubica eficaz para minimizar os problemas ambientais decorrentes do descarte inadequado desses residuos, haja vista que o municipio nao dispoe de aterro sanitario licenciado, nem outra forma para tratamento desse tipo de residuo. O presente artigo tem por finalidade contribuir para o debate sobre a necessidade de implantar politicas publicas eficazes para a gestao de residuos de servico de saude no Amazonas. Palavras-chave: gestao de residuos de servicos de saude; residuo hospitalar; destino final.
Objective: To evaluate the effectiveness and safety of correction of pectus excavatum by the Nuss... more Objective: To evaluate the effectiveness and safety of correction of pectus excavatum by the Nuss technique based on the available scientific evidence.Methods: We conducted an evidence synthesis following systematic processes of search, selection, extraction and critical appraisal. Outcomes were classified by importance and had their quality assessed by the Grading of Recommendations Assessment, Development and Evaluation (GRADE).Results: The process of selection of items led to the inclusion of only one systematic review, which synthesized the results of nine observational studies comparing the Nuss and Ravitch procedures. The evidence found was rated as poor and very poor quality. The Nuss procedure has increased the incidence of hemothorax (RR = 5.15; 95% CI: 1.07; 24.89), pneumothorax (RR = 5.26; 95% CI: 1.55; 17.92) and the need for reintervention (RR = 4.88; 95% CI: 2.41; 9.88) when compared to the Ravitch. There was no statistical difference between the two procedures in outc...
Objective: to assess patient safety culture in a university hospital. Method: cross-sectional stu... more Objective: to assess patient safety culture in a university hospital. Method: cross-sectional study with data collection through the Hospital Survey on Patient Safety Culture applied in electronic device. A total of 381 employees were interviewed, corresponding to 46% of the sum of eligible professionals. Data were analyzed descriptively. the Cronbach’s alpha was used to calculate the frequency and reliability. Results: most were women (73%) from the nursing area (50%) and with direct contact with patients (82%). The composites related to “teamwork within units” (58%, α=0.68), “organizational learning - continuous improvement” (58%, α=0.63), “supervisor/manager expectations and actions promoting patient safety” (56%, α=0.73) had higher positive responses. Nine composites had low positive responses, with emphasis on “nonpunitive response to error” (18%, α=0.40). Only the item “in this unit, people treat each other with respect” had positive response above 70%. The patient safety asse...
RESUMO Os problemas de gestao dos residuos de servico de saude no Amazonas sao um fato, e a neces... more RESUMO Os problemas de gestao dos residuos de servico de saude no Amazonas sao um fato, e a necessidade de resolve-los tambem. Com o crescimento populacional expansivo da cidade tambem aumentaram as demandas hospitalares e consequentemente os residuos de servico de saude. Aliado a este fato, o municipio nao possui uma politica pubica eficaz para minimizar os problemas ambientais decorrentes do descarte inadequado desses residuos, haja vista que o municipio nao dispoe de aterro sanitario licenciado, nem outra forma para tratamento desse tipo de residuo. O presente artigo tem por finalidade contribuir para o debate sobre a necessidade de implantar politicas publicas eficazes para a gestao de residuos de servico de saude no Amazonas. Palavras-chave: gestao de residuos de servicos de saude; residuo hospitalar; destino final.
Objective: To evaluate the effectiveness and safety of correction of pectus excavatum by the Nuss... more Objective: To evaluate the effectiveness and safety of correction of pectus excavatum by the Nuss technique based on the available scientific evidence.Methods: We conducted an evidence synthesis following systematic processes of search, selection, extraction and critical appraisal. Outcomes were classified by importance and had their quality assessed by the Grading of Recommendations Assessment, Development and Evaluation (GRADE).Results: The process of selection of items led to the inclusion of only one systematic review, which synthesized the results of nine observational studies comparing the Nuss and Ravitch procedures. The evidence found was rated as poor and very poor quality. The Nuss procedure has increased the incidence of hemothorax (RR = 5.15; 95% CI: 1.07; 24.89), pneumothorax (RR = 5.26; 95% CI: 1.55; 17.92) and the need for reintervention (RR = 4.88; 95% CI: 2.41; 9.88) when compared to the Ravitch. There was no statistical difference between the two procedures in outc...
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