Segurança do paciente no departamento de urgência e emergência: desenvolvimento de uma página web interativa intranet de apoio

Abstract

Introduction: Adverse events involving patient safety are undesirable incidents that can lead to financial expenses, prolonged hospitalization time and compromised health outcomes. Potential weaknessesthat might contribute to these events include: patient identification, communication between professionals, medication administration, surgical procedures, hand hygiene, falls and pressure injuries. These weaknesses need to be measured and their causes must be understood. As a proposal, solutions with impact assessment can be presented, in order to provide a safer care. Scientific, technological and innovative skills are a way to improve the care provided, and nursing plays a fundamental role in this context, as it is the largest class of workers in the health sector. Objective: The objective of this study was to develop and validate an interactive support intranet web page, with the purpose of promoting improvements in patient safety and communication between teams, assisting in records, information and interventions in the face of adverse events occurring in the Department of Urgency and Emergency of a medium and high complexity hospital in the North of Paraná - Brazil. Method: this is a qualitative, methodological study of technological production with usability testing, using the validated System Usability Scale questionnaire. The study was developed after authorization from the participating hospital, the research ethics committees (CAAE: 57606022.4.0000.0104 and CAAE: 57606022.4.3001.8017) and the 12 invited nurses with leadership positions, who consented to participate as judges, after signing a Term of Free and Informed Consent, responding to the questionnaire via Google Forms. After talking to a systems programmer and the nurses selected for the research, the interactive support intranet web page was proposed and tested, complying with the General Data Protection Law. Tests and adjustments were necessary to achieve maximum effectiveness and scores in the usability assessment. For data analysis, numerical and categorical variables were analyzed using the statistical software RStudio v.4.1.0. Results: using an operating flowchart, the web page was developed, tested, adjusted, and, after evaluation by the participating judges, a result was reached characterizing its usability as best achievable, with an overall average of the total score of 92.5 for this instrument. Conclusion: This study demonstrated that the interactive web page is valid in supporting patient safety, as it is a useful and advanced tool in communication and information, providing knowledge with the potential to raise awareness among professionals and reduce adverse events in the future.