Nursing faults in the recovery period of surgical patients

Authors

  • Tânia Couto Machado Chianca Minas Gerais Federal University; College of Nursing

DOI:

https://doi.org/10.1590/S0104-11692006000600008

Keywords:

postoperative care^i1^snurs, iatrogenic disease, health facilities

Abstract

This is a descriptive study based on the theory of human error, in order to analyze and classify nursing errors during the nursing care of surgical patients at recovery. Twenty-five (25) fault reports were collected through a semi-structured interview. Those reports were submitted to 15 nurse experts to evaluate the risk of seriousness; human, equipment and organizational factors involved; members interaction; information and reversibility of the accident. Faults were directly attributed to psychosocial and organizational aspects, equipment and seriousness. A multidimensional scaling test (MDS) was applied and a graph was obtained. It showed four groups of faults, due to problems related to sensory-motor, procedure, abstraction and supervision control. In conclusion, the faults were caused by non-defined personnel roles, continuing education deficiency, non-systematic observation, inadequate space and equipment.

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Published

2006-12-01

Issue

Vol. 14 No. 6 (2006)

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Nursing faults in the recovery period of surgical patients. (2006). Revista Latino-Americana De Enfermagem, 14(6), 879-886. https://doi.org/10.1590/S0104-11692006000600008