Palabras clave
Administração Hospitalar
Saúde do Trabalhador
Assitência à Saúde
Pessoal de Saúde Administración de Servicios de Salud
Administración Hospitalaria
Salud Ocupacional
Atención de la Salud
Personal de Salud Health Services Administration
Hospital Administration
Occupational Health
Health Care
Health Personnel
PlumX Metrics
Resumen
Objetivo: Describir el proceso de implementación del programa de prevención de accidentes con objetos punzocortantes en un hospital público. Método: Estudio descriptivo con análisis documental retrospectivo, llevado a cabo a partir de la lectura exploratoria, selectiva y analítica de los contenidos presentes en los registros del Servicio Especializado en Ingeniería de la Seguridad y Medicina del Trabajo. La recolección de datos se realizó mediante la cumplimentación de un formulario semiestructurado y los análisis se basaron en las adaptaciones del programa a las directrices de la Disposición nro. 1.748 del Ministerio de Trabajo y Empleo. Resultados: El proceso de implementación del programa se completó en ocho etapas y cumplió con las directrices de la Disposición. El programa perfeccionó las medidas de control convencionales y condujo a la adopción de medidas de ingeniería. Según la evaluación del Comité de Gestión, el programa contribuyó a la reducción de accidentes.
Citas
Ministério da Fazenda (BR). Secretaria da Previdência. Anuário estatístico da previdência social 2017 [Internet]. Brasília: Secretaria da Previdência; 2017 [Cited 2020 Dec 02]. Available from: http://sa.previdencia.gov.br/site/2019/04/AEPS-2017-abril.pdf
Kimaro L, Adinan J, Damian DJ, Njau B. Prevalence of occupational injuries and knowledge of availability and utilization of post exposure prophylaxis among health care workers in Singida District Council, Singida Region, Tanzania. PloS ONE [Internet]. 2018 [Cited 2020 Dec 18];13(10):e0201695. Avaliable from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0201695 doi: https://doi.org/10.1371/journal.pone.0201695
Ministério da Saúde (BR). Portaria n° 1.823, de 23 de agosto de 2012. Institui a Política Nacional de Saúde do Trabalhador e da Trabalhadora [Internet]. Diário Oficial [da] República Federativa do Brasil. 2012 Aug [Cited 2020 Aug 25];22 Seção 1:46-51. Avaliable from: https://pesquisa.in.gov.br/imprensa/jsp/visualiza/index.jsp?jornal=1&pagina=46&data=24/08/2012
Ministério da Economia (BR). Secretaria do Trabalho. Normas Regulamentadoras [Internet]. Brasília: Ministério da Economia; 2020 [Cited 2020 Aug 25]. Available from: https://www.gov.br/trabalho/pt-br/inspecao/seguranca-e-saude-no-trabalho/ctpp-nrs/normas-regulamentadoras-nrs
Ministério do Trabalho e Emprego (BR). Portaria n° 1.748, de 30 de agosto de 2011. Institui o Plano de Prevenção de Riscos de Acidentes com Materiais Perfurocortantes e altera a Norma Regulamentadora no 32 [Internet]. Diário Oficial [da] República Federativa do Brasil. 2011 Aug [Cited 2020 Aug 26];31 Seção 1:143. Available from: https://pesquisa.in.gov.br/imprensa/jsp/visualiza/index.jsp?jornal=1&pagina=143&data=31/08/2011
Ministério do Trabalho e Emprego (BR). Fundacentro. Manual de implementação: programa de prevenção de acidentes com materiais perfurocortantes em serviços de saúde [Internet]. São Paulo: Ministério do Trabalho e Emprego; 2010 [Cited 2020 Aug 26]. Available from: https://www.riscobiologico.org/upload/arquivos/workbook_final_20100308.pdf
Chen F-L, Chen PY, Wu J-C, Chen Y-L, Tung T-H, Lin Y-W. Factors associated with physicians’ behaviours to prevent needlestick and sharp injuries. PLoS ONE [Internet]. 2020 [Cited 2020 Dec 19];15(3):e0229853. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0229853 doi: https://doi.org/10.1371/journal.pone.0229853
Kawamoto AM, Oliveira JLC, Tonini NS, Nicola AL. Liderança e cultura de segurança do paciente: percepções de profissionais em um hospital universitário. Rev pesqui cuid fundam Online [Internet]. 2016 [Cited 2020 Dec 19];8(2):4387-98. Available from: http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/4530/pdf_1888 doi: http://dx.doi.org/10.9789/2175-5361.2016.v8i2.4387-4398
Kosherbayeva L, Kalmakhanov S, Hailey D, Pazilov S, Seiduanova L, Kozhamkul R et al. Rethinking priorities in hospital management: a case from Central Asia. Health Policy Technol [Internet]. 2020 [Cited 2020 Dec 23];9(3):391–6. Available from: https://www.sciencedirect.com/science/article/abs/pii/S2211883720300629?via%3Dihub doi: https://doi.org/10.1016/j.hlpt.2020.06.002
Rapisarda V, Loreto C, Vitale E, Matera S, Ragusa R, Coco G et al. Incidence of sharp and needle-stick injuries and mucocutaneous blood exposure among healthcare workers. Future Microbiol [Internet]. 2019 [Cited 2020 Dec 18];14:27-31. Avaliable from: https://www.futuremedicine.com/doi/10.2217/fmb-2018-0239 doi: https://doi.org/10.2217/fmb-2018-0239
Ottino MC, Argentero A, Argentero PA, Garzaro G, Zotti CM. Needlestick prevention devices: data from hospital surveillance in Piedmont, Italy-comprehensive analysis on needlestick injuries between healthcare workers after the introduction of safety devices. BMJ Open [Internet]. 2019 [Cited 2020 Oct 9];9:30576. Available from: https://bmjopen.bmj.com/content/9/11/e030576 doi: http://dx.doi.org/10.1136/bmjopen-2019-030576
Galdino A, Santana VS, Ferrite S. Fatores associados à qualidade de registros de acidentes de trabalho no Sistema de Informações sobre Mortalidade no Brasil. Cad Saúde Pública [Internet]. 2019 [Cited 2020 Dec 21];36(1):e00218318. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2020000105008&lng=en. doi: http://dx.doi.org/10.1590/0102-311x00218318.
Almeida IM, Vilela RAG, Silva AJN, Beltran SL. Modelo de Análise e Prevenção de Acidentes - MAPA: ferramenta para a vigilância em Saúde do trabalhador. Cien Saude Colet [Internet]. 2014 [Cited 2020 Dec 21];19(12):4679–88. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232014001204679&lng=pt. doi: https://doi.org/10.1590/1413-812320141912.12982014
Báo ACP, Amestoy SC, Moura GMSS, Trindade LL. Quality indicators: tools for the management of best practices in Health. Rev Bras Enferm [Internet]. 2019 [Cited 2021 Mar 08];72(2):360-6. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000200360&lng=en. doi: http://dx.doi.org/10.1590/0034-7167-2018-0479
Grimmond T. UK safety-engineered device use: changes since the 2013 sharps regulations. Occup Med [Internet]. 2019 [Cited 2020 Dec 22];69(5):352–8. Available from:
https://academic.oup.com/occmed/article/69/5/352/5543238 doi: https://doi.org/10.1093/occmed/kqz146
Ballout RA, Diab B, Harb AC, Tarabay R, Khamassi S, Akl EA. Use of safety-engineered devices by healthcare workers for intravenous and/or phlebotomy procedures in healthcare settings: a systematic review and meta-analysis. BMC Health Serv Res [Internet]. 2016 [Cited 2020 Dec 22];458. Available from: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-016-1705-y doi:
https://doi.org/10.1186/s12913-016-1705-y
Wu S-H, Huang C-C, Huang S-S, Yang Y-Y, Liu C-W, Shulruf B et al. Effects of virtual reality training on decreasing the rates of needlestick or sharp injury in new-coming medical and nursing interns in Taiwan. J Educ Eval Health Prof [Internet]. 2020 [Cited 2020 Dec 23]; 17. Available from: https://www.jeehp.org/DOIx.php?id=10.3352/jeehp.2020.17.1 doi: https://doi.org/10.3352/jeehp.2020.17.1
Akpuh N, Ajayi IO, Adebowale A, Suleiman HI, Nguku P, Dalhat M et al. Occupational exposure to HIV among healthcare workers in PMTCT sites in Port Harcourt, Nigeria. BMC Public Health [Internet]. 2020 [Cited 2020 Dec 23];20(1):451. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-08528-5 doi: https://doi.org/10.1186/s12889-020-08528-5
Jager P, Zungu M, Dyers RE. Economic evaluation of safety-engineered devices and training in reducing needlestick injuries among healthcare workers in South Africa. S Afr Med J [Internet]. 2018 [Cited 2021 Mar 14];108(6):477-83. Avaliable from: http://www.samj.org.za/index.php/samj/article/view/12304 doi: http://dx.doi.org/10.7196%2FSAMJ.2018.v108i6.12913
Lopez Bernal J, Cummins S, Gasparrini A. Interrupted time series regression for the evaluation of public health interventions: a tutorial. Int J Epidemiol [Internet]. 2017 [Cited 2020 Dec 23];348–55. Available from: https://academic.oup.com/ije/article/49/4/1414/5900884 doi: https://doi.org/10.1093/ije/dyaa118
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Derechos de autor 2021 Array