Near miss in primary care for patient health and safety

integrative review

Authors

  • Meire Augusta Celestino Amaro Hospital Israelita Albert Einstein
  • Mariana Cabral Schveitzer Universidade Federal de São Paulo.
  • Elena Bohomol Universidade Federal de Sao Paulo Escola Paulista de Enfermagem

DOI:

https://doi.org/10.36489/nursing.2021v24i273p5279-5288

Keywords:

Near miss, healthcare, Patient safety, Primary health care

Abstract

Objective: To identify the evidence about near miss incidents in primary health care services. Method: Integrative literature review based on primary articles published in seven databases. The descriptors "near miss", "primary health care" and "safety management" were used without limitations regarding the year of publication and languages. Results: The types of near miss incidents most frequently reported were related to medication errors, ranging from 6.2% to 96%, and the prescription process was the most recurrent. Health professionals were responsible for intercepting between 66% to 83% of incidents. Conclusion: Reporting of near miss incidents should be encouraged and incorporated into management practices. Knowing the errors early and their potential for damage enables improvement actions for patient safety.

Author Biographies

Meire Augusta Celestino Amaro, Hospital Israelita Albert Einstein

Nurse. Master in Health Sciences from the Federal University of São Paulo. Process Auditing Nurse at Hospital Israelita Albert Einstein.

Mariana Cabral Schveitzer, Universidade Federal de São Paulo.

Nurse. Post-doctorate by the Department of Professional Guidance at the University of São Paulo School of Nursing. Adjunct Professor, Department of Preventive Medicine, Escola Paulista de Medicina, Federal University of São Paulo.

Elena Bohomol, Universidade Federal de Sao Paulo Escola Paulista de Enfermagem

Nurse. Professor by the Department of Professional Guidance at the School of Nursing at the University of São Paulo. Associate professor at the Department of Administration in Health and Nursing Services at Escola Paulista de Enfermagem, Universidade Federal de São Paulo.

Published

2021-02-01

How to Cite

Celestino Amaro, M. A., Schveitzer, M. C. ., & Bohomol, E. (2021). Near miss in primary care for patient health and safety: integrative review. Nursing Edição Brasileira, 24(273), 5279–5288. https://doi.org/10.36489/nursing.2021v24i273p5279-5288

Issue

Section

Artigos Cientí­ficos