A implementação de ações relacionadas à segurança do paciente na Odontoclínica Central da Marinha: relato de caso

Abstract

The aim of this study was to present the experience of the implementation of a Patient Safety Center and strategies focused on patient safety in the Brazilian Navy’s Dental Center (Odontoclínica Central da Marinha). For that, a descriptive study with a qualitative approach was carried out, which was experienced by the authors as members of the Patient Safety Center. The experience included the publication of the Patient Safety Plan and the elaboration of Standard Operational Procedures; the dissemination and education for the development of a safety culture; establishing a flowchart as a first step and then the retrospective review of medical records for the report and identification of adverse events; and the proposal to establish an oral surgery safety checklist. The positive aspects of the experience included developing a preliminary list of Adverse Events in Dentistry; following indicators not defined in the Patient Safety Plan and the proper knowledge management. Although it has already advanced in the field of patient safety, the organization still needs to establish a safety culture; to introduce standardized protocols and procedures in the work processes; to measure indicators and to develop a collaborative interaction among the sectors for the establishment of actions aimed at risk management.