Abstract
Objective
to describe the incidents in the care provided to parturient women and newborns, their contributing factors, and preventive measures, from the perspective of nurses and physicians.
Method
qualitative study conducted in a public maternity hospital in the city of Rio de Janeiro, RJ, Brazil, with a registered Patient Safety Center. Interviews were held with 18 nurses and physicians working at the obstetric center and two nurses from the patient safety center, from February to April of 2019. The Thematic Content Analysis and Patient Safety references were used.
Results
the main incidents were errors in patient identification, mother and newborn falls, and harmful events caused by inappropriate practices, disrespect and mistreatment of parturient women, lack of incident reporting, insufficient personnel and resources, limited knowledge of the team, and lack of support on the part of management to patient safety actions. Preventive measures are needed to adjust and improve the care structure, process, and management.
Conclusion and implications for practice
the incidents are errors and harm, the prevention of which requires qualification of the care process and structure, the commitment of professionals and managers to patient safety, and changes in the organizational culture that also encompass coping with institutional obstetric violence.
Keywords:
Patient Harm; Parturition; Patient Safety; Organizational Culture; Quality of Health Care