Avaliação do ensino sobre segurança do paciente na graduação médica de uma universidade pública

Abstract

As early as 400 b.C., Hippocrates postulated the “primum non nocere”. This maxim is considered as one of the first references regarding Patient Safety to date. Over the past few decades, however, it has been acknowledged that protocol adopted by Healthcare Systems are generally not solely related tohealing and pain relief, but can also have consequences associated with suffering, as well as physical and emotional damage. Several years after the “To Err Is Human” report was published by the Institute Of Medicine (IOM) in 1999, which contemplated deaths in hospitals due to preventable adverse events exceed the number of deaths caused by traffic accidents, breast cancer and AIDS, awareness regarding Patient Safety is being raised around the globe. In 2011, the WHO released the Multi-professional Patient Safety Curriculum Guide.¹In 2013, the Brazilian Ministry Of Health established a national Patient Safety program, which set goals to include topics related to Patient Safety when teaching in undergraduate, technical and post graduate courses in the field of Health. The medical education National Curriculum Guidelines follow the WHO requirements regarding Patient Safety. To analyze the Teaching Project and Curriculum Guidelines of the medical bachelor course of the Faculty of Medicine in Federal University of Alagoas (FAMED– UFAL) to verify what is being taught on the subject of Patient Safety and propose a new and broader approach and reflection on the subject regarding its concepts and implementation process. This study conducted exploratory, documentary and descriptive-analytic research of qualitative approach that took place between October and December of 2017. The investigation was conducted based on the Teaching Project Guidelines for medical school, with the year of 2014 as reference at FAMED- UFAL, analyzing the Curriculum Guidelines and Lesson Plans provided by teachers. The theoretical foundation of choice was the Multi-professional Patient Safety Curriculum Guide (MPPSC) adopted by the WHO in 2011. For this purpose, a list of 159 keywords (subtopics) was put together based on the 11 topics (categories of analysis) contained in the Guide. A partial and insuficient approach was observed, with less than 40% of the subjects covered. With the result of the research, an executive plan of adequacy and implementation of the predicted indicators was elaborated, that will be presented to the Structuring Teaching Nucleus of FAMED / UFAL, with the objective of developing SP competencies and in order to develop a safer journey.