Relato de experiência: criação de projeto para implementação de um núcleo de segurança do paciente em uma unidade de pronto atendimento

Objective: To report the experience of developing a project to implement a Patient Safety Unit in an Emergency Care Facility (UPA) on the northern coast of Santa Catarina, Brazil, during the mandatory nursing internship of the 8th semester. Method: Qualitative, descriptive experience report, carried out from March to June 2026. The intervention was guided by the management tools PDCA, SWOT Matrix, Ishikawa Diagram and 5W2H, with the participation of the care team, the UPA coordination and the preceptor nurse. Results: The facility, which had no formal patient safety structure, came to have a Patient Safety Unit project, seven protocols developed and addressed in training sessions, and an incident reporting channel via QR Code. The changes were perceived through routine observation, without formal indicators. Final considerations: The experience showed the feasibility of structuring a Patient Safety Unit during the internship, with management support, moving the service toward compliance with RDC No. 36/2013 and demonstrating commitment to quality of care. Continuing educational actions and monitoring through indicators are necessary for the sustainability of what was implemented.

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Publication Details

Journal
Revista fisio&terapia.
Published
2026-11-08
DOI
https://doi.org/10.69849/b27zqb33
Primary Topic
Patient Safety and Medication Errors
Type
article
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article

Relato de experiência: criação de projeto para implementação de um núcleo de segurança do paciente em uma unidade de pronto atendimento

Leandro Teixeira Ghilardi, ANDRESSA PEREIRA BELTRAME, Brenda Helena Ribeiro Mendonça
Revista fisio&terapia.
Patient Safety and Medication Errors
article

Relato de experiência: criação de projeto para implementação de um núcleo de segurança do paciente em uma unidade de pronto atendimento

Leandro Teixeira Ghilardi, ANDRESSA PEREIRA BELTRAME, Brenda Helena Ribeiro Mendonça
article en

Abstract

Objective: To report the experience of developing a project to implement a Patient Safety Unit in an Emergency Care Facility (UPA) on the northern coast of Santa Catarina, Brazil, during the mandatory nursing internship of the 8th semester. Method: Qualitative, descriptive experience report, carried out from March to June 2026. The intervention was guided by the management tools PDCA, SWOT Matrix, Ishikawa Diagram and 5W2H, with the participation of the care team, the UPA coordination and the preceptor nurse. Results: The facility, which had no formal patient safety structure, came to have a Patient Safety Unit project, seven protocols developed and addressed in training sessions, and an incident reporting channel via QR Code. The changes were perceived through routine observation, without formal indicators. Final considerations: The experience showed the feasibility of structuring a Patient Safety Unit during the internship, with management support, moving the service toward compliance with RDC No. 36/2013 and demonstrating commitment to quality of care. Continuing educational actions and monitoring through indicators are necessary for the sustainability of what was implemented.

Revista fisio&terapia.Vol. 30(164)
Good health and well-being
Patient Safety and Medication Errors
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