![]() ![]() The health institutions’ management understanding that the adverse events are many times directly related to flaws in the system is necessary and they are not only related to negligence or Professional incompetence. The lack of understanding of the error can entail to the Professional feelings of shame, gilt and fear, due to the high punishment culture that is still existing in some institutions that contributes to the concealing of these events 8 )( 9 )( 10 )( 11. On the other hand, damage is the impairment of structure of body function and/or any effect caused by it, including diseases, injury, suffering, death, inability or dysfunction, that can be physical, social or psychological 5 )( 7. Adverse event is considered the incident which results in damage to health. The minimum that is accepted refers to the current state of knowledge, available findings and to the context in which the care is offered. Patient Safety is defined as being a reduction, to a minimum, of the unnecessary damage risk related to health care. Both programs led to the creation of the Center of Patient Safety (NSP- Núcleo de Segurança do Paciente) in health care through Patient Safety Plan in Health Care (Plano de Segurança do Paciente - PSP) 4 )( 5. The National Patient Safety Program (Programa Nacional de Segurança do Paciente - PNSP), that was released in 2013 based on the network experience, was instituted through the ministerial ordinance number 529/13 in the Health Ministry and in the Assembly Board Resolution (Resolução da Diretoria Colegiada - RDC) 36/2013, that institutes actions for patient safety in health care. The discussion of the theme in Brazil started in 2002 with the creation of the Brazilian Network of Sentinel Hospitals by the National Health Surveillance Agency (Agência Nacional de Vigilância Sanitária - ANVISA), that has voluntary participation and has as aim to notify adverse events and technical complaints regarding technovigilance, pharmacovigilance and hemovigilance 4. The Project includes Canada and the United States, and in Latin American countries which are in Mercosul have been articulating to sign a commitment term that has as a fundamental approach the prevention of damage in patients and the central element is the action named “Global challenge”, that from time to time releases a priority theme to be dealt with and a progress report ( 1 )( 3. In this sense the program of World Alliance for Patient Safety was created in 2004. The notoriousness of the theme gave origin to campaigns, programs and projects to orient actions to better practice, diminish damage cause by non safe practices and stimulate the creation of notifying mechanisms of error and damage 2. The high rates of adverse events shown through epidemiological studies, frequently made by human error, led to a rethinking of care models that were used up until then ( 1. ![]() Our house has 3 floors, on the first floor kitchen, living room, main dining room and bar, on the second floor 3 bedrooms and a TV room on the third floor the master bedroom, a study and on the terrace one bedroom guests a garden with city views, separate bathroom, laundry area.ĥ6 houses share a park basketball court and have income security service.The theme related to patient safety reached global repercussion from the publishing of the report of the Institute of Medicine (IOM), To Err is Human: Building a Safer Health Care System, at the end of the 90s, which led the Global health organization to create a work force to evaluate patient safety in health care. Persona con estudios superiores que maneje una buena gramática y pronunciación en ingles.Ĭristobal is 48 years old, martha 47, Isaac 18 Aaron 10 and Alan 8 years old, we all have knowledge of English, Isaac has alevel B2, Christobal and Martha speak Russian, we want our two young children find interest in English and practice the language, we live in the north of the city, a residential area, we have a separate guest room, we have a person for cleaning and cooking. Tenemos 3 hijos de 18, 10 y 8, nos interesa que los dos pequeños practiquen inglés, tenemos una familia muy unida a mas del núcleo familiar incluimos a tíos y primos,
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