Percepção de enfermeiros da Estratégia de Saúde da Família sobresegurança do paciente / Family Health Strategy nurses' perception of patient safety

Objetivo: conhecer a percepção de enfermeiros da Estratégia de Saúde da Família sobre segurança do paciente. Métodos: pesquisa qualitativa, realizada em 2016 com 10 enfermeiros, no sul do Brasil,por meio de entrevistas submetidas à Análise de Conteúdo. Resultados: salienta-se a falta de familiarização dos enfermeiros com o assunto. Erros de medicação e quedas foram problemas à segurança dos pacientes e a comunicação efetiva fator promotor. A capacitação das equipes,implementação de instrumentos próprios voltados à segurança do paciente e diminuição da sobrecarga de trabalho foram apontadas enquanto estratégias de melhoria para a segurança do paciente.Considerações finais: o tema segurança do paciente ainda não faz parte da assistência dos enfermeiros da Saúde da Família, mas esses percebem sua importância. Uma cultura de segurança precisa ser implementada nos serviços mediante capacitação desses profissionais por meio de parceria com instituições de ensino.

Objective: to understand the Family Health Strategy nurses’ perception of patient safety. Methods:qualitative research was conducted in 2016 with 10 nurses, in southern Brazil, through interviewssubmitted to Content Analysis. Results: the nurses’ lack of familiarity with the subject ishighlighted. Medication errors and falls were problems to patient safety and effectivecommunication is a promoting factor. The training of teams, implementation of own instrumentsfocused at patient safety and reduction of work overload were pointed out as improvement strategies for patient safety. Final Considerations: the theme of patient safety is not yet part of the assistanceof Family Health nurses, but they realize the importance of this. A safety culture needs to beimplemented in services by training nurses through partnership with educational institutions.

[Frequency of polyps in patients undergoing surgery for colorectal cancer]. / Freqüência de pólipos em doentes operados de câncer colorretal.

INTRODUCTION: Epidemiologic and molecular biologic studies have already demonstrated that adenomatous colonic polyps are precancerous diseases. The main indication of the colonoscopy in the surveillance of colorectal cancer treated patients is the diagnosis and resection of adenomatous polyps. AIM: To study the frequency of adenomatous polyps after surgically resection of colorectal cancer. MATERIAL AND METHODS: Sixty eight patients, mean age 59 years old, with total resection of colorectal cancer, submitted to various colonoscopies during the follow up were studied retrospectively. The histological type and the characteristics of the polyp were described. RESULTS: The frequency of polyps was 18%, being higher in the patients with more than 45 years (20%). The site of the polyps was in the left colon in 38% of the patients with cancer. The histological type of adenomas was tubular in 61%, villous in 22% and mixed in 17%. DISCUSSION: As described by other authors, the incidence of polyps were higher after 45 years old and more than a half of them were tubular. The frequency of polyps was higher in the first two years of follow up.