Desafios e perspectivas para institucionalização do monitoramento e avaliação no âmbito da gestão do Sistema Único de Saúde

Tese (doutorado)—Universidade de Brasília, Faculdade de Ciências da Saúde, Programa de Pós-Graduação em Ciências da Saúde, 2016.

A segurança e qualidade dos cuidados : revisão da literatura

A segurança é um princípio fundamental nos cuidados prestados e exige um complexo sistema de sinergias e um amplo leque de ações para a melhoria da qualidade. É indiscutível que a ocorrência de erros cria uma preocupação constante para os profissionais, sendo primordial fomentar uma cultura de segurança. Este artigo tem por objetivo identificar os fatores determinantes na segurança e qualidade dos cuidados de Enfermagem. Realizou-se uma revisão da literatura, utilizando descritores “Segurança do doente”, “Cultura de Segurança”, “Enfermagem”, “Qualidade dos Cuidados”, emergindo 309 artigos. Efetou-se uma pesquisa na PubMed, SciELO, Web of Science, com artigos publicados entre janeiro de 2010 e março de 2016. Foram selecionados 11 artigos que respondiam à questão de investigação “Quais os fatores determinantes da segurança e qualidade dos cuidados de Enfermagem?“. Dos 11 artigos seleccionados emergiram duas temáticas: a consciencialização do erro e a criação de uma cultura de segurança nas organizações. Este estudo evidencia que a ocorrência de erros constitui uma ameaça à qualidade dos cuidados e segurança dos utentes, contudo, a consciencialização dos riscos e a aplicação de medidas para o desenvolvimento de uma cultura de segurança contribui para a diminuição da frequência e severidade dos erros nas instituições de saúde.

Fundamentos do agir ético em estudantes do ensino superior

Introduction: It is urgent that higher education in health develop a proactive ethico-moral commitment in students which is translated into the creation of socio-professional values. Objectives: To evaluate the ethical foundations which support morality in higher education students. Methods: A descriptive, cross-sithectional study, performed in 345 ESSV/IPV students, 80% female, average age of 20.82 years old. The “Questionário de Cidadania Ativa e Modo de Agir Ético” (CiAMAE) by Cunha (2015) was applied. Results: The results were 74.8% of the students showed a positive/adequate ethical method of acting; (with 45.8% adequate and 29% very adequate). In 25.2% the method of acting was ethically inadequate. The morality of the student’s actions were focused mostly on individualism and were based on the following ethical principles: 68.7% ethical subjectivism (69.1%♂ and 68.6%♀); 56.5% Relativism ( 56.5%♂ and 56.7%♀); 53.9% Deontological Ethics (Kant) (55.8%♂ and 47.0%♀); 11.3% Subjectivism/Ethical Selfishness (7.4%♂ and 12.3%♀). Conclusions: We may infer that the majority of the students do not have/ do not use an impartial consideration of good as criteria for morality of actions. They mostly manifested accepting an ethical subjectivist perspective, which means that good is not considered as a value for everyone. In contrast, applying the criteria of ethical impartiality would imply considering the greater good, and choosing/adopting the universal point of view in which any rational and enlightened student would choose for him/ herself and for others that universal greater good.

Análisis observacional de los saques de esquina y tiros libres indirectos en el fútbol femenino de alto nivel

El presente trabajo estudia los saques de esquina y tiros libres indirectos mediante la metodología observacional con el objetivo de conocer la importancia de las acciones a balón parado en el fútbol femenino de alto nivel. Se han registrado un total de 9 partidos disputados por el F.C. Barcelona Femenino en la temporada 2014 – 2015. Para realizar el análisis de datos elaboramos un formato de campo constituido por 12 criterios con una posterior valoración de la calidad del dato. Se llevará a cabo mediante el estudio de la incidencia de los saques de esquina y tiros libres indirectos, así como el grado de eficacia, teniendo presentes la lateralidad y la zona de finalización. Además de analizar la relación que existe entre los saques de esquina y los tiros libres indirectos con el tiempo y el vínculo de los goles analizados con el tiempo. Encontramos que el grado de eficacia en relación con la incidencia es muy bajo en ambos tipos de acciones, que se realizan con trayectorias cerradas y donde la zona de finalización, en la mayoría de acciones a balón parado, son enviadas al primer palo. Por otro lado, se produce un mayor número de saques de esquina en el último tercio de la primera parte y los dos últimos tercios de la segunda parte, obteniendo mayores diferencias en los valores de la segunda parte. En cambio, la mayor parte de los tiros libres indirectos se ejecutan en los últimos minutos de cada parte. Y, que los goles conseguidos con ambas acciones se han conseguido en los últimos minutos de las respectivas partes.

Environmental affairs enforcement report

This is a list of actions taken against businesses that are not in compliance with environmental regulations including underground storage tanks, hazardous waste, drinking water, water pollution and solid waste. It is broken down by enforcement by various divisions of DHEC including the Bureau of Land and Waste Management, Bureau of Water, Bureau of Air Quality, Bureau of Environmental Health Services and Division of Ocean and Coastal Resource Management.

Environmental affairs enforcement report

This is a list of actions taken against businesses that are not in compliance with environmental regulations including underground storage tanks, hazardous waste, drinking water, water pollution and solid waste. It is broken down by enforcement by various divisions of DHEC including the Bureau of Land and Waste Management, Bureau of Water, Bureau of Air Quality, Bureau of Environmental Health Services and Division of Ocean and Coastal Resource Management.

Environmental affairs enforcement report

This is a list of actions taken against businesses that are not in compliance with environmental regulations including underground storage tanks, hazardous waste, drinking water, water pollution and solid waste. It is broken down by enforcement by various divisions of DHEC including the Bureau of Land and Waste Management, Bureau of Water, Bureau of Air Quality, Bureau of Environmental Health Services and Division of Ocean and Coastal Resource Management.

Environmental affairs enforcement report

This is a list of actions taken against businesses that are not in compliance with environmental regulations including underground storage tanks, hazardous waste, drinking water, water pollution and solid waste. It is broken down by enforcement by various divisions of DHEC including the Bureau of Land and Waste Management, Bureau of Water, Bureau of Air Quality, Bureau of Environmental Health Services and Division of Ocean and Coastal Resource Management.

Environmental affairs enforcement report

This is a list of actions taken against businesses that are not in compliance with environmental regulations including underground storage tanks, hazardous waste, drinking water, water pollution and solid waste. It is broken down by enforcement by various divisions of DHEC including the Bureau of Land and Waste Management, Bureau of Water, Bureau of Air Quality, Bureau of Environmental Health Services and Division of Ocean and Coastal Resource Management.

Environmental affairs enforcement report

This is a list of actions taken against businesses that are not in compliance with environmental regulations including underground storage tanks, hazardous waste, drinking water, water pollution and solid waste. It is broken down by enforcement by various divisions of DHEC including the Bureau of Land and Waste Management, Bureau of Water, Bureau of Air Quality, Bureau of Environmental Health Services and Division of Ocean and Coastal Resource Management.

Environmental affairs enforcement report

This is a list of actions taken against businesses that are not in compliance with environmental regulations including underground storage tanks, hazardous waste, drinking water, water pollution and solid waste. It is broken down by enforcement by various divisions of DHEC including the Bureau of Land and Waste Management, Bureau of Water, Bureau of Air Quality, Bureau of Environmental Health Services and Division of Ocean and Coastal Resource Management.

Environmental affairs enforcement report

This is a list of actions taken against businesses that are not in compliance with environmental regulations including underground storage tanks, hazardous waste, drinking water, water pollution and solid waste. It is broken down by enforcement by various divisions of DHEC including the Bureau of Land and Waste Management, Bureau of Water, Bureau of Air Quality, Bureau of Environmental Health Services and Division of Ocean and Coastal Resource Management.

Environmental affairs enforcement report

This is a list of actions taken against businesses that are not in compliance with environmental regulations including underground storage tanks, hazardous waste, drinking water, water pollution and solid waste. It is broken down by enforcement by various divisions of DHEC including the Bureau of Land and Waste Management, Bureau of Water, Bureau of Air Quality, Bureau of Environmental Health Services and Division of Ocean and Coastal Resource Management.

Environmental affairs enforcement report

This is a list of actions taken against businesses that are not in compliance with environmental regulations including underground storage tanks, hazardous waste, drinking water, water pollution and solid waste. It is broken down by enforcement by various divisions of DHEC including the Bureau of Land and Waste Management, Bureau of Water, Bureau of Air Quality, Bureau of Environmental Health Services and Division of Ocean and Coastal Resource Management.

Environmental affairs enforcement report

This is a list of actions taken against businesses that are not in compliance with environmental regulations including underground storage tanks, hazardous waste, drinking water, water pollution and solid waste. It is broken down by enforcement by various divisions of DHEC including the Bureau of Land and Waste Management, Bureau of Water, Bureau of Air Quality, Bureau of Environmental Health Services and Division of Ocean and Coastal Resource Management.