Iniciativas internacionais de segurança do paciente: contribuições para o refinamento dos sistemas de proteção

Trata-se da temática Segurança do Paciente, que teve como objeto as iniciativas sobre segurança do paciente estabelecidas por organizações internacionais de segurança. O objetivo proposto pelo estudo foi analisar tais iniciativas estabelecidas por organizações internacionais de segurança. Para compor este estudo identificaram-se as principais organizações de segurança, atarvés de uma revisão bibliográfica de literatura realizada com base em fontes eletrônicas primárias, considerando-se as organizações pioneiras na abordagem do tema Segurança do Paciente que fomentam prioritariamente a segurança do paciente e que divulgaram amplamente esta temática no período de 2002 a 2012. Foram encontradas na plataforma Google referências a mais de 100 instituições no mundo que abordam este tema. No entanto somente sete atenderam a todos os critérios de seleção, havendo predomínio de organizações americanas (seis). A organização mais antiga é o Centers for Disease Control and Prevention (1946), e a mais recente é a World Alliance for Patient Safety (2004). Quanto à natureza jurídica, duas são governamentais (CDC e AHRQ), quatro são não governamentais (The Joint Commission, IHI, WHO Alliance e ISMP) e uma organização independente (NCCMERP). Totalizaram-se 103 iniciativas de segurança do paciente no contexto hospitalar. A organização que mais publicou iniciativas para a segurança do paciente no contexto hospitalar foi o ISMP com 20 iniciativas, totalizando 19% das iniciativas exploradas. As iniciativas relacionadas à terapia medicamentosa, higienização das mãos, controle de infecções e cirurgias seguras foram as mais abordadas. Conclui-se que ao atentar para as iniciativas internacionais de Segurança do Paciente o profissional de saúde poderá contextualizar-se, aprimorando seu conhecimento técnico científico, além de pôr em prática o que as principais organizações mundiais voltadas para a Segurança do Paciente preconizam para a realização de um cuidado mais seguro.

Habitat degradation - its nature, causes and treatment

Since the latter part of the 19th century the Ribble and its tributaries have suffered habitat degradation to varying degrees. This report examims the causes for its degradation, specific problems and their treatment, progress, plans and procedures, and benefits of restoration including species identified by English Nature as threatened or declining and which are listed in the UK Biodiversity Action Plan.

Vai passar nessa avenida um samba popular: movimento social em defesa dos direitos de crianças e adolescentes na constituição cidadã

Esta é uma investigação que se insere na Linha de Pesquisa: Infância, Juventude e Educação do Programa de Pós-Graduação em Educação da Universidade Estadual do Rio de Janeiro. A questão central da pesquisa é analisar o Movimento Social que, durante o processo constituinte de 1988, forjou de um novo conceito de infância e propôs novas práticas sociais em relação à criança e ao adolescente no Brasil presentes nos artigos 227 e 228 da Carta Magna. Trata-se de pesquisa de natureza qualitativa na qual trabalhamos com análise dos documentos relativos à questão da infância e da juventude encaminhados para a Subcomissão da Família, do Menor e do Idoso. Foram eles: (i) Sugestões encaminhadas por Entidades Representativas da Sociedade, (ii) as Emendas Populares e (iii) Audiências Públicas. O estudo dos textos evidenciou a urgência de uma ruptura com as práticas sociais existentes. Havia, na fala dos novos atores sociais, consenso em relação à garantia de direitos de crianças e adolescentes influenciados pelos argumentos da Declaração Universal dos Direitos da Criança de 1959. Ressaltamos a participação da Comissão Nacional Criança e Adolescente na discussão e organização das propostas e sugestões encaminhadas ao Congresso Nacional. Foi possível investigar a influente participação da Igreja neste processo e o debate em torno da FUNABEM. A pesquisa contribuiu para o entendimento da participação popular como instrumento de pressão na formação do campo da criança e do adolescente durante o processo Constituinte.

Drawn to the Sea: Charles Bradford Hudson (1865-1939), Artist, Author, Army Officer, with Special Notice of His Work for the United States Fish Commission and Bureau of Fisheries

The biography of Charles Bradford Hudson that follows this preface had its seeds about 1965 when I (VGS) was casually examining the extensive files of original illustrations of fishes stored in the Division of Fishes, National Museum of Natural History, Smithsonian Institution. I happened upon the unpublished illustration of a rainbow trout by Hudson and was greatly impressed with its quality. The thought occurred to me then that the artist must have gone on to do more than just illustrate fishes. During the next 20 years I occasionally pawed through those files, which contained the work of numerous artists, who had worked from 1838 to the present. In 1985, I happened to discuss the files with my supervisor, who urged me to produce a museum exhibit of original fish illustrations. This I did, selecting 200 of the illustrations representing 21 artists, including, of course, Hudson. As part of the text for the exhibit, Drawn from the Sea, Art in the Service of Ichthyology, I prepared short biographies of each of the artists. The exhibit, with an available poster, was shown in the Museum for six months, and a reduced version was exhibited in U.S. and Canadian museums during the next 3 years.

The U.S. Fish Commission Steamer Albatross: A History (Papers from a Symposium)

At her launch on 19 October 1882 in Wilmington, Del., the Albatross was the world’s first large deep-sea oceanographic and fisheries research vessel, and she would go on to have a distinguished 40-year career, ranging from the north Atlantic Ocean to the Gulf of Mexico, around Cape Horn in 1887–88, and into the North Pacific. By 1908, Deputy Fish Commissioner Hugh M. Smith reported that “The Albatross has contributed more to the knowledge of marine biology than has any other vessel.” And, of course, her career continued for another 13 years, being decommissioned in late 1921, serving later as a training vessel for nautical cadets, and disappearing from the records in Hamburg, Germany, in late 1928.

Charles Henry Gilbert (1859-1928), Naturalist-in-Charge, and Chauncey Thomas, Jr. (1850-1919), Commanding: Conflict Aboard the U. S. Fish Commission Steamer Albatross in 1902

Charles Henry Gilbert (1859-1928) was a pioneering ichthyologist who made major contributions to the study of fishes of the American West. As chairman of the Department ofZoology at Leland Stanford Junior University in Palo Alto, Calif., during 1891-1925, Gilbert was extremely devoted to his work and showed little patience with those ofa different mindset. While serving as Naturalist-in-Charge of the U.S. Fish Commission Steamer Albatross during her exploratory expedition to the Hawaiian Islands in 1902, Gilbert engaged in an acrimonious feud with the ship's captain, Chauncey Thomas, Jr. (1850-1919), U.S.N., over what Gilbert perceived to be an inadequate effort by the captain. This essay focuses on the conflict between two strong figures, each operatingf rom different world views, and each vying for authority. Despite the difficulties these two men faced, the voyage of the Albatross in 1902 must be considered a success, as reflected by the extensive biological samples collected, the many new species of animals discovered, and the resulting publication of important scientific papers.

Chalk rivers: nature conservation and management

This is a handbook about Chalk Rivers Nature Conservation and Management from March 1999 by the Water Research Centre and commissioned by English Nature and the Environment Agency, primarly provides an objective basis for formulating conservation strategies for relevant Site of Special Scientific Interest (SSSIs) and Special Areas of Conservation (SACs). It was also seen as being applicable to chalk rivers more generally and has increasingly been regarded as important to the work of the Biodiversity Action Plan Steering Group on chalk rivers, which is led by the Environment Agency. This report contains information on characteristic wildlife communities, their habitat requirements and the ecological impact of activities that are relevant to the chalk river environment. It provides guidance on setting management objectives, options for mitigating impacts, and measures for the maintaining and enhancing the river channel, riparian and floodplain areas associated. The term `chalk river’ is used to describe watercourses dominated by groundwater discharge from chalk geology, including those that flow over a range of non-chalk surface geologies at various points along their length. England contains numerous examples of this river type, located in and downstream of areas of outcropping chalk in the south, East Anglia and up into Lincolnshire and Yorkshire. Indeed, England has the major part of the chalk river resource of Europe. A number of chalk rivers have been designated as Sites of Special Scientific Interest (SSSIs) and English Nature and Environment Agency work drawing up joint conservation strategies.