966 resultados para Administração Hospitalar


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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Eventos adversos a medicamentos (EAM) ainda são uma das principais limitações nos serviços de cuidados com a saúde, causando risco aos pacientes, além de grande impacto econômico. Assim, fazem-se necessários métodos de identificação de eventos adversos mais eficazes que a tradicional notificação espontânea, a qual revela apenas 5% do total de eventos. A utilização de critérios rastreadores (ou trigger tools), elaborados pelo Institute for Healthcare Improvement, tem se mostrado como a alternativa mais válida e eficiente para a triagem dos EAM. Com o objetivo principal de identificar os principais eventos adversos e medicamentos envolvidos, uma seleção de três critérios rastreadores foi utilizada, a saber: INR (razão normalizada internacional) > 6, WBC (contagem de leucócitos) < 3000/mm³ ou registros de episódios de sedação excessiva, letargia ou queda. Informações sobre os rastreadores foram coletadas e analisadas a partir dos prontuários de pacientes internados no Hospital Estadual Américo Brasiliense internados, de novembro de 2011 a janeiro de 2012 e maio a julho de 2012, a fim de se confirmar a ocorrência de evento adverso. Foram analisados prontuários referentes a 3318 hospitalizações, nas quais foram detectados 69 eventos adversos, 49 dos quais foram causados por apenas quatro das 12 classes de medicamentos envolvidos em algum EAM: anticoagulantes orais, relacionados ao rastreador INR>6 (eficácia = 0,75), sedativos e antipsicóticos, relacionados ao rastreador de sedação excessiva, letargia ou queda (eficácia = 0,52), e antivirais, relacionados ao rastreador WBC<3000 (eficácia = 0,48). Quando os rastreadores eram acionados e não estavam relacionados a EAM, os fatores de confusão mais recorrentes foram: torpor secundário ao quadro clínico, acidentes não relacionados ao medicamento e pacientes propositalmente em regime de sedação. Apesar de valores-limite menos radicais poderem aumentar a ...

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Over the last decades, a growing number of scholars from humanities have explored ideas from the postmodern perspective. At the international level, few studies have been undertaken in the public administration field. In Brazil, few articles have been influenced by postmodern ideas. This article presents and discusses theoretical analysis influenced by postmodern ideas in the public administration field, concluding that this appropriation is difficult but worthwhile, especially regarding methodological and analytical issues which may strengthen public administration research.

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Considering the meantime of Brazilian crisis of State and redemocratization, this article looks for a description and analysis of the facts and circumstances that marked the undergraduate education of Brazilian public administration during this period, considered by the authors as one of the cycles (or stages of construction) of academic education. Methodologically, this article makes a review of academic and non-academic works which deal directly and indirectly the PA themes, including revisiting the sources and analyzing the existing laws and opinions about the undergraduate education in public administration in a continuum of time between 1983-94, through a semi-structured interview with academics who have experienced such period. Regarding the results, this article observes that the period between 1983-94, unlike the first cycle (1952-65) and second cycle (1966-82), when the academic background in public administration had an identity - adherent to the conception (and project) of State and the contours (and production) in the public administration field of knowledge - having the Ebap/FGV a model case, was a problematic stage of construction, reflecting the crisis of State in the 80's years and also the paradigmatic crisis (or discontinuity) in public administration field of knowledge in Brazil during this time.

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Placing the management of childhood forms considered at risk, we discuss the operation of a welfare institution and its effects on the subjective process. Created to manage the virtues of the poor behavior of children, makes visible to the way technology features disciplinary policies: surveillance is evident of cameras, high walls, electric fences and in the eyes of educators, the penalty stands normalizing practices corrective aimed at standardization bodies, educational meetings are compared to the examination, as they produce dossiers of individual behavior, emphasizing characteristics that are considered dangerous anticipates the administration and production of docile individuals, useful, productive, applying identity models. Following the lines of knowledge and power relations that constitute this space, we used the genealogy in the analysis of discursive practices that cross society in its historical construction, the genealogy allows us to achieve these movements in the consolidation process of the government of life, and also, the deconstruction of hegemonic practices. In an attempt to escape the set, we propose the realization of artistic and cultural activities within a process of collective construction as a strategy of resistance and confrontation with the dominant logic, consolidating practices that favor the enhancement of life in its manifold possibilities.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Pós-graduação em Enfermagem (mestrado profissional) - FMB

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Pós-graduação em Fisiopatologia em Clínica Médica - FMB