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- Title
IMMUNOBIOLOGICAL ADMINISTRATION FAILURES: ROOT CAUSE ANALYSIS.
- Authors
da Silva Dutra, Francisco Clécio; Freire de Vasconcelos, Patrícia; Magalhães Monteiro, Flávia Paula; de Sousa Freire, Vanessa Emille Carvalho; Souza Neto, Pedro Holanda
- Abstract
Objective: to evaluate the immunobiological administration in vaccination rooms of the Basic Units of Family Health of a city in the Northeast of Brazil. Method: this is a quantitative, investigative, research-action type. The data were collected through systematic observation in a Basic Family Health Unit. The guidelines used were based on the recommendations of the Manual of Norms and Procedures for Vaccination of the National Immunization Policy. Results were presented by tables. Results: in 57.1% of the observations, the professional did not verify the appearance of the solution in the immunobiological vial and in 14.3% of the cases the expiration date was not verified. In none of the procedures, hand hygiene was performed. Conclusion: Based on the recommendations proposed by the National Immunization Policy, the practices involved in immunobiological administration are far from what is recommended. Failures involving appropriate techniques of immunobiological preparation, storage and preservation have been observed.
- Subjects
BRAZIL; FAMILY health; FAMILY services; IMMUNIZATION; QUANTITATIVE research; DESCRIPTIVE statistics; ROOT cause analysis
- Publication
Journal of Nursing UFPE / Revista de Enfermagem UFPE, 2019, Vol 13, p213
- ISSN
1981-8963
- Publication type
Article
- DOI
10.5205/1981-8963.2019.239254