Proposta para implementação da comunicação de resultados críticos em um hospital universitário

Abstract

This study addresses the communication of critical values – defined as results that signal a high degree of morbidity or risk to the patient's life, requiring immediate action – and is justified by the importance of this communication to identify risk situations early and enable an intervention to reduce mortality, in addition to complying with health and accreditation regulations. Global initiatives such as the International Patient Safety Goals highlight the importance of effective communication, supporting national actions such as the National Patient Safety Program. With the central objective of contributing to the effective communication of critical results in a university hospital, a logical model was developed, which presents a structured planning of the steps, inputs, teams and activities involved in the implementation process. To achieve this objective, the method of this work combined strategies such as bibliographic review, document analysis and the study of existing institutional practices. The review of the productions on the subject points out that communication via telephone results in problems in registration and delay, the use of technologies for communication automation reduces time, minimizing failures in communication and registration. The logic model developed sought to identify the essential aspects for efficient communication of critical results considering the reality of HUPE. The diversity of medical specialties and professional training, team turnover and conditions such as “out-of-clinic patients” are challenges to be overcome. Future research should address these aspects to consolidate the effectiveness of the model.