Os programas de saúde e o sistema de saúde da Marinha (SSM): cirurgia segura na MB

Abstract

Safe surgery integrates a complex and challenging theme known as “safe health care” or “patient safety”. Onits turn, the theme arouses interest to those directly concerned with health assistance activities, hospital and public health management, as well as those patients relying on that procedure, which might account for their survival or better qualityof life. The argument was enhanced at the turn of the twenty-first century, with a report entitled “To Err Is Human”, released by an important health research team in the USA. Based on retrospective reviews of patients’ records, it asserted that an alarming number of patients undergoing health care had been harmed by the so-called “adverse events”, resulting from the health assistance received, and not from the disease motivating their stay in hospital. High death rates were associated to those health care-related failures. An additional serious loss associated to adverse events stemmed from the costs they generated, whether by extended hospital stay, or by both treatment and resulting incapacities, or even by incoming litigious issues. In face of the serious concern with the theme, the World Health Organization (WHO) started a campaign enhancing the development of systematic strategies to identify and prevent failures along processes of health attention and mitigation of harms to the patient. In Brazil, the Health Ministry set up the regulating mark on patient safety in 2013 by means of Ministerial Ordinance no.529 of April the 1st, complemented by Resolution no.36, by the National Agency of Sanitary Surveillance (ANVISA). The Brazilian Navy (BN) attends to the provisions in both. The Navy Health System(NHS) provides assistance to over 340,000 users. Over 10,000 surgeries are performedwithin the premises of Hospital Military Organizations (HMO), a high potential figure to adverse events in view of the fact the errors are inherent to all processes involving human factors. With a sound centennial culture in operational safety and accident prevention, the Brazilian Naval Aviation can be regarded as a broad realm of opportunities to improve safety rates in surgeries within the BN. By means of lending away its conceptual framework, it may ensure reduction and mitigation of harms resulting from adverseevents in surgeries, and may therefore help the improvement of the NHS.