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Background: Interruptions have been reported to contribute to clinical errors and procedural failures. Objective: To analyze the interruptions experienced by nurses during the preparation and administration of high-risk medications. Methodology: A cross-sectional study was conducted in an intensive care and inpatient unit. The interruptions experienced by nurses during the medication process were observed through two checklists. The sample was selected by convenience in April-May 2019. Descriptive statistics was used to analyze quantitative data in IBM SPSS Statistics software, version 24.0, while content analysis was used to analyze qualitative data. Results: In 193 medication processes, there were 137 interruptions. Other members of the healthcare team initiated most interruptions through conversations. These interruptions were mostly negative and occurred during the preparation phase. The multitasking strategy was used to manage them. Conclusion: Interruptions during the medication process were primarily associated with professional and social communications. The impact of these interruptions varied depending on the phase of the process. [ABSTRACT FROM AUTHOR]

Objective: To describe the elaboration process and implementation of a care checklist to suspected persons of the new coronavirus with severe signs in Primary Health Care. Methods: Report of experience of a health center in the region of the greater Florianópolis, Santa Catarina, developed in two phases: elaboration and implementation of a checklist for care of people with severe respiratory symptoms. Results: The checklist was elaborated collectively by nurses and physicians in four versions, and its final version consists of the items: vital signs, ventilation, procedures, medication, biosafety, family care, drug allergy, communication with other branches within the Urgent Care Network, and observations. Implemented in the care of persons with severe respiratory symptoms suspected of the new coronavirus, the checklist provided greater safety in care, quick access to information and it guaranteed that no data was neglected, in addition it facilitated the dialogue between professionals during the service, the communication with the family and with other branches within the Urgent Care Network. Conclusions: The elaborated checklist was clear and objective in its implementation, and fulfilled the need to guarantee more quality and safety in assistance of suspected person of the new coronavirus with severe signs in Primary Health Care. [ABSTRACT FROM AUTHOR]

Aim: to analyze the relations between the communication process and the occurrence of adverse events and to reflect on a model for care handover in hospital institutions. Method: theoretical reflexive study. Results: the analysis of theoretical references, publications of organizations, certifying institutions and scientific articles revealed the relation between communication failures and adverse events. It was noticed that many communication problems among healthcare professionals happen during care handover. However, when information is standardized, positive results are evidenced. Conclusions: the standardization of care handover should be encouraged, since communication is essential for human relations that involve patients, their families and professionals. This procedure contributes for transformations in healthcare institutions and for improvement of safety culture. [ABSTRACT FROM AUTHOR]