What is a Patient Safety Policy?

The Patient Safety is one of the attributes of quality of care and has become increasingly important for clients / patients, families, managers and health professionals, it aims to offer a safe service.

Policy is a document of the Quality Management System that expresses the general guidelines of the organization, which are translated by the management and leaders. It determines the main rules that cannot be violated and must be followed by everyone.

The Patient Safety Policy is the quality document that describes the guidelines defined by the board, which translate the general rules of the organization to offer safe care to patients. Safe assistance includes actions to prevent or reduce the occurrence of incidents in health services.

The Patient Safety Policy and the National Patient Safety Program

On April 1, 2013, the Ministry of Health and ANVISA instituted the National Patient Safety Program (PNSP), Ordinance No. 529/2013, which aims to contribute to the quality of health care in all health establishments in the territory national. The PNSP proposes a set of measures to prevent and reduce the occurrence of incidents in health services .

Health care incidents are events or circumstances that could result or that have resulted in unnecessary harm to the patient . Examples of incidents are: administration of a medication in a higher than adequate dosage without causing damage, the patient falling from a stretcher or hospital bed, the alert of a professional before a procedure is performed on the wrong patient. When the incident causes harm to the patient, it is an adverse event. If, for example, the patient’s fall from a stretcher or bed caused a fracture in it, we have an adverse event.

Recent studies show that 66% of adverse events are preventable and their incidence in Brazil is high , which is why the institution of the National Patient Safety Program is relevant.

In line with the PNSP, Anvisa created RDC nº 36/2013, which institutes actions for patient safety in health services. This regulation regulates aspects of patient safety, such as, for example, the implementation of the Patient Safety Centers, the mandatory notification of adverse events and the preparation of the Patient Safety Plan. These legal requirements may form part of the Patient Safety Policy instituted by healthcare organizations.

In the article we recently published that addressed the topic “ Evolution of Quality Attributes in Health Management “, we commented on the requirement of RN 405/2016, which defines Safety as one of the quality attributes of the Service Provider Qualification Program (QUALISS), instituted by ANS. It is the collective and integrated effort of government agencies to encourage health organizations to implement their Patient Safety Policy.

The challenge in implementing the Patient Safety Policy

The elaboration of the Patient Safety Policy is defined by the company’s management and must contemplate the rules that will be respected by all with regard to measures to prevent and reduce incidents in health services. In general, the policy contemplates: objective, scope, description and registration.

In the description of the policy, it is clear to all professionals in the organization, the rules that everyone must follow. An example of an item that is generally part of the patient safety policy is the need to develop an Annual Patient Safety Plan to address, for example, essential aspects for the promotion, monitoring and development of the patient safety culture . Another factor normally present in the Policy is the encouragement to systematically identify, analyze, evaluate, monitor and communicate health service risks.

It is very important to contemplate in the Patient Safety Policy , aspects related to the safety protocols that are implemented and must be complied with by professionals, such as: patient identification; hand hygiene; surgical safety; safety in the prescription, use and administration of medications; fall prevention; registration, prevention and control of adverse events in health services; effective communication between health professionals and services, etc.

The most relevant and complex aspect is not the description of the document, Patient Safety Policy. The main challenge is to develop a safety culture. This involves continuing education for professionals, encouraging the recording and notification of adverse events; the systematization of the analysis and treatment of events that occurred and the search for continuous improvement of processes to prevent health risks.

Much more than a document, a culture

Quality in health is a constant challenge of the multiprofessional teams formed by doctors, nurses, nutritionists, physiotherapists, pharmacists, leaders and technicians dedicated to the health care of patients. My trajectory has shown that the successful implementation of the Patient Safety Policy is directly related to the importance that senior management and leaders demonstrate in relation to this topic .

I realize that in all organizations where management considers this topic relevant and takes it seriously, the Patient Safety Policy is complied with by everyone and is internalized in the organizational culture . These establishments are growing and being sought after by customers.

The population is increasingly aware and demanding in the search for quality and safe health services . Successful entrepreneurs, managers and leaders prioritize this culture and are chosen and recommended by customers.


by Abdullah Sam
I’m a teacher, researcher and writer. I write about study subjects to improve the learning of college and university students. I write top Quality study notes Mostly, Tech, Games, Education, And Solutions/Tips and Tricks. I am a person who helps students to acquire knowledge, competence or virtue.

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