title: [Adverse events at the Intensive Care Unit: nurses' perception about the culture of no-punishment].
abstract: The safety culture of Intensive Care Units (ICU) recommends following the no-punishment approach when adverse events (AE) occur. It is, however, questionable if nurses perceive those AE.
  
  
  OBJECTIVE
  to characterize AE report systems; to verify AE frequency and consequences to the professionals; and to verify the nurses' level of confidence to report AE. This descriptive study involved 70 ICU nurses, who answered a questionnaire in 2007, followed by descriptive analyses. Most nurses (70.0%) reported the existence of an AE notification system at their place of work. The frequency of AE was reported as sometimes and several times by 51.4% and 28.6% of the sample, respectively. For 74.3% of nurses, punishment happens sometimes and always, mainly through verbal notice (49.0%). Most nurses (74.3%) reported feeling confident and completely confident to report AE. In conclusion, punishment still exists in the Units.
authors: Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil. carlausp2004@yahoo.com.br
authors: Carla Matilde
authors: CM
authors: Claro
authors: Daniella Vianna Correa
authors: DV
authors: Krocockz
authors: Maria Cecília
authors: MC
authors: Toffolleto
authors: Kátia Grillo
authors: KG
authors: Padilha
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D009741:Nursing Staff, Hospital; D011678:Punishment; D017751:Safety Management / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires