P54 - Rede Sentinela: sharing information in the drive for quality in health products and services
The Rede Sentinela (“Sentinel Network”) Project was created by the Brazilian Health Surveillance Agency – ANVISA in 2002, aiming to generate information on the quality and performance of health products by implementing post-market health surveillance. This network is made up of a set of hospitals in all Brazilian states, which develop pharmaco-surveillance, techno-surveillance and haemo-surveillance actions and surveillance actions related to hospital health products. Each hospital has committed itself to implement a Risk Management Unit, an operational base for awareness and training of hospital teams for the project and fostering the notifications of suspected adverse events and technical complaints related to supplies: materials, equipment, blood components, drugs and sanitizing products. The notifications feed the database of the Adverse Events Notification Information System – SINEPS developed by Anvisa. The aim of this study is to identify the implementation percentage of Risk Management Units in th e Rede Sentinela and state health surveillance units (VISAs) and analyze the notifications made by the hospitals, which will help define their profile in relation to the selected areas. This is a quantitative, descriptive and cross-section study. Questionnaires were applied to all hospitals in the Rede and state VISAs to identify the implementation of Risk Management Units, and surveys were carried out in the SINEPS Notification Audit Program in order to check the notifying hospitals and obtain the profile of such notifications. We verified that 97% of Rede Sentinela hospitals present an implemented Risk Management Unit and 100% of state VISAs have nominated Risk Managers. With regard to SINEPS, we found 75% of Network hospitals notifying, with a total of 4,737 notifications in 2003 and 2004, distributed as follows: techno-surveillance, 2,578 (54.4%); pharmaco-surveillance, 1,133 (23.9%); haemo-surveillance, 1,007 (21.2%) and related to sanitizing products, 29 (0.5%). The Rede Sentinela, as a pioneer projec t in Post-market Health Surveillance in Brazil, is a strategy for sharing information of great interest to the Brazilian Health Surveillance System management. In making feasible the production of comparative analyses among the various states, municipalities and regions, it contributes towards integration between Anvisa and the VISAs, informs the actions for regulating health products in the market at all management levels, and also contributes towards improving the quality of healthcare through health technology management and the control of health risks.