Rev Bras
Fisiol Exerc. 2023;22:e225493
EDITORIAL
Mitigating errors and advancing towards excellence!
Marvyn de Santana do Sacramento1,2,3,4,
Manuela da Silva Moura², Pedro Elias Santos Souza1,3,5
1Actuscordios Reabilitação
Cardiovascular, Salvador, BA, Brazil
2Centro Universitário Adventista do
Nordeste, Capoeiruçu, BA, Brazil
3Escola Bahiana
de Medicina e Saúde Pública, Salvador, BA, Brazil
4Universidade Salvador, Salvador, BA, Brazil
5Centro Universitário Social da Bahia,
Salvador, BA, Brazil
Received: May 30, 2023; Accepted: June 13, 2023.
Correspondence: Marvyn de
Santana do Sacramento, marvynsantana@gmail.com
How to cite
Sacramento MS, Moura MS, Souza PES. Mitigando erros e
avançando rumo a excelência! Rev Bras Fisiol Exerc. 2023;22:e225493. doi: 10.33233/rbfex.v22i1.5493
Errors made by healthcare
professionals are among the top 3 causes of death in the United States [1]. The
term “medical error” is attributed to failures in judgment, diagnosis or in
relation to the execution of techniques by any member of the health care team.
Thinking about the beginning of another cycle of our Brazilian Journal of
Exercise Physiology and the importance of professionals who work with physical
exercise for health promotion, we will discuss some crucial points about
decision-making.
As a scientific journal, one of our
pillars is our commitment to the dissemination of true information. Corruption
of knowledge can support wrong thoughts and decisions, for which the final
outcome will be damage with exponential manifestation. On the other hand, the
reader is responsible for a critical and profound reading, in which a deep
knowledge of science [2] and fundamental aspects of his/her specialty are
involved.
In possession of the directions
mentioned above, we will find ourselves more able to formulate the exercise
prescription. On this subject, we would like to categorize some prescription
models and warn about their characteristics, potential risks and benefits. The
first category we will name as subliminal prescription. In this, the
application of exercise offers low overload, which reduces the risk of
intercurrence as well as limits the benefits to improvements of little clinical
relevance.
In another aspect, we have the
generalist prescription, in which there is the use of evidence available in the
literature, however, the work method is applied to the patient. In this way,
the prescription used in the research is transmitted to the individual. This
strategy has a good chance of benefiting the patient as it has already been
tested in larger groups. However, there is a high risk of intercurrence if the
patient's clinical condition is more severe than that presented in the studies.
In another aspect, we have the
generalist prescription, in which there is the use of evidence available in the
literature, however, the work method is applied to the patient. In this way,
the prescription used in the research is transmitted to the individual. This
strategy has a good chance of benefiting the patient as it has already been
tested in larger groups. However, there is a high risk of intercurrence if the
patient's clinical condition is more severe than that presented in the studies.
Finally, we arrive at the
individualized prescription, in which the knowledge available in the scientific
literature and idiosyncrasy are used as support to determine an assumption.
When proving an intervention to be beneficial, we adapt the prescription to the
patient's clinical condition. In this case, when correctly modulated, the
individualized prescription is capable of generating results superior to those
reported by research. To carry out such adaptations, the professional must have
extensive knowledge about research and exercise physiology, otherwise, the risk
will be even greater when we think of adapting the protocol with increased
loads and intensity of effort.
May the science and physiology of
exercise continue to be the lights that guide us through the darkest of nights.
References
- Makary MA,
Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016
May 3;353:i2139. doi: 10.1136/bmj.i2139. PMID: 27143499 [Crossref]
- Sacramento
MS, Sousa JVL, Andrade AM, Petto J. Base em evidências ou preferências? Um guia
para a assertividade na tomada de decisões. Rev Bras Fisiol Exerc. 2020;19(5):332-35. doi: 10.33233/rbfex.v19i5.4415 [Crossref]
