Auditing of Monitoring and Respiratory Support Equipment in a Level III-C Neonatal Intensive Care Unit. [artículo]
Por: Bergón Sendín, Elena [Neonatología]
| Pérez Grande, María del Carmen [Pediatría] | Lora Pablos, David [Instituto Investigación I+12] | Cruz Bértolo, Javier de la [Epidemiología Clínica] | Moral Pumarega, María Teresa [Neonatología] | Bustos Lozano, Gerardo [Neonatología] | Pallás Alonso, Carmen Rosa [Neonatología].
Colaborador(es): Instituto de Investigación imas12 | Servicio de Pediatría-Neonatología.
Tipo de material: 
ArtículoEditor: BioMed research international, 2015Descripción: 719497.Recursos en línea: Acceso libre Resumen: Background: Random safety audits (RSAs) are a safety tool but have not been widely used in hospitals.
Objectives: To determine the frequency of proper use of equipment safety mechanisms in relation to monitoring and mechanical ventilation by performing RSAs. The study also determined whether factors related to the patient, time period, or characteristics of the area of admission influenced how the device safety systems were used.
Methods: A prospective observational study was conducted in a level III-C Neonatal Intensive Care Unit (NICU) during 2012. 87 days were randomly selected. Appropriate overall use was defined when all evaluated variables were correctly programmed in the audited device.
Results: A total of 383 monitor and ventilator audits were performed. The Kappa coefficient of interobserver agreement was 0.93. The rate of appropriate overall use of the monitors and respiratory support equipment was 33.68%. Significant differences were found with improved usage during weekends, OR 1.85 (1.12-3.06, p = 0.01), and during the late shift (3 pm to 10 pm), OR 1.59 (1.03-2.4, p = 0.03).
Conclusions: Equipment safety systems of monitors and ventilators are not properly used. To improve patient safety, we should identify which alarms are really needed and where the difficulties lie for the correct alarm programming.
| Tipo de ítem | Ubicación actual | Signatura | Estado | Fecha de vencimiento |
|---|---|---|---|---|
Artículo
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PC16809 (Navegar estantería) | Disponible |
Formato Vancouver:
Bergón Sendín E, Pérez Grande C, Lora Pablos D, De la Cruz Bertolo J, Moral Pumarega MT, Bustos Lozano G et al. Auditing of Monitoring and Respiratory Support Equipment in a Level III-C Neonatal Intensive Care Unit. Biomed Res Int. 2015;2015:719497.
PMID: 26558277
PMCID: PMC4628988
Contiene 27 referencias
Background: Random safety audits (RSAs) are a safety tool but have not been widely used in hospitals.
Objectives: To determine the frequency of proper use of equipment safety mechanisms in relation to monitoring and mechanical ventilation by performing RSAs. The study also determined whether factors related to the patient, time period, or characteristics of the area of admission influenced how the device safety systems were used.
Methods: A prospective observational study was conducted in a level III-C Neonatal Intensive Care Unit (NICU) during 2012. 87 days were randomly selected. Appropriate overall use was defined when all evaluated variables were correctly programmed in the audited device.
Results: A total of 383 monitor and ventilator audits were performed. The Kappa coefficient of interobserver agreement was 0.93. The rate of appropriate overall use of the monitors and respiratory support equipment was 33.68%. Significant differences were found with improved usage during weekends, OR 1.85 (1.12-3.06, p = 0.01), and during the late shift (3 pm to 10 pm), OR 1.59 (1.03-2.4, p = 0.03).
Conclusions: Equipment safety systems of monitors and ventilators are not properly used. To improve patient safety, we should identify which alarms are really needed and where the difficulties lie for the correct alarm programming.
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