Análisis del registro de un sistema de notificación de incidentes en una unidad de cuidados críticos. [artículo]
Por: Murillo Pérez, María del Ara [UCI]
| García Iglesias, Mónica [UCI] | Palomino Sánchez, Iluminada [Medicina Intensiva] | Cano Ruiz, G [Medicina Intensiva] | Cuenca Solanas, Manuela [Medicina Intensiva] | Alted López, Emilio [Medicina Intensiva].
Colaborador(es): Servicio de Medicina Intensiva.
Tipo de material: 
ArtículoEditor: Enfermería intensiva, 2016Descripción: 27(3):112-9.Recursos en línea: Solicitar documento Resumen: Objective: To analyse the incident communicated through a notification system and register in a critical care unit.
Methodology: A cross-sectional descriptive study was conducted by performing an analysis of the records of incidents communicated anonymously and voluntarily from January 2007 to December 2013 in a critical care unit of adult patients with severe trauma.
Study variables: incident type and class, professional reports, and suggestions for improvement measures. A descriptive analysis was performed on the variables.
Results: Out of a total of 275 incidents reported, 58.5% of them were adverse events. Incident distributed by classes: medication, 33.7%; vascular access-drainage-catheter-sensor, 19.6%; devices-equipment, 13.3%, procedures, 11.5%; airway tract and mechanical ventilation, 10%; nursing care, 4.1%; inter-professional communication, 3%; diagnostic test, 3%; patient identification, 1.1%, and transfusion 0.7%. In the medication group, administrative errors accounted for a total of 62%; in vascular access-drainage-catheter-sensor group, central venous lines, a total of 27%; in devices and equipment group, respirators, a total of 46.9%; in airway self-extubations, a total of 32.1%. As regards to medication errors, 62% were incidents without damage. Incident notification by profession: doctors, 43%, residents, 5.6%, nurses, 51%, and technical assistants, 0.4%.
Conclusions: Adverse events are the most communicated incidents. The events related to medication administration are the most frequent, although most of them were without damage. Nurses and doctors communicate the incidents with the same frequency. In order to highlight the low incident notification despite it being an anonymous and volunteer system, therefore, it is suggested to study measurements to increase the level of communication.
| Tipo de ítem | Ubicación actual | Signatura | Estado | Fecha de vencimiento |
|---|---|---|---|---|
Artículo
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PC17542 (Navegar estantería) | Disponible |
Formato Vancouver:
Murillo Pérez MA, García Iglesias M, Palomino Sánchez I, Cano Ruiz G, Cuenca Solanas M, Alted López E. Análisis del registro de un sistema de notificación de incidentes en una unidad de cuidados críticos. Enferm Intensiva. 2016 Jul-Sep;27(3):112-9.
PMID: 27320867
Contiene 22 referencias
Objective: To analyse the incident communicated through a notification system and register in a critical care unit.
Methodology: A cross-sectional descriptive study was conducted by performing an analysis of the records of incidents communicated anonymously and voluntarily from January 2007 to December 2013 in a critical care unit of adult patients with severe trauma.
Study variables: incident type and class, professional reports, and suggestions for improvement measures. A descriptive analysis was performed on the variables.
Results: Out of a total of 275 incidents reported, 58.5% of them were adverse events. Incident distributed by classes: medication, 33.7%; vascular access-drainage-catheter-sensor, 19.6%; devices-equipment, 13.3%, procedures, 11.5%; airway tract and mechanical ventilation, 10%; nursing care, 4.1%; inter-professional communication, 3%; diagnostic test, 3%; patient identification, 1.1%, and transfusion 0.7%. In the medication group, administrative errors accounted for a total of 62%; in vascular access-drainage-catheter-sensor group, central venous lines, a total of 27%; in devices and equipment group, respirators, a total of 46.9%; in airway self-extubations, a total of 32.1%. As regards to medication errors, 62% were incidents without damage. Incident notification by profession: doctors, 43%, residents, 5.6%, nurses, 51%, and technical assistants, 0.4%.
Conclusions: Adverse events are the most communicated incidents. The events related to medication administration are the most frequent, although most of them were without damage. Nurses and doctors communicate the incidents with the same frequency. In order to highlight the low incident notification despite it being an anonymous and volunteer system, therefore, it is suggested to study measurements to increase the level of communication.
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