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008			220419b xxu||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_91851 _aBergón Sendín, Elena _eNeonatología
100			_9814 _aPérez Grande, María del Carmen _ePediatría
100			_9821 _aLora Pablos, David _eInstituto Investigación I+12
100			_91783 _aCruz Bértolo, Javier de la _eEpidemiología Clínica
100			_91848 _aMoral Pumarega, María Teresa _eNeonatología
100			_91378 _aBustos Lozano, Gerardo _eNeonatología
100			_91008 _aPallás Alonso, Carmen Rosa _eNeonatología
245	0	0	_aAuditing of Monitoring and Respiratory Support Equipment in a Level III-C Neonatal Intensive Care Unit. _h[artículo]
260			_bBioMed research international, _c2015
300			_a719497
500			_aFormato 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.
501			_aPMID: 26558277 PMCID: PMC4628988
504			_aContiene 27 referencias
520			_aBackground: 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.
710			_9625 _aInstituto de Investigación imas12
710			_9446 _aServicio de Pediatría-Neonatología
856			_uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4628988/ _yAcceso libre
942			_2ddc _cART _n0