000 nab a22 7a 4500
999 _c17542
_d17542
003 PC17542
005 20230628110012.0
008 230628b xxu||||| |||| 00| 0 eng d
040 _cH12O
041 _aspa
100 _91285
_aMurillo Pérez, María del Ara
_eUCI
100 _91291
_aGarcía Iglesias, Mónica
_eUCI
100 _93302
_aPalomino Sánchez, Iluminada
_eMedicina Intensiva
100 _93303
_aCano Ruiz, G
_eMedicina Intensiva
100 _91293
_aCuenca Solanas, Manuela
_eMedicina Intensiva
100 _91090
_aAlted López, Emilio
_eMedicina Intensiva
245 0 0 _aAnálisis del registro de un sistema de notificación de incidentes en una unidad de cuidados críticos.
_h[artículo]
260 _bEnfermería intensiva,
_c2016
300 _a27(3):112-9.
500 _aFormato 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.
501 _aPMID: 27320867
504 _aContiene 22 referencias
520 _aObjective: 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.
710 _967
_aServicio de Medicina Intensiva
856 _uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc17542.pdf
_ySolicitar documento
942 _2ddc
_cART
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