Analysis of adverse events in patients admitted to an intensive care unit

被引：3

作者：

Ortega, Daniela Benevides ^{[1
,2
]}

D'Innocenzo, Maria ^{[1
]}

Giunta da Silva, Lucia Marta ^{[1
]}

Bohomol, Elena ^{[1
]}

机构：

[1] Univ Fed Sao Paulo, Escola Paulista Enfermagem, Sao Paulo, SP, Brazil

[2] Sao Camilo Hosp, Sao Paulo, SP, Brazil

来源：

ACTA PAULISTA DE ENFERMAGEM | 2017年 / 30卷 / 02期

关键词：

Quality of health care; Patient safety; Critical care nursing; Workload; Intensive care units; TIME; RISK;

D O I：

10.1590/1982-0194201700026

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Objective: To assess the incidence of adverse events and associate them with nursing workload, nursing team staffing and the severity of the patients. Method: A quantitave, cross-sectional, prospective study was conducted with 304 consecutive patients admitted to the General Intensive Care Unit of a private hospital between September and December 2013 (four months). Results: There were 39 adverse events, and the most prevalent was pressure sore. Patients who presented an event had a higher mean age, higher prevalence of clinical admissions, longer hospital stay, higher scores in the Acute Physiology and Chronic Health Evaluation (APACHE) II and in the Nursing Activities Score (NAS) and lower score in the Braden scale and in the Glasgow scale. There was no significant difference regarding nursing team staffing. Conclusion: There was a higher incidence of adverse events in patients who presented a profile of greater risk and severity identified by predictive scales.

引用

页码：168 / 173

页数：6

共 17 条

[1]

Altafin Juliana Aparecida Morini, 2014, Rev. bras. ter. intensiva, V26, P292, DOI 10.5935/0103-507X.20140041

[2]

[Anonymous], 2009, TECHNICAL REPORT

[3]

Beccaria Lucia Marinilza, 2009, Rev. bras. ter. intensiva, V21, P276

[4] Assessment of risk and incidence of falls in neurosurgical inpatients [J].

Diccini, Solange ;

de Pinho, Priscila Gomes ;

da Silva, Fabiana Oliveira .

REVISTA LATINO-AMERICANA DE ENFERMAGEM, 2008, 16 (04) :752-757

[5] Profile and Severity of the Patients of Intensive Care Units: Prospective Application of the APACHE II Index [J].

Ferreira Sernache de Freitas, Eliane Regina .

REVISTA LATINO-AMERICANA DE ENFERMAGEM, 2010, 18 (03) :317-323

[6] Agreement between nurses regarding patients' risk for developing pressure ulcer [J].

Fonseca Simao, Carla Maria ;

Larcher Caliri, Maria Helena ;

dos Santos, Claudia Benedita .

ACTA PAULISTA DE ENFERMAGEM, 2013, 26 (01) :30-35

[7] Nursing care time and quality indicators for adult intensive care: correlation analysis [J].

Garcia, Paulo Carlos ;

Togeiro Fugulin, Fernanda Maria .

REVISTA LATINO-AMERICANA DE ENFERMAGEM, 2012, 20 (04) :651-658

[8] Nursing allocation and adverse events/incidents in intensive care units [J].

Goncalves, Leilane Andrade ;

Andolhe, Rafaela ;

de Oliveira, Elaine Machado ;

Barbosa, Ricardo Luis ;

Mancussi e Faro, Ana Cristina ;

Daud Gallotti, Renata Mahfuz ;

Padilha, Katia Grillo .

REVISTA DA ESCOLA DE ENFERMAGEM DA USP, 2012, 46 :71-77

[9] PREDICTIVE VALIDITY OF THE BRADEN SCALE FOR PATIENTS IN INTENSIVE CARE UNITS [J].

Hyun, Sookyung ;

Vermillion, Brenda ;

Newton, Cheryl ;

Fall, Monica ;

Li, Xiaobai ;

Kaewprag, Pacharmon ;

Moffatt-Bruce, Susan ;

Lenz, Elizabeth R. .

AMERICAN JOURNAL OF CRITICAL CARE, 2013, 22 (06) :514-520

[10]

Kang Jeong-Hee, 2016, Osong Public Health Res Perspect, V7, P56, DOI 10.1016/j.phrp.2015.10.015

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