TY - JOUR
T1 - Indicadores de resultados para la asistencia
T2 - Análisis de situaciones adversas durante la hospitalización
AU - Nascimento, Camila Cristina Pires
AU - Toffoletto, Maria Cecília
AU - Gonçalves, Leilane Andrade
AU - Freitas, Walkíria Das Graças
AU - Padilha, Katia Grillo
PY - 2008/8
Y1 - 2008/8
N2 - This quantitative, retrospective study aimed to characterize adverse events (AE) in Intensive Care Units (ICU), Semi-Intensive Care Units (SCU) and Inpatient Units (IU), regarding nature, type, day of the week and nursing professionals / patient ratio at the moment of occurrence; as well as to identify nursing interventions after the event and AE rates. The study was performed at a private hospital in the city of São Paulo, Brazil. Two hundred twenty-nine AE were notified. The predominant events were related to nasogastric tubes (NGT) (57.6%), followed by patient fall (16.6%) and medication errors (14.8%). The nursing professionals /patient ratio at the moment of the event was 1:2 for the ICU, 1:3 for the SCU and 1:4 for the IU. A similar distribution was observed for the other days of the week. The nursing interventions were: repositioning the NGT (83.2%) and communication of the occurrence to the physician in case of medication errors (47.6%) and falls (55.2%). The highest AE rate was related to NGT.
AB - This quantitative, retrospective study aimed to characterize adverse events (AE) in Intensive Care Units (ICU), Semi-Intensive Care Units (SCU) and Inpatient Units (IU), regarding nature, type, day of the week and nursing professionals / patient ratio at the moment of occurrence; as well as to identify nursing interventions after the event and AE rates. The study was performed at a private hospital in the city of São Paulo, Brazil. Two hundred twenty-nine AE were notified. The predominant events were related to nasogastric tubes (NGT) (57.6%), followed by patient fall (16.6%) and medication errors (14.8%). The nursing professionals /patient ratio at the moment of the event was 1:2 for the ICU, 1:3 for the SCU and 1:4 for the IU. A similar distribution was observed for the other days of the week. The nursing interventions were: repositioning the NGT (83.2%) and communication of the occurrence to the physician in case of medication errors (47.6%) and falls (55.2%). The highest AE rate was related to NGT.
KW - Indicators
KW - Nursing
KW - Sentinel surveillance
UR - http://www.scopus.com/inward/record.url?scp=53549129724&partnerID=8YFLogxK
U2 - 10.1590/S0104-11692008000400015
DO - 10.1590/S0104-11692008000400015
M3 - Article
C2 - 18833458
AN - SCOPUS:53549129724
SN - 0104-1169
VL - 16
SP - 746
EP - 751
JO - Revista Latino-Americana de Enfermagem
JF - Revista Latino-Americana de Enfermagem
IS - 4
ER -