Bentolero RLE, Zamorano SML, Añorve GA

Language: Spanish
References: 14
Page: 5-10
PDF size: 113.34 Kb.

ABSTRACT

The patient’s security is defined as the absence of avoidable accidents or lesions produced during the medical attention. This security is guaranteed through opportune and satisfactory services. Objective: To establish the efficiency index by which the infirmary staff applies the physical security measures to the patient, as well as to know the patient’s perception with regard to his/her physical security during his/her stay at the Post-surgical Therapy Service of the Ignacio Chávez National Institute of Cardiology. Methodology: It was performed a prospective and observational study, with a qualitative, longitudinal and transversal approach, and a two-phase intervention. During the first stage, it was carried out the diagnosis in order to know the real condition of the process. According to those results, during the second stage, the infirmary staff was trained and in the mentioned staff and the patients it was reinforced the necessity of applying the security in preventing the risk of lesions and falls. Two questionnaires were designed, in which it was evaluated seven predictive variables in two independent cards. One of these cards or forms was applied to the patients by using certain items following Likert’s scale, and a second one through direct observation over the infirmary staff with dichotomy answer items. In both cases the employed variables were as follows: use of railings, rings or buzzers, bedside lamp, unit of the patient in order, height bench, aid to get up and down from the bed, and fulfillment of the patient’s needs. The universe consisted of the infirmary staff from the three shifts in the post-surgical therapy and the 100% of the patients that entered the service in the period going from September 2nd to September 31st 2007. The sample was established with the 40% (n = 40) of the infirmary staff in the Service and the 30% (n= 20) of the patients who had entered the Service in the mentioned period. Patients from the intensive and intermediate post-surgical or post-operative therapy were included in the study, as well as the operative infirmary staff. Those pediatric patients who were unable of expressing their opinion, soothed patients, and the administrative infirmary staff with no involvement in dealing with the direct assistance to the patients were excluded from the study. First stage results: in the card applied to the patients, it was recorded that the 65% of them considered that they always make use of the railings, the 45% answered that the ring or buzzer is always at hand or within reach, and the 65% considered that it is frequently at hand. With regard to the direct observation performed over the infirmary staff, it was noticed that the railings were always in place in the 100% of the cases when the patients were alone or in bed, and only in a 47.5% of the cases they were given the ring or the buzzer. With the previous results, an improvement planning was applied; and after that, the second stage of the evaluation was carried out. Second stage results: after reinforcing the security measures through classes and triptychs given by the infirmary staff for the proper use of the railings and rings; in the forms applied to the patients, the 100% of them considered that the railing is always used, the 80% reported that the ring is always used, while the 20% considered that it is frequently employed. With respect to the form about the direct monitoring on the infirmary staff, the results indicated that the 68% of it always supply the ring to the patient, while the 32% of it does not do so. Conclusions: based upon the analysis of the achieved results, it may be concluded that even though the 100% of efficiency was not achieved in some items, such as the use of the ring, which was lower than the 50% in the first stage. However, this percentage was increased to the 80% after the introduction of an improvement planning. With regard to the tidiness of the patient’s unit, the percentage was also considerably increased from the 73% to the 93%. Regarding the use of the height bench it was achieved a 100%. It can be considered that after creating the awareness of the importance of respecting the security measures among the infirmary staff, the efficiency in the use of the quoted measures greatly improved. It is important to consider that the improvement planning must be kept in a continuous way in order to achieve satisfactory results.

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