medigraphic.com
SPANISH

Revista Cubana de Enfermería

ISSN 1561-2961 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2014, Number 1

<< Back Next >>

Rev Cuba Enf 2014; 30 (1)

Adverse events related to nursing care

Navas-Torres J, Alvarado-Muriel P, González-Cartagena JL, Delgado-Ortiz SA, Domínguez CL, Valero-Cárdenas H, Luna-Gómez N, Sandoval MC, Fajardo-Puentes SL, Rojas-Sánchez LZ, García-Mancipe M, Parra DI, Rey-Gómez R, Camargo-Figuera FA
Full text How to cite this article

Language: Spanish
References: 25
Page:
PDF size: 202.00 Kb.


Key words:

adverse events, nursing, atient safety.

ABSTRACT

Introduction: safety in health care has become a priority in many countries. It is important to inquire about those fact involved in its occurrence for the organizations to respond appropriately to prevent them.
Objective: To characterize the population who presented adverse events, describing the characteristics related to the patient, the environment and the nursing staff.
Methodology: descriptive analysis of a cohort pilot hospital about adverse events related to nursing care, in Bucaramanga, Colombia.
Results: Prevalent events found in patients were alterations in mood, confinement to bed and need for special diet; in the environment events were: lack of inputs for pressure ulcers prevention and lack of nurse call buttons. The average number of patients per nurse practitioner was 27.3 and auxiliary nurses of 9.1.
Conclusions: The knowledge about the characteristics that were present in the patients who developed an adverse event, is a first approximation of the problem and an important element for health organizations have more arguments for investing in safer practices.


REFERENCES

  1. KohnLT, Corrigan J, Donaldson MS. Toerris human: building a saferhealthsystem. Washington: NationalAcademyPress; 2000.

  2. Goeckner B, Gladu M, Bradley J, Garmon-Bibb SC, Hicks RW. Differences in PerioperativeMedicationErrorsWithRegardtoOrganizationCharacteristics. AORN Journal 2006;83(2):351.

  3. Wu AW. Medical error: thesecondvictim. BMJ. 2000; 320(7237):726-7.

  4. Bartlett G, Blais R, Tamblyn R, Clermont RJ, MacGibbon B.Impact of patientcommunicationproblemsontherisk of preventable adverse events in acutecaresettings. CMAJ. 2008;178(12):1555-62.

  5. Ministerio de Protección Social, Republica de Colombia. Observatorio de Calidad de la Atención en Salud. Disponible en: http://201.234.78.38/ocs/Default.aspx. Consultado en agosto 26 del 2012

  6. Ministerio de Protección Social, Republica de Colombia. Anexo Técnico uno, Resolución 1446 de 2006. Colombia. Disponible en: http://www.unydos.com/acreditacion/catalogo/docs/Res %201446 %20de %202006 %20(Anexo %20Tecnico).pdf . Consultado: agosto 26 del 2012.

  7. Aranaz-Andrés JM, Ruiz-López P, Aibar-Remón C, Requena-Puche J, Agra-Varela Y, Limón-Ramírez R, et al. Sucesos adversos en cirugía general y de aparato digestivo en los hospitales españoles. Cir Esp. 2007;82(5):268-77.

  8. Carpenter CR, Scheatzle MD, D'Antonio JA, Ricci PT, Coben JH. Identification of fallriskfactors in olderadultemergencydepartmentpatients. AcadEmergMed. 2009;16(3):211-9.

  9. Campbell KE. A New ModeltoIdentifySharedRiskFactorsforPressureUlcers and Frailty in OlderAdults. RehabilNurs2009;34(6):242-7.

  10. Uriel La Torre P. Influencia de la dotación de enfermeras en la aparición de efectos colaterales adversos que influyen en la morbilidad, mortalidad y en los costes sanitarios. EnfermClin. 2004;14(3):167-70.

  11. Valero-Cárdenas H, ParraDI, Rey-Gómez R, Camargo-Figuera FA. Prevalencia de úlcera por presión en una institución de salud. Salud UIS. 2011;43(3):249-55.

  12. Cid-Ruzafa J, Damián-Moreno J. Valoración de la discapacidad física: el índice de Barthel. Rev. Esp. Salud Pública 1997;71(2):127-37.

  13. Estrategias de cuidado en Andalucía. Cuestionarios, test e índices de valoración enfermera en formato para uso clínico. Disponible en:http://www.juntadeandalucia.es/servicioandaluzdesalud/principal/documentosAcc.a sp?pagina=pr_desa_Innovacion5. Consultado: agosto 2010.

  14. O'Connell B, Myers H. Thesensitivity and specificity of the Morse FallScale in anacutecaresetting.JClinNurs. 2002;11(1):134-6.

  15. Defloor T, Grypdonck MF. Validationofpressureulcerriskassessmentscales: a critique. J AdvNurs. 2004;48(6):613-21.

  16. StataCorp. 2011. StataStatistical Software: Release 12. CollegeStation, TX: StataCorp LP.

  17. Lauritsen JM. (Ed.) EpiData Data Entry, Data Management andbasicStatisticalAnalysis System. Odense Denmark, EpiDataAssociation, 2000-2008.

  18. Kwong EW, Pang SM, Aboo GH, Law SS.Pressureulcerdevelopment in olderresidents in nursing homes: influencingfactors. J AdvNurs. 2009;65(12):2608-20.

  19. Kane-Gill SL, Kirisci L, Verrico MM, Rothschild JM. Analysis of riskfactorsfor adverse drugevents in criticallyillpatients. CritCareMed. 2012;40(3):823-8.

  20. Aranaz JM, Limón R, Requena J, Gea MT, Núñez V, Bermúdez MI, et al. IDEA. Incidencia e impacto de los Efectos Adversos en dos hospitales. Rev Calidad Asistencial 2005;20(2):53-60.

  21. Thomas-Hawkins C, Flynn L, Clarke SP.RelationshipsBetweenRegistered Nurse Staffing, Processes of NursingCare, and Nurse-ReportedPatientOutcomes in ChronicHemodialysisUnits. NephrolNurs J. 2008;35(2):123–131.

  22. Lahmann NA, Kottner J, Dassen T, Tannen A. Higherpressureulcerriskonintensivecare? - comparisonbetween general wards and intensivecareunits. J ClinNurs. 2012;21(3-4):354-61.

  23. Moore Z, Cowman S. Pressureulcerprevalence and preventionpractices in care of theolderperson in theRepublic of Ireland.J ClinNurs. 2012;21(3-4):362-71.

  24. Patrician PA, Loan L, McCarthy M, Fridman M, Donaldson N, Bingham M, et al. Theassociation of shift-level nurse staffingwith adverse patientevents. J NursAdm. 2011;41(2):64-70.

  25. Carroll D, Pappola L, McNicoll L. Fallpreventioninterventions in acutecaresettings: the Rhode Island Hospital experience. MedHealth RI. 2009;92(8):280-2.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Cuba Enf. 2014;30