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Enfermería universitaria
On-line version ISSN 2395-8421Print version ISSN 1665-7063
Abstract
ZARATE-GRAJALES, R. et al. Factors related to nursing-reported adverse events in intensive care units: Multicenter project. Enferm. univ [online]. 2015, vol.12, n.2, pp.63-72. ISSN 2395-8421. https://doi.org/10.1016/j.reu.2015.03.003.
Health treatment can sometimes involve risk for patients, which can result in physical, psychological, social, or financial damage, and even death. These incidents are called adverse events (AE) and occur during the treatment process.
Objective
To determine the occurrence of AE in intensive care areas, and identify the intrinsic, extrinsic, and systemic factors involved in an AE, and to assess their severity and how to avoid them.
Methods
Multi-centric, analytic, transversal, and observational study conducted on 7 public and high specialty health institutions in Mexico with a sample of 137 individuals. The study was carried out from 04/01/2012 to 01/31/2013. Data were collected through SYREC 2007 project adapted AE notification charts. SPSS version 17 was used. Spearman, Phi, Mann-Whitney U, Kruskal-Wallis and Chi2 tests were performed.
Results
58% of AE occurred among male patients, 60% among the pediatric population. The most frequent AE were those related to care (29.9%). 51% were related to temporal disability. 75% of the cases could not be avoided. Systemic factors were the prevalent ones with 98%.
Conclusions
The most vulnerable populations are children and the elderly. AE are directly related to nursing care and most are avoidable. It is necessary to implement strategies to manage patient safety in order to detect, register, prevent, and minimize the frequency of AE.
Keywords : Nursing care; Adverse event; Patient safety; Quality of health care; Mexico.
