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Gaceta médica de México
On-line version ISSN 2696-1288Print version ISSN 0016-3813
Abstract
ALVAREZ-MALDONADO, Pablo; HERNANDEZ-RIOS, Grisel; REDING-BERNAL, Arturo and CICERO-SABIDO, Raúl. Adverse events in a new intensive care unit. Influence of healthcare facilities design and technology on incidence rates. Gac. Méd. Méx [online]. 2019, vol.155, n.6, pp.613-618. Epub Oct 25, 2021. ISSN 2696-1288. https://doi.org/10.24875/gmm.19005421.
Introduction:
New hospitals are replacing old facilities. There is little information on the performance of an intensive care unit (ICU) when it is relocated in a new and equipped area.
Objective:
To analyze the impact of the change of ICU facilities from a shared environment to individual beds on the occurrence of adverse events.
Method:
Cross-sectional, comparative study, with prospectively collected data from patients admitted from March 01, 2014 to February 28, 2017 to the former ICU (f-ICU) and from July 17, 2017 to January 17, 2019 to the new ICU (n-ICU) of a public teaching hospital. The rate of adverse events was measured in events per 1,000 patient-days.
Results:
Among 1,188 patients (f-ICU, n = 681 vs. n-ICU, n = 507), a reduction in the rate of unforeseen cardiac arrest (rate ratio: 0.31; 95% confidence interval [CI] = 0.12–0.80) and an increase in the rate of unplanned extubation (rate ratio: 2.49; 95% CI = 1.24–5.01) were observed, with both being statistically significant. The other nine monitored adverse events showed no changes.
Conclusions:
In comparison with the f-ICU, most of the monitored adverse events did not significantly change within the first 18 months of activities at the n-ICU.
Keywords : Adverse events; New facilities; Intensive care unit.