Study of adverse events, factors and periodicity in hospitalized patients in ICU

Authors

  • Diana Achury Saldaña Pontificia Universidad Javeriana
  • Sandra Monica Rodriguez Magister en Política Social de la Pontificia Universidad Javeriana. Miembro Colombiano de la Red Internacional de Enfermería en Cuidado Crítico. Profesora Instructora Facultad de Enfermería Pontificia Universidad Javeriana.
  • Juan Carlos Diaz Doctor en educación de la Atlantic International University. Candidato a Doctor en Bioética por la Universidad El Bosque. Miembro Colombiano de la Red Internacional de Enfermería en Cuidado Crítico. Profesor Asistente Facultad de Enfermería. Pontificia Universidad Javeriana
  • Edhit Cavallo Enfermera. Coordinadora general Red Internacional de Enfermería en Cuidado Critico. Profesora de la Escuela de Enfermería Universidad Nacional de Córdoba. Argentina
  • Rosa Zarate Grajales Maestra en Investigación y Desarrollo de la Educación por la Universidad Iberoamericana. Coordinadora de investigación ENEO.UNAM. México. Responsable del Centro Colaborador OMS/OPS
  • Ruby Vargas Tolosa Magister en Prácticas Pedagógicas. Decana Universidad Francisco de Paula Santander. Cúcuta.
  • Roxana de las Salas Magister en Ciencias-Farmacología, Universidad Nacional de Colombia. Profesora Universidad del Norte. Barranquilla
DOI: https://doi.org/10.6018/eglobal.15.2.215791
Keywords: Adverse events, frequency, adult patients and children, intensive care

Supporting Agencies

  • Pontificia Universidad javeriana

Abstract

Objective: To determine adverse events (AEs) reported by nursing and its related factors in Intensive Care Units (ICUs) in three participating countries (Mexico, Argentina and Colombia) in 2013.

Method: A multicenter, prospective and descriptive study was conducted. The observation unit was constituted with AEs reported by nurses over a period of 6 months in 17 ICUs. To report AEs, a digital and on line form that contained the categories and factors related adverse event was designed. Data was analyzed using SPSS statistical software.

Results: 1163 adverse events were reported, 34% were related to care, 19 % with airway and mechanical ventilation, 16 % with the management of vascular access and drainage, 13 % with nosocomial infection and 11 % with administration of medication, the remaining 7 % were related to testing diagnostic and equipment. 94.8 % of these AEs were considered preventable. To determine the importance of the factors present in AEs, the Phi coefficient was used, finding that the factors related were those of the system where predominate the non-adherence to protocols, communication problems, training and inadequate training ( Phi 0-1 p <0.05 ).

Conclusions: AEs most prevalent are mostly related to direct patient care and airway care, in addition to that, its related factor was the system, therefore the nurse must develop strategies to strengthen and improve processes related with application of protocols, communication and human resources policy

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Author Biography

Diana Achury Saldaña, Pontificia Universidad Javeriana

 Profesora Asociada Facultad de Enfermería. Pontificia Universidad Javeriana

Published
30-03-2016
How to Cite
[1]
Achury Saldaña, D. et al. 2016. Study of adverse events, factors and periodicity in hospitalized patients in ICU. Global Nursing. 15, 2 (Mar. 2016), 324–340. DOI:https://doi.org/10.6018/eglobal.15.2.215791.
Issue
Vol. 15 No. 2 (2016): #42 - Abril
Section
Administración-Gestión-Calidad

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