Strategies to ensure the critical patient safety

Authors

DOI: https://doi.org/10.6018/eglobal.579091
Keywords: Strategies, Guideline, Patient safety, Intensive care unit, Nurses

Abstract

Objective: Identify the strategies to guarantee the safety of the critically ill patient.

Method: Integrative review, whose search was carried out in May 2022 using the data sources: MEDLINE, SciELO, WOS, LILACS, Scopus and IBECS. The analysis and synthesis were built from the results found, seeking to group them by categories based on the similarity of content.

Results: 377 articles were found, then the inclusion criteria and exhaustive reading were applied, resulting in a sample of 13 articles. The results were classified into five categories: Prevention of pneumonia associated with mechanical ventilation; Safety in the administration of management of medicines; Prevention of pressure injuries; Educational program oriented to patient safety in intensive care and; Reflections of the health team regarding safety culture.

Conclusions: This study contributes to comprehensively identify the various strategies whose results demonstrated a positive change in the prevention of adverse events and strengthening of safety in health care.

Keywords: Strategies. Guideline. Patient safety. Intensive care unit. Nurses

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References

Zárate-Grajales RA, Salcedo-Álvarez RA, Olvera-Arreola SS, Hernández-Corral S, Barrientos-Sánchez J, Pérez-López MT, et al. Eventos adversos en pacientes hospitalizados reportados por enfermería: un estudio multicéntrico en México. Enferm Univ. octubre de 2017;14(4):277-85.

Saldaña DA, Rodríguez SM, Díaz JC, Cavallo E, Grajales RZ, Tolosa RV, et al. Estudio de eventos adversos, factores y periodicidad en pacientes hospitalizados en unidades de cuidado intensivo. Enferm Glob. 2016;15(2):324-40.

Gil-Aucejo A, Martínez-Martín S, Flores-Sánchez P, Moyano-Hernández C, Sánchez-Morales P, Andrés-Martínez M, et al. Valoración de la cultura de seguridad del paciente en la UCI de un hospital de segundo nivel al finalizar la tercera oleada de COVID-19. Enferm Intensiva [Internet]. 2021; Disponible en: https://www.sciencedirect.com/science/article/pii/S1130239921001176

Strazzieri-Pulido KC, S. González CV, Nogueira PC, Padilha KG, G. Santos VLC. Pressure injuries in critical patients: Incidence, patient-associated factors, and nursing workload. J Nurs Manag. 2019;27(2):301-10.

Reis UOP, Passos S da SS, Santos LM, Reis MS, Berhends JS, Meira CM. Erros no preparo e na administração de medicamentos intravenosos. Rev Baiana Enferm [Internet]. 2020;34. Disponible en: /scielo.php?script=sci_arttext&pid=S2178-86502020000100340&lang=pt

Galdea MÁP, Lorena MTK, Barreto ÁG. Neumonía asociada a ventilación mecánica en pacientes ingresados en UCI: Etiología y factores de riesgo. RECIMUNDO Rev Científica Investig El Conoc. 2018;2(3):140-50.

Costa CAB, Araújo FL, Costa ACL, Corrêa A dos R, Kusahara DM, Manzo BF. Bundle de Cateter Venoso Central: conhecimento e comportamento de profissionais em Unidades de Terapia Intensiva adulto. Rev Esc Enferm USP [Internet]. 2020;54. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342020000100472&lang=pt

Sampathkumar P. Reducing catheter-associated urinary tract infections in the ICU. Curr Opin Crit Care [Internet]. 2017;23(5). Disponible en: https://journals.lww.com/co-criticalcare/Fulltext/2017/10000/Reducing_catheter_associated_urinary_tract.4.aspx

Oliveira VMC de, Gomes CN da S, Rocha D de M, Abreu WJCP, Galvão MTG, Magalhães R de LB. Nurses’ knowledge, attitudes and practices regarding hepatitis b: an integrative review. Texto Contexto - Enferm [Internet]. abril de 2022;31. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072022000100504&tlng=en

Amiri M, Khademian Z, Nikandish R. The effect of nurse empowerment educational program on patient safety culture: a randomized controlled trial. BMC Med Educ. 3 de julio de 2018;18(1):158.

Irajpour A, Farzi S, Saghaei M, Ravaghi H. Effect of interprofessional education of medication safety program on the medication error of physicians and nurses in the intensive care units. J Educ Health Promot. 2019;8:196.

Madhuvu A, Endacott R, Plummer V, Morphet J. Ventilation bundle compliance in two Australian intensive care units: An observational study. Aust Crit Care Off J Confed Aust Crit Care Nurses. julio de 2021;34(4):327-32.

Branco A, Lourençone EMS, Monteiro AB, Fonseca JP, Blatt CR, Caregnato RCA. Education to prevent ventilator-associated pneumonia in intensive care unit. Rev Bras Enferm. 2020;73(6):e20190477.

Etemadifar S, Sedighi Z, Sedehi M, Masoudi R. The effect of situation, background, assessment, recommendation-based safety program on patient safety culture in intensive care unit nurses. J Educ Health Promot. 2021;10:422.

Buterakos R, Jenkins PM, Cranford J, Haake RS, Maxson M, Moon J, et al. An in-depth look at ventilator-associated pneumonia in trauma patients and efforts to increase bundle compliance, education and documentation in a surgical trauma critical care unit. Am J Infect Control. 4 de febrero de 2022;S0196-6553(22)00064-5.

Lohmeyer Q, Schiess C, Wendel Garcia PD, Petry H, Strauch E, Dietsche A, et al. Effects of tall man lettering on the visual behaviour of critical care nurses while identifying syringe drug labels: a randomised in situ simulation. BMJ Qual Saf. 8 de marzo de 2022;bmjqs-2021-014438.

Santos LL, Camerini FG, Fassarella CS, Almeida LF de, Setta DX de B, Radighieri AR. Medication time out as a strategy for patient safety: reducing medication errors. Rev Bras Enferm [Internet]. 2021;74(1). Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672021000100174&lang=pt

Araujo R de M, Almeida LF de, Paula VG de, Nepomuceno R de M, Marins ALC. Aplicabilidade do método isbar em uma unidade de terapia intensiva adulto. Cogitare Enferm [Internet]. 2020;25. Disponible en: /scielo.php?script=sci_arttext&pid=S1414-85362020000100364&lang=pt

Souza CS de, Tomaschewski-Barlem JG, Dalmolin G de L, Silva TL, Neutzling BR da S, Zugno RM. Estratégias para o fortalecimento da cultura de segurança em unidades de terapia intensiva. Rev Enferm UERJ [Internet]. 2019;27. Disponible en: /scielo.php?script=sci_arttext&pid=S0104-35522019000100310&lang=pt

Vasconcelos J de MB, Caliri MHL. Ações de enfermagem antes e após um protocolo de prevenção de lesões por pressão em terapia intensiva. Esc Anna Nery [Internet]. 2017;21(1). Disponible en: /scielo.php?script=sci_arttext&pid=S1414-81452017000100201&lang=pt

Alvarez-Lerma F, Palomar-Martinez M, Sanchez-Garcia M, Martinez-Alonso M, Alvarez-Rodriguez J, Lorente L, et al. Prevention of Ventilator-Associated Pneumonia: The Multimodal Approach of the Spanish ICU “Pneumonia Zero” Program. Vol. 46, CRITICAL CARE MEDICINE. TWO COMMERCE SQ, 2001 MARKET ST, PHILADELPHIA, PA 19103 USA: LIPPINCOTT WILLIAMS & WILKINS; 2018. p. 181-8.

Barreto RS, Servo MLS, Vilela ABA, Fontoura EG, Souza S de L, Santana N. Conceptions of patient safety through the prism of social representations of intensive care nurses. Investig Educ En Enferm [Internet]. 12 de junio de 2021 [citado 17 de mayo de 2022];39(2). Disponible en: https://revistas.udea.edu.co/index.php/iee/article/view/346563

Vásquez Gaibor AA, Reinoso Tapia SC, Lliguichuzca Calle MN, Cedeño Caballero JV. Neumonía asociada a ventilación mecánica. RECIMUNDO. 30 de septiembre de 2019;3(3):1118-39.

La higiene de manos salva vidas - OPS/OMS | Organización Panamericana de la Salud [Internet]. [citado 27 de junio de 2022]. Disponible en: https://www.paho.org/es/noticias/17-11-2021-higiene-manos-salva-vidas

Zhao T, Wu, X, Zhang, Q, Li, C, Worthington, HV, Hua F. Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia. Cochrane Database Syst Rev [Internet]. 2020;(12). Disponible en: https://doi.org//10.1002/14651858.CD008367.pub4

Pozuelo-Carrascosa DP, Herráiz-Adillo Á, Alvarez-Bueno C, Añón JM, Martínez-Vizcaíno V, Cavero-Redondo I. Subglottic secretion drainage for preventing ventilator-associated pneumonia: an overview of systematic reviews and an updated meta-analysis. Eur Respir Rev Off J Eur Respir Soc. 31 de marzo de 2020;29(155):190107.

Instituto para el uso seguro de los Medicamentos. Boletín 51 (junio 2022) [Internet]. [citado 15 de junio de 2022]. Disponible en: https://seguridaddelpaciente.es/es/informacion/publicaciones/2022/boletines-errores--medicacion/boletin-51/

European Pressure Ulcer Advisory Panel [Internet]. [citado 17 de junio de 2022]. Disponible en: https://www.epuap.org/

Müller M, Jürgens J, Redaèlli M, Klingberg K, Hautz WE, Stock S. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ Open. agosto de 2018;8(8):e022202.

Maldonado XAN, Nascimento ERP do, Lazzari DD. Nursing professionals and adverse event reporting. Texto Contexto - Enferm [Internet]. 2020;29(spe). Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072020000600315&lang=pt

Published
01-01-2024
How to Cite
[1]
Cadillo Morales, P. et al. 2024. Strategies to ensure the critical patient safety. Global Nursing. 23, 1 (Jan. 2024), 514–540. DOI:https://doi.org/10.6018/eglobal.579091.
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