Results after implementation of a protocol on the incidence of urinary tract infection in an intensive care unit

Miranda, Anna Letícia; Oliveira, Ana Lúcia Lyrio de; Nacer, Daiana Terra; Aguiar, Cynthia Adalgisa Mesojedovas

doi:10.1590/1518-8345.0866.2804

Cited by 16 publications

(30 citation statements)

References 12 publications

(13 reference statements)

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“…Faced with these problems, professionals elaborated protocols as a strategy to define standards of care and increase the quality of services. Protocol implementation for organization of care can provide greater satisfaction for the nursing team and for the patient, as well as greater safety in performing the procedures, reducing the risks for professionals and patients (13) .…”

Section: Discussionmentioning

confidence: 99%

Safety of patients with mental disorders: a collective construction of strategies

et al. 2020

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Objective: to describe risk management implementation in the safety of patients with mental disorders through action research. Method: an action research carried out with a multidisciplinary team from a reference hospital in mental health in Southeast Brazil. Results: three strategies considered as managerial technologies for the mentally ill patient were developed: risk management diagram for patient safety; patient safety protocols; and textual proposal of software for internal management of incident notifications. Final considerations: this action research allowed a collective discussion by the whole multidisciplinary team, enabling strategy drafting for risk management implementation and improvement of care quality in the safety of patients with mental disorders at the study site.

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Section: Discussionmentioning

confidence: 99%

Safety of patients with mental disorders: a collective construction of strategies

et al. 2020

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“…"Filling out the entire answer sheet" stood out among executed after-flight care procedures. On the other hand, a research study on the implementation of a protocol of infection of the urinary tract in an intensive care unit showed that the filling and annotations of professionals are often considered fragile (26) .…”

Section: Discussionmentioning

confidence: 99%

Implementation of the protocol of nursing care in trauma in aeromedical service

et al. 2020

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Objective: To analyze the implementation of a nursing care protocol for trauma patients before, during and after the flight. Method: A cross-sectional quantitative study carried out in an aeromedical service, using a checklist with 106 care: 79 before flight, 25 during, and 2 after flight. 97 patients were included in the study. Results: Most care (n = 59; 55.7%) was implemented, totaling 4,435, 1,480 and 192 cares performed before, during and after the flight, respectively. They stood out as unrealized care: protect ears with ear muffler (n = 55) and avoid leaving the pulse oximeter exposed to the sun’s rays (n = 22). The main reason for the non-performance was lack of appeal (n = 94). Conclusion: Although most protocol care has been implemented, unrealized care compromises the quality of care, which requires the management of the service to provide more incentive to nurses and adequate resources for its implementation.

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“…Urinary tract infection (UTI) is one of the most prevalent health care-related infections, accounting for approximately 30% of intensive care unit (ICU) reports because of its relationship to urinary catheterization, but has great preventive potential (1)(2)(3) .…”

Section: Introductionmentioning

confidence: 99%

Catheter-associated urinary tract infection: why do not we control this adverse event?

Mota

Oliveira

2019

Rev. esc. enferm. USP

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Objective: To identify factors related to the occurrence of urinary tract infection associated with urinary catheter use. Method: A longitudinal, retrospective cohort study carried out by analyzing the electronic medical records of patients admitted to an intensive care unit of a high-complexity hospital from July 2016 to June 2017. Demographic and clinical data were analyzed by descriptive and analytical analysis. Results: The incidence density of urinary tract infection related to urinary catheter use was 4.8 per 1000 catheters/day, the majority (80.6%) with no indication for catheter use, and there was no prescription for insertion and/or maintenance in 86.7%. The mean time between catheter insertion and infection diagnosis was 11.3 ± 6.3 days (6 to 28 days). Statistically significant factors (p < 0.001) related to urinary infection linked to catheter use were hospitalization time in the unit (16.7 ± 9 days), catheter permanence time (12.7 ± 6.9 days), and the use of antimicrobials in the intensive care unit (8.6 ± 6.3 days). Conclusion: The association of indication absence and the record of the need for maintenance possibly potentiated the occurrence of urinary tract infection associated to catheter use.

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Results after implementation of a protocol on the incidence of urinary tract infection in an intensive care unit

Cited by 16 publications

References 12 publications

Safety of patients with mental disorders: a collective construction of strategies

Safety of patients with mental disorders: a collective construction of strategies

Implementation of the protocol of nursing care in trauma in aeromedical service

Catheter-associated urinary tract infection: why do not we control this adverse event?

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