Warning systems in a computerized nursing process for Intensive Care Units

Abstract

A hybrid study combining technological production and methodological research aiming to establish associations between the data and information that are part of a Computerized Nursing Process according to the ICNP® Version 1.0, indicators of patient safety and quality of care. Based on the guidelines of the Agency for Healthcare Research and Quality and the American Association of Critical Care Nurses for the expansion of warning systems, five warning systems were developed: potential for iatrogenic pneumothorax, potential for care-related infections, potential for suture dehiscence in patients after abdominal or pelvic surgery, potential for loss of vascular access, and potential for endotracheal extubation. The warning systems are a continuous computerized resource of essential situations that promote patient safety and enable the construction of a way to stimulate clinical reasoning and support clinical decision making of nurses in intensive care.

Barriers and Facilitators for Execution of Nursing Process among Nurses from Medical and Surgical Wards in a Public Hospital Lahore

“…One third (33.1%) participants' stated that they were keenly applying the nursing process but (8.2%) participants' appropriately listed all the phases (steps) of nursing process (NGAO, 2015). Barra, Dal Sasso, & Baccin (2014) found that Participants of the study did not have considerable awareness about execution and evaluation of nursing plan, in which 76.5% participants' did not response the question about execution of nursing care plan, while 65.5% participants' were failed to reply the question about evaluation (Barra, Dal Sasso, & Baccin, 2014).…”

Aplicabilidade De Inovações E Tecnologias Assistenciais Para a Segurança Do Paciente: Revisão Integrativa

“…Outra tecnologia implantada no intuito de promover a segurança do paciente é o Processo de Enfermagem Informatizado (PEI), embasado na Classificação Internacional para as Práticas de Enfermagem (CIPE) para UTI. A proposta buscou a recomendação de Diagnósticos de Enfermagem (DE), identificação das alterações clínicas possíveis e intervenções adequadas para cada caso, por meio de mensagens de alerta para segurança (20) . Os autores constataram a eficácia desse programa e sugeriram a adição de mais alertas potenciais para: pneumonia iatrogênica, infecções secundárias ao cuidado prestado, deiscência de sutura no pós-operatório de pacientes com cirurgia abdominal ou pélvica, perda de acesso vascular e extubação endotraqueal.…”

Busca ativa contribui na identificação de eventos adversos e incidentes em unidade de terapia intensiva

“…En esta perspectiva, investigación reciente indica que la institución de un sistema de alerta informatizado puede corroborar con la seguridad del paciente en UCI, principalmente, respecto a la prevención, monitorización y toma de decisión sobre los acontecimientos de retiro no programados de los dispositivos invasivos (25) . Del mismo modo, es importante recordar que la ocurrencia de delirium en pacientes críticamente enfermos es frecuente y, tal condición también puede contribuir a la pérdida de los dispositivos (26) .…”