Impact of Safety Guidelines on Nurses’ Knowledge regarding Incidents and Nurses’ Safety Attitude at Neonatal Intensive Care Unit

Elmwafie, Seham; Abdallah, Amany M.; Abduallah, Reda

doi:10.21608/tsnj.2022.242190

Cited by 2 publications

(1 citation statement)

References 18 publications

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“…In the study, more than half of MDAEs [102 (53.5%)] were suspected to be caused by opportunistic infections, which was inconsistent with the study published by Elmwafie et al which reported human error or user related error as the majority (55%). 17 Urethral catheter-associated urinary tract infection (UTI) and ventilator-associated pneumonia (VAP) are prime examples of such events. The user related errors accounted for [12 (6.4%)] of the total in this study, in which urethral catheter-associated hematuria was frequent.…”

Section: Discussionmentioning

confidence: 99%

Materiovigilance in Intensive Care Units: An Active Surveillance

et al. 2023

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Background: Medical devices are the vital part of healthcare system. The use of medical devices is higher in the intensive care units leading to increased exposure rendering the exponential rise in incidence of medical device associated adverse events (MDAEs). Timely detection and reporting of MDAEs can help reduce the disease and associated liabilities. Objective: To determine the rate, patterns, and predictors of MDAEs. Methods: An active surveillance was carried out in the intensive care units (ICUs) of a tertiary care teaching hospital located in southern India. The patients were monitored for MDAEs which were reported based on MvPI guidance document 1.2. The predictors were calculated using an odds ratio at 95% confidence interval. Results: A total of 185 MDAEs were reported amongst 116 patients, of which the majority [74 (63.7%)] were males. Most of the MDAEs were attributed to urethral-catheters [42 (22.7%)] among which a high majority of 34 were associated with urinary tract infections (UTI), followed by ventilators [35 (18.9%)] with all events causing pneumonia. Urethral catheters and ventilators are both classified as categories B and C respectively based on device risk classification provided by the Indian Pharmacopoeia Commission (IPC). Over 58% of MDAEs were reported among the elderly. The causality assessment was possible for 90 (48.6%) MDAEs whereas 86 (46.4%) were probable. The majority of the MDAEs reported were serious [165 (89.2%)] and only [20 (10.8%)] were found to be non-serious on the severity scale. Most [104 (56.2%)] of the devices attributed to MDAEs were single-use devices, of which [103 (55.6%)] were destroyed and only [81 (43.7%)] were retained in healthcare facilities. Conclusions: Despite the best possible care in the intensive care units (ICUs), MDAEs are inevitable, adding to the burden of patients in terms of suffering, disease, extended hospital stay, and increased costs. MDAEs require rigorous monitoring of patients, especially in the elderly population and patients with increased exposure to multiple devices.

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Section: Discussionmentioning

confidence: 99%

Materiovigilance in Intensive Care Units: An Active Surveillance

et al. 2023

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Factors Relating to a Safety Culture in the University Perinatal Center: The Nurses’ and Midwives’ Perspective

Ribelienė

Macijauskienė

Tamelienė

et al. 2022

IJERPH

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Background: According to The Joint Commission, a culture of safety is a key component for achieving sustainable and safe health care services, and hospitals must measure and monitor this achievement. Promoting a patient safety culture in health services optimally includes midwifery and nursing. The first aim of this study is to assess the University Perinatal Center’s staff members’ perceptions of safety culture. A second aim is to identify how the perceptions of safety culture actors are related to the socio-demographic characteristic of the respondents. Methods: A descriptive, cross-sectional, correlational design was applied in this study. Registered nurses and midwives were recruited from the University Perinatal Center in Lithuania (N = 233). Safety culture was measured by the Safety Attitudes Questionnaire (SAQ). Results: The mean scores of the responses on the 6 factors of the SAQ ranged from 3.18 (0.46) (teamwork climate) to 3.79 (0.55) (job satisfaction) points. The percentage of positive responses to the SAQ (4 or 5 points on the Likert scale) ranged from 43.2% to 69.0%. The lowest percentage of the respondents provided positive responses to the questions on perception of management and teamwork climate, while the highest percentage of the respondents provided positive responses to the questions on job satisfaction. Perception of management positively correlated with safety climate (r = 0.45, p < 0.01) and working conditions (r = 0.307, p < 0.01). Safety climate positively correlated with job satisfaction (r = 0.397, p < 0.01) and working conditions (r = 0.307, p < 0.01). Job satisfaction positively correlated with working conditions (r = 0.439, p < 0.01). Conclusion: Evaluating the opinions of the safety climate among nurses and midwives who work at the University Perinatal Center showed that teamwork climate and perception of management are weak factors. Therefore, stakeholders should organize more training about patient safety and factors that affect patient safety.

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Impact of Safety Guidelines on Nurses’ Knowledge regarding Incidents and Nurses’ Safety Attitude at Neonatal Intensive Care Unit

Cited by 2 publications

References 18 publications

Materiovigilance in Intensive Care Units: An Active Surveillance

Materiovigilance in Intensive Care Units: An Active Surveillance

Factors Relating to a Safety Culture in the University Perinatal Center: The Nurses’ and Midwives’ Perspective

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