Indicators of healthcare results: analysis of adverse events during hospital stays

Nascimento, Camila Cristina Pires; Toffoletto, Maria Cecília; Gonçalves, Leilane Andrade; Freitas, Walkíria das Graças; Padilha, Kátia Grillo

doi:10.1590/s0104-11692008000400015

Cited by 49 publications

(77 citation statements)

References 6 publications

(13 reference statements)

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“…The data analysis showed that 44% of the subjects When the occurrence of PUI and falls in the hospital studied were analyzed, it was found that these indicators were considered by 100% of the nurses as highly relevant to evaluate the quality of the nursing care, corroborating the literature (15)(16) . Other indicators considered by the nurses as highly relevant or relevant for the qualification of the care are intimately related to the daily nursing tasks, such as incidence of phlebitis, accidental extubation and incidence of non-compliance in the medication administration.…”

Section: Discussionsupporting

confidence: 65%

Use of performance indicators in the nursing service of a public hospital

Gabriel

Melo

Rocha

et al. 2011

Rev. Latino-Am. Enfermagem

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The study aimed to identify performance indicators adopted by the Nursing Service of a public hospital and to analyze the opinions of the nurses regarding the use of these indicators to evaluate the quality of the nursing care. This is descriptive exploratory study with a quantitative approach, which used data from the management reports of the institution and applied a questionnaire in a sample of 25 nurses. It was found that the institution works with three databases of indicators, two being general and one specific for Nursing, which analyze 11 indicators. The indicators of pressure ulcer incidence and incidence of falls were the only ones considered highly relevant to qualify the nursing care for 100% of the nurses. It was concluded that the institution uses indicators for monitoring outcomes and tends to valorize the use of process indicators by the nurses to evaluate the Nursing performance, with it being necessary to expand the analysis to include multi-disciplinary indicators. Trata-se de estudo descritivo exploratório, com abordagem quantitativa, que utilizou dados dos relatórios gerenciais da instituição e aplicou questionário numa amostra de 25 enfermeiros. Verificou-se que a instituição trabalha com três bancos de dados de indicadores, sendo dois gerais e um específico de enfermagem que analisa 11 indicadores.Os indicadores de incidência de úlcera por pressão e incidência de quedas foram os únicos considerados muito pertinentes para qualificar a assistência de enfermagem, por 100% dos enfermeiros. Concluiu-se que a instituição utiliza indicadores para acompanhamento de resultados e há valorização da utilização de indicadores de processos pelos enfermeiros para avaliar desempenho da enfermagem, sendo necessário ampliar a análise para indicadores multidisciplinares.Descritores: Indicadores de Serviços; Serviço Hospitalar de Enfermagem; Qualidade da Assistência à Saúde. Utilización de indicadores de desempeño en servicio de enfermería de hospital públicoEl estudio objetivó identificar indicadores de desempeño adoptados por el Servicio de Enfermería de hospital público y analizar la opinión de los enfermeros en relación a la utilización de estos indicadores para evaluar la calidad de la asistencia de enfermería. Se trata de estudio descriptivo exploratorio con abordaje cuantitativo, que utilizó datos de los informes de gestión de la institución y aplicó un cuestionario en una muestra de 25 enfermeros. Se verificó que la institución trabaja con tres bancos de datos de indicadores, siendo dos generales y uno específico de enfermería que analiza 11 indicadores. Los indicadores de incidencia de úlcera por presión y de caídas fueron los únicos considerados muy pertinentes para calificar la asistencia de enfermería por 100% de los enfermeros.Se concluye que la institución utiliza indicadores para acompañamiento de resultados y existe una valorización de la utilización de indicadores de procesos por los enfermeros para evaluar desempeño de la enfermería, siendo necesario ampliar el análisis para indicadores mul...

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Section: Discussionsupporting

confidence: 65%

Use of performance indicators in the nursing service of a public hospital

Gabriel

Melo

Rocha

et al. 2011

Rev. Latino-Am. Enfermagem

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“…The incidence of adverse events in ICUs, semi intensive units and inpatient units of a private tertiary hospital with 250 beds in São Paulo (Brazil) was evaluated in 2006 21 . A total of 229 adverse events were reported during a period of 4 months; 21 (9.17%) of them were associated with the use of CVCs and included obstruction, extravasation, dislodgement, incorrect fixation, unplanned removal, bleeding, and clamping 21 .…”

Section: ■ Discussionmentioning

confidence: 99%

“…A total of 229 adverse events were reported during a period of 4 months; 21 (9.17%) of them were associated with the use of CVCs and included obstruction, extravasation, dislodgement, incorrect fixation, unplanned removal, bleeding, and clamping 21 . In the present study, 45.16% of patients experienced adverse events, including catheter displacement, kinking, loss of fixation and loss of device, what is a high percentage of adverse events associated with CVC compared to the findings of Nascimento et al 21 .…”

Section: ■ Discussionmentioning

confidence: 99%

Fixation of the short-term central venous catheter. A comparison of two techniques

et al. 2017

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Fixation of the short-term central venous catheter. A comparison of two techniques 1Abstract Purpose: To compare the fixation of the central venous catheter (CVC) using two suture techniques. Methods: A clinical, analytical, interventional, longitudinal, prospective, controlled, singleblind and randomized study in adult, intensive care unit (ICU) patients. After admission and indication of CVC use, the patients were allocated to the Wing group (n = 35, catheter fixation with clamping wings and retainers) or Shoelace group (n = 35, catheter fixation using shoelace cross-tied sutures around the device). Displacement, kinking, fixation failure, hyperemia at the insertion site, purulent secretion, loss of the device, psychomotor agitation, mental confusion, and bacterial growth at the insertion site were evaluated. Results: Compared with the Wing group, the Shoelace group had a lower occurrence of catheter displacement (n=0 versus n =4; p = 0.04), kinking (n=0 versus n=8; p=0.001), and fixation failure (n=2 versus n=8; p=0.018). No significant difference was found in bacterial growth (n=20 versus n=14; p=0.267) between groups. Conclusion:The Shoelace fixation technique presented fewer adverse events than the Wing fixation technique.

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“…A study conducted in the hospital environment, recording adverse events in relation to nasogastric tubes, central venous catheters, endotracheal tubes, medication errors and falls, found that those related to nasogastric tubes, represented 57.6% of the total, demonstrating a greater demand for attention by the nursing team in the handling and care of this device (21) .…”

Section: Discussionmentioning

confidence: 99%

Incidence of gastric extubation of users in a home care program of a university hospital

Naves

Tronchin

2012

Rev. Latino-Am. Enfermagem

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This quantitative, prospective study, aimed to characterize the profile of users and caregivers and to measure the incidence of gastric extubation, identifying the type and the reasons for the extubation of these users in a Home Care Program of a university hospital. The population consisted of 37 subjects and the data were collected from April to August 2010. For the analysis, descriptive statistics, test of significance of 5% and calculation of indicators were adopted. It was found that 51.4% of the users were female, 67.5% in the age group ≥60 years and 67.6% presented neurological diseases. Regarding the caregivers 89.2% were female and their mean age was 50.6 years. The incidence of extubation, considering 100 days of intubation, corresponded to 1.08, with 0.26 planned and 0.82 unplanned (p=0.009). These results allowed the rates to be calculated of the extubation of patients with gastric intubation for nutritional support in domicile care, providing support in establishing care and management goals for the continuous improvement of quality. La incidencia de la extubación gástrica de los usuarios en el programa de atención domiciliaria en un hospital universitarioEstudio cuantitativo, prospectivo cuyo objetivo de caracterizar el perfil de los usuarios y cuidadores y para medir la incidencia de extubación gástrica, la identificación del tipo y las causas de la extubación de estos usuarios en un Programa de Atención Domiciliaria en un hospital universitario. La muestra constó de 37 sujetos y los datos fueron colectados entre abril y agosto de 2010, según formularios. Para análisis, se adoptó estadística descriptiva, prueba de significancia 5% y cálculo de indicadores. Se observó que 51,4% de los usuarios eran mujeres, 67,5% edad ≥60 años y 67,6% tenían enfermedades neurológicas. Los cuidadores 89,2% eran mujeres, edad media de 50,6 años. Incidencia de extubación, considerando 100 días de intubación, correspondió a 1.08, 0.26 con planificadas y 0.82 no planificadas (p=0,009).Estos resultados permitieron calcular las tasas de extubaciones de los pacientes con intubación gástrica para el aporte nutricional en la atención domiciliaria, forneciendo subsidios para el establecimiento de las metas asistenciales y de gestión para la mejora continua de la calidad.Descriptores:

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Indicators of healthcare results: analysis of adverse events during hospital stays

Cited by 49 publications

References 6 publications

Use of performance indicators in the nursing service of a public hospital

Use of performance indicators in the nursing service of a public hospital

Fixation of the short-term central venous catheter. A comparison of two techniques

Incidence of gastric extubation of users in a home care program of a university hospital

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