Los errores de tratamiento en una unidad neonatal, uno de los principales acontecimientos adversos

Ruiz, Mauricio; Suñol, Mariona; Miguélez, J.M. Rodríguez; Ortiz, Erika; Urroz, Mikel; Camino, M. de Lamo; J, Figueras Aloy

doi:10.1016/j.anpedi.2015.09.009

Cited by 15 publications

(13 citation statements)

References 27 publications

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“…Most of the incidents analyzed in the present study were related to the medication, totaling 61.1% of the notifications. In a study recently published, the researchers found in a neonatal unit 511 reports of adverse drug-related events over a seven-year period, resulting in an incidence of 32.2 drug-related adverse events per 1000 days, with 39.5% of prescription errors, 68.1% of administration errors and 0.6% were adverse drug reaction 19 .…”

Section: Discussionmentioning

confidence: 99%

Learning from mistakes: analyzing incidents in a neonatal care unit

Hoffmeister

Moura

Macedo

2019

Rev. Latino-Am. Enfermagem

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Objective:to analyze incidents reported in a neonatal care unit. Method:a quantitative, cross-sectional and retrospective study with a sample of 34 newborns. Data were collected through a structured form, composed of two parts: sociodemographic/clinical characteristics of the newborns, and characteristics of the reported incidents. Data were collected from the institution’s computer system, in a period corresponding to 13 months, and analyzed by means of descriptive statistics. Results:the majority of the newborns were preterm (70.6%), male (52.9%) and born through caesarean section (76.5%). During the study period, 54 incidents were reported, totaling a frequency of 1.6 incident per newborn. It was found that 61.1% of incidents were related to medicines, 14.8% to accidental loss of tracheal tube and 9.3% to catheter obstruction. Conclusion:analysis of the reported incidents has shown that most incidents refer to the drug process. Information about the incidents can increase the perception of health professionals regarding the impact of their actions.

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Section: Discussionmentioning

confidence: 99%

Learning from mistakes: analyzing incidents in a neonatal care unit

Hoffmeister

Moura

Macedo

2019

Rev. Latino-Am. Enfermagem

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“…It is estimated that the probability of permanent sequels and deaths of patients in the Neonatal Intensive Care Unit (NICU), caused by adverse events, is 0.6%. NICU can be characterized as a unit that receives patients less than 29 days old (10) .…”

Section: Introductionmentioning

confidence: 99%

Cost-effectiveness of infusion pumps to reduce errors in a Pediatric ICU

et al. 2019

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Objective: To analyze cost-effectiveness and to calculate incremental cost-effectiveness ratio of the use of infusion pumps with drug library to reduce errors in intravenous drug administration in pediatric and neonatal patients in Intensive Care Units. Methods: Mathematical modeling for economic analysis of the decision tree type. The base case was composed of reference and alternative settings. The target population was neonates and pediatric patients hospitalized in Pediatric and Neonatal Intensive Care Units, comprising a cohort of 15,034 patients. The cost estimate was based on the bottom-up and top-down approaches. Results: The decision tree, after RollBack, showed that the infusion pump with drug library may be the best strategy to avoid errors in intravenous drugs administration. Conclusion: The analysis revealed that the conventional pump, although it has the lowest cost, also has lower effectiveness. RESUMOObjetivo: Analisar o custo-efetividade e calcular a razão de custo-efetividade incremental do uso de bombas de infusão com biblioteca de fármacos para reduzir erros na administração de medicamento pela via intravenosa, em pacientes pediátricos e neonatais em Unidades de Terapia Intensiva. Método: Modelagem matemática para análise econômica, do tipo árvore de decisão. O caso-base foi composto pelos cenários de referência e alternativo. A população alvo foram pacientes neonatos e pediátricos internados em Unidades de Terapia Intensiva pediátrica e neonatal, compondo uma coorte de 15.034 pacientes. A estimativa de custos foi baseada nas abordagens bottom-up e top-down. Resultados: A árvore de decisão, após RollBack, mostrou que a bomba de infusão com biblioteca de fármacos pode ser a melhor estratégia para evitar erros na administração de medicamentos intravenosos. Conclusão: A análise revelou que a bomba convencional, embora tenha o menor custo, tem também menor efetividade. Descritores: Enfermagem; Avaliação da Tecnologia Biomédica; Análise Custo-Benefício; Preparações Farmacêuticas; Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos. RESUMENObjetivo: Analizar el costo-efectividad y calcular la razón de costo-efectividad incremental del uso de bombas de infusión con una biblioteca de fármacos para reducir errores en la administración de medicamentos por vía intravenosa, en pacientes pediátricos y neonatales en unidades de terapia intensiva. Método: Modelaje matemático para el análisis económico, del tipo árbol de decisión. El caso base se compone de escenarios de referencia y alternativo. La población objetivo fueron pacientes neonatos y pediátricos internados en unidades de terapia intensiva pediátrica y neonatal, componiendo una cohorte de 15.034 pacientes. La estimación de costos se basó en los enfoques bottom-up y top-down. Resultados: El árbol de decisión, después de Roll Back, mostró que la bomba de infusión con biblioteca de fármacos puede ser la mejor estrategia para evitar errores en la administración de medicamentos intravenosos. Conclusión: El análisis reveló que la bomba conv...

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“…For example, in the USA, there are more than 30 suicidal attempts for each suicide death [10]. In Africa, the overall magnitude of suicide ranged from 2–3% [range 0.7–6.0%] [11, 13]. In Ethiopia, the prevalence of suicidal behaviors ranged from 0.9 to 60% [14–16] for suicidal ideation, 3.8 to 27% [14, 17] for suicidal attempt, and 13.96% per 100,000 [18, 19] for completed suicide.…”

Section: Introductionmentioning

confidence: 99%

“…Factors such as psychiatric disorder [20], hopelessness, and substance use were also associated with completed suicide [1, 3, 5, 20]. Suicide is an emergency psychiatric problem [9, 20, 21] and need an urgent treatment; yet, stigma, taboo, laws, and other associated cultural criticism affect the societies’ attitude and practice toward the identification and treatment of suicidal behaviors [3, 5, 8, 9, 13, 21]. In spite of the high burden of suicidal behaviors, developing countries [11, 13] like Ethiopia give little research attention, and the available individual studies also reported inconsistent results, which need comprehensive up-to-date information.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of suicidal ideation, suicidal attempt and completed suicide in Ethiopia: a systematic review and meta-analysis protocol

et al. 2019

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BackgroundSuicide is an emergency psychiatric problem that needs an urgent intervention. Ethiopia, as a nation, has been experiencing high burden of suicide. Cultural taboo, stigma, and criticism associated with suicidal behaviors affect the communities’ attitude and practice toward suicide and its help-seeking behaviors. Thus, this systematic review and meta-analysis will provide the pooled prevalence of suicidal ideation, suicidal attempt, and completed suicide in Ethiopia.MethodsThis review protocol is designed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P 2015 Guidelines). Studies reporting the prevalence of suicidal ideation, suicidal attempt, and completed suicide will be included from the databases of PubMed/MEDLINE, Cochrane Library, SCOPUS, EMBASE, and Web of Sciences. The reference lists of retrieved articles, Google Scholar, and national health database reporting suicide will be also searched. No time and language restrictions will be imposed on the search strategy. The methodological quality of included studies will be assessed using the Joanna Briggs Institute critical appraisal tool. The heterogeneity between studies will be measured by the index of heterogeneity (I2 statistics) test. Funnel plots and Egger’s test will be used to determine publication bias. Moreover, subgroup and sensitivity analyses will be carried out. The pooled prevalence of suicidal ideation, suicidal attempt, and completed suicide will be calculated by metaprop command using random effects model with the Dersimonian and Laird method.DiscussionThis systematic review and meta-analysis aims to explore the available epidemiological evidences about suicidal ideation, suicidal attempt, and completed suicide. The final results of this review will be submitted for publication in a peer-reviewed journal and presented at conferences. The review of the results will help to raise awareness about the burden of suicidal ideation, suicidal attempt, and completed suicide in Ethiopia.Systematic review registrationPROSPERO CRD42018112836

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Los errores de tratamiento en una unidad neonatal, uno de los principales acontecimientos adversos

Abstract: It is essential to determine the current state of ME, in order to establish preventive measures and, together with teamwork and good practices, promote a climate of safety.

Cited by 15 publications

References 27 publications

Learning from mistakes: analyzing incidents in a neonatal care unit

Learning from mistakes: analyzing incidents in a neonatal care unit

Cost-effectiveness of infusion pumps to reduce errors in a Pediatric ICU

Prevalence of suicidal ideation, suicidal attempt and completed suicide in Ethiopia: a systematic review and meta-analysis protocol

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