Medical Devices and Patient Safety

Mattox, Elizabeth Andersson

doi:10.4037/ccn2012925

Cited by 33 publications

(48 citation statements)

References 23 publications

(24 reference statements)

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“…A literature review aimed at raising awareness among nurses regarding the improper handling of intensive care equipment identified the so-called "error of use of equipment" as the most typical typology to ICUs. The origin of this error could be related to the inadequate performance of the device (12) . The infusion pumps that the literature identifies as causing about 30% to 60% of all harmful damages with intravenous medication are some examples of these situations.…”

Section: Discussionmentioning

confidence: 99%

“…The infusion pumps that the literature identifies as causing about 30% to 60% of all harmful damages with intravenous medication are some examples of these situations. Many of these errors happen during the stage of programming the infusion pumps, notably regarding the infusion velocity, which can cause the administration of an excessive dose and even overdose (12) . This corroborates the data from the included part of this review that found discrepancies between medication orders and pumping programming.…”

Section: Discussionmentioning

confidence: 99%

“…Improper use of equipment Finding evidence that the improper use of equipment implies the occurrence of adverse events to the client hospitalized in intensive care sectors highlights the influence of the human factor, and ratifies the findings of other investigations on the use of equipment in the field of patient safety (12,16) . A retrospective survey of adverse events associated with medical devices, including equipment, in the first half of 2010 in a Colombian surgery service, identified 29 adverse events: two classified as light; 17 as mild; four as serious; and six as potential AEs.…”

Section: Discussionmentioning

confidence: 99%

“…In a report published in 2002, the Food and Drug Administration (FDA) estimated that technology-associated errors account for hundreds and even thousands of deaths a year (12) . In Brazil, the Patient Safety Program (Programa de Segurança do Paciente or PNSP) ratifies this concern about safe use of equipment.…”

Section: Introductionmentioning

confidence: 99%

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Tecnologias na terapia intensiva: causas dos eventos adversos e implicações para a Enfermagem

2016

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915Rev Bras Enferm [Internet]. 2016 set-out;69 (5) ABSTRACT Objective: to identify the causes of adverse events affecting clients resulting from the use of equipment in intensive care services; to point out the main recommendations for clinical practice to minimize these events and, then, discuss the implications to nursing care. Method: integrative and descriptive review on the SciELO, Medline, LILACS, and PubMed databases. Articles were selected based on the inclusion criteria and the structured instrument was applied. Results: altogether, 11 articles were selected where three evidence units were outstanding: Equipment failure; inadequate use of equipment; and team failure. Permanent education of professionals; evaluation of production and availability of equipment; and use of checklists are recommended. Conclusion: preventing adverse events related to equipment is one of the nursing responsibilities and requires the establishment of defensive barriers to prevent these. Descriptors: Biomedical Technology; Intensive Care Units; Nursing; Patient Safety; Nursing Care. RESUMO Objetivo: identifi car as causas de eventos adversos no cliente relacionados aos equipamentos presentes no cenário de terapia intensiva; indicar as principais recomendações à prática clínica para minimizar tais eventos e, então, discutir as implicações na assistência de enfermagem. Método: revisão integrativa, descritiva, realizada nas bases SciELO, Medline, Lilacs e Pubmed. Para seleção dos artigos, foram adotados critérios de inclusão e aplicado instrumento estruturado. Resultados: captou-se um total de 11 artigos, nos quais sobressaem três unidades de evidência: falha do equipamento, uso inapropriado do equipamento e falha da equipe. Recomendam-se: educação permanente dos profi ssionais; avaliação da produção e disponibilidade dos equipamentos; e uso de checklists. Conclusão: a prevenção de eventos adversos com equipamentos é uma das responsabilidades da enfermagem e, nesse sentido, é relevante a criação de barreiras defensivas para evitá-los. Descritores: Tecnologia Biomédica; Unidades de Terapia Intensiva; Enfermagem; Segurança do Paciente; Cuidados de Enfermagem. RESUMENObjetivo: identifi car las causas de eventos adversos del usuario, relacionados con los equipamientos presentes en el ámbito de terapia intensiva; indicar las principales recomendaciones a la práctica clínica para minimizarlos; y discutir consecuentemente las implicaciones en la atención de enfermería. Método: revisión integrativa, descriptiva, realizada en bases de datos SciELO, Medline, Lilacs y Pubmed. Artículos seleccionados por criterios de inclusión adoptados, aplicándose instrumento estructurado. Resultados: Se obtuvieron en total 11 artículos, sobresaliendo tres unidades de evidencia: falla de equipamientos, uso inapropiado del equipamiento y falla del grupo. Se recomendó: educación permanente de profesionales; evaluación de producción y disponibilidad de equipamientos; y uso de check-list. Conclusión: la prevención de eventos adversos por equipamientos es respon...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Tecnologias na terapia intensiva: causas dos eventos adversos e implicações para a Enfermagem

2016

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“…Among the errors, we may cite inaccurate values, incorrect setting and forgetting to turn on the pump after interruption (15)(16) . Infusion pumps account for 30-60% of all errors with intravenous medication, some of them requiring intervention for life maintenance (17) .…”

Section: Discussionmentioning

confidence: 99%

Validation of an instrument regarding nursing intervention in patients in vasoactive therapy

et al. 2017

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How to cite this article: Paim AE, Nascimento ERP, Bertoncello KCG, Sifroni KG, Salum NC, Nascimento KC. ABSTRACT Objective: to validate the content of a Standard Operational Procedure, regarding nursing interventions in emergency patients treated with vasoactive drugs. Method: methodological study, carried out from December 2015 to January 2016. Content validity was determined by 16 experts (13 nurses, 2 pharmacists and one biomedical scientist), who judged it through a four-point Likert scale. The items were evaluated in terms of: feasibility, objectivity, simplicity, clearness, pertinence and accuracy. The Content Validity Index was applied, accepting the value ≥ 0.90. Results: two rounds of evaluation were required to achieve the minimum index. The items were reviewed regarding writing, dilution, indication and replacement interval. The instrument was validated with 33 items and with total Content Validity Index of 0.99. Conclusion: the instrument was considered appropriate, fractionally and globally, for nursing care for the patient treated with vasoactive drugs in emergency, in a safe and reliable way.

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Vital measurements and shock syndromes in critically ill adults

Booker

Andrews

2015

Critical Care Nursing

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Medical Devices and Patient Safety

Cited by 33 publications

References 23 publications

Tecnologias na terapia intensiva: causas dos eventos adversos e implicações para a Enfermagem

Tecnologias na terapia intensiva: causas dos eventos adversos e implicações para a Enfermagem

Validation of an instrument regarding nursing intervention in patients in vasoactive therapy

Vital measurements and shock syndromes in critically ill adults

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