Pediatric Patient Safety in the Administration of Blood Components

Abstract

Objective: to analyze pediatric patient safety in the administration of blood components. Method: a documentary and retrospective study, developed at a hospital in the Brazilian Midwest region. Data collection took place through medical records and 234 transfusions were identified, performed in 90 patients aged from zero to twelve years old, hospitalized between July and December 2020. An instrument based on good practice guidelines about blood components was used. Descriptive and inferential statistics were used for data analysis. Results: the transfusions were predominantly performed in breastfeeding infants (71.1%). Blood transfusions in critical sectors stood out (86.3%), as well as with indication of a clinical order (87.2%) and prescription of packed red blood cells (75.3%). The Nursing reports identified adverse events (n=05) and incidents (n=13) that were associated with inadequacies between the prescribed and infused volumes and the request and administration time (p<0.001), although no notification was formalized in the institution during the period. Conclusion: the administration of blood components presented nonconformities, which results in risk situations for pediatric patients.

Nursing Technicians' Proxemic Behaviors During Transfusions in Hospitalized Clients

“…A comparable study found a similar approach when looking at pharmacists' dispensing. Invisible and beyond appearances, recognizing them as responsible and competent professionals to help them understand their health condition and the corresponding treatment methods 26 .…”

Comportamentos Proxêmicos De Técnicos De Enfermagem Durante O Ato Transfusional Em Clientes Hospitalizados

“…Estudo parecido encontrou abordagem semelhante ao olhar para a dispensação do farmacêutico. Invisível e além das aparências, reconhecendo-o como um profissional responsável e competente para ajudá-lo a compreender sua condição de saúde e os métodos de tratamento correspondentes 26 .…”