Precisión y exhaustividad del registro de eventos adversos mediante una terminología de interfase

González-Samartino, Maribel; Delgado‐Hito, Pilar; Adamuz-Tomás, Jordi; Cano, Maria Fe Viso; Creus, Mònica Castellà; Juvé‐Udina, Maria‐Eulàlia

doi:10.1590/s1980-220x2017011203306

Cited by 6 publications

(7 citation statements)

References 19 publications

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“…Around 2% of patients experienced an AE, a frequency similar to those recorded in previous reports [7,11,[26][27][28][29]. In addition, 2.2% of patients died during hospitalization, again in line with other studies reporting rates ranging between 1-5% [9,30,31].…”

Section: Discussionsupporting

confidence: 88%

Care complexity individual factors associated with adverse events and in-hospital mortality

et al. 2020

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Introduction Measuring the impact of care complexity on health outcomes, based on psychosocial, biological and environmental circumstances, is important in order to detect predictors of early deterioration of inpatients. We aimed to identify care complexity individual factors associated with selected adverse events and in-hospital mortality. Methods A multicenter, case-control study was carried out at eight public hospitals in Catalonia, Spain, from January 1, 2016 to December 31, 2017. All adult patients admitted to a ward or a step-down unit were evaluated. Patients were divided into the following groups based on the presence or absence of three adverse events (pressure ulcers, falls or aspiration pneumonia) and in-hospital mortality. The 28 care complexity individual factors were classified in five domains (developmental, mental-cognitive, psycho-emotional, sociocultural and comorbidity/complications). Adverse events and complexity factors were retrospectively reviewed by consulting patients' electronic health records. Multivariate logistic analysis was performed to identify factors associated with an adverse event and in-hospital mortality. Results A total of 183,677 adult admissions were studied. Of these, 3,973 (2.2%) patients experienced an adverse event during hospitalization (1,673 [0.9%] pressure ulcers; 1,217 [0.7%] falls and 1,236 [0.7%] aspiration pneumonia). In-hospital mortality was recorded in 3,996 patients (2.2%). After adjustment for potential confounders, the risk factors independently associated with both adverse events and in-hospital mortality were: mental status impairments, impaired adaptation, lack of caregiver support, old age, major chronic disease, hemodynamic instability, communication disorders, urinary or fecal incontinence, vascular

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Section: Discussionsupporting

confidence: 88%

Care complexity individual factors associated with adverse events and in-hospital mortality

et al. 2020

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“…The importance of the documentation supports the guaranteed continuity of safety policies, supported by electronic records and qualification and evaluation systems. 13 As for the third category, corresponding to strategies for successfully reporting the adverse event, in our study, we found several answers that point towards permanent education on the safety culture, effective and continuing communication with peers and heads, thus preserving confidence for the professional committing the error to report immediately, with the security that (s) he will not be punished.…”

Section: /10mentioning

confidence: 77%

Nursing Professionals and Adverse Event Reporting

Maldonado

Nascimento

Lazzari

2020

Texto contexto - enferm.

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Objective: to identify how nurses report adverse events; to know what elements influence adverse event reporting and which reporting strategies they suggest. Method: qualitative study with a convergent care research design, conducted in a critical patient unit of a private health center in the region of Magallanes, Chile. Thirteen nurses participate in the study, through interviews and a discussion group. Results: the nurses who report adverse events do so verbally and in writing to the nurse coordinator immediately. Failure to report adverse events is mainly due to lack of knowledge of the safety culture, fear of reprisals and punishment within the workplace. As adverse event reporting strategies, they suggest continuing education about the safety culture, raising awareness and trust in that error reporting will not be met with punishment and that the error will lead to an improvement plan that avoids committing the same error on another occasion, improving communication and leadership. Conclusion: although nurses report adverse events, they are concerned with punishment, indicating the need to review the patient safety culture at a critical care unit in the study context.

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“…Two of the hospitals participating in the study organise clinical care sessions, with the purpose of discussing a patient's SCP individualisation. The study conducted by González-Samartino et al (2018) shows that the nurses who participate in these sessions record adverse events in the individualised care plan with greater diagnostic accuracy and completeness. It would be desirable if hospitals found a way to enable nurses to attend these sessions, during the working hours of each shift, with the reassurance of knowing that the patients are receiving the appropriate care.…”

Section: Discussionmentioning

confidence: 99%

“…Second, some nurses still prefer to use progress notes to record the patient status. The conviction that they will be consulted by other professionals prior to looking at an individualised care plan and the habit of writing descriptions in free text (González-Samartino et al, 2018) means that their use prevails over individualised care plans.…”

Section: Discussionmentioning

confidence: 99%

Barriers and facilitators involved in standardised care plan individualisation process in acute hospitalisation wards: A grounded theory approach

Castellà-Creus

Delgado‐Hito

Casanovas-Cuellar

et al. 2019

Journal of Clinical Nursing

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Objective To identify and classify the barriers and facilitators of the individualisation process of the standardised care plan in hospitalisation wards. Background The administration of individualised care is one of the features of the nursing process. Care plans are the structured record of the diagnosis, planning and evaluation stages of the nursing process. Although the creation of standardised care plan has made recording easier, it is still necessary to record the individualisation of the care. It is important to study the elements that influence the individualisation process from the nurses' perspective. Design Qualitative study with the grounded theory approach developed by Strauss and Corbin. Methods Thirty‐nine nurses from three hospitals participated by way of theoretical sampling. In‐depth interviews were conducted, as well as participant observation, document analysis and focus group discussion. The analysis consisted of open, axial and selective coding until data saturation was reached. EQUATOR guidelines for qualitative research (COREQ) were applied. Results For both barriers and facilitators, three thematic categories emerged related to organisational, professional and individual aspects. The identified barriers included routines acquired in the wards, the tradition of narrative records, lack of knowledge and limited interest in individualisation. The identified facilitators included holding clinical care sessions, use of standardised care plan and an interface terminology, the nurse's expertise and willingness to individualise. Conclusion The individualisation process of the standardised care plan involves multiple barriers and facilitators, which influence its degree of accuracy. Relevance to clinical practice Implementing strategies at an organisational level, professional level and individual level to improve the way the process is carried out would encourage individualising the standardised care plan in a manner that is consistent with the needs of the patient and family; it would improve the quality of care and patient satisfaction.

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Precisión y exhaustividad del registro de eventos adversos mediante una terminología de interfase

Cited by 6 publications

References 19 publications

Care complexity individual factors associated with adverse events and in-hospital mortality

Care complexity individual factors associated with adverse events and in-hospital mortality

Nursing Professionals and Adverse Event Reporting

Barriers and facilitators involved in standardised care plan individualisation process in acute hospitalisation wards: A grounded theory approach

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