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2.
Univ. odontol ; 36(77)2017. graf, tab
Artigo em Espanhol | LILACS, COLNAL | ID: biblio-996346

RESUMO

Antecedentes: Uno de los mecanismos para garantizar la calidad de la atención en salud es el análisis de eventos adversos en los tratamientos. El área de la rehabilitación oral es una de las más propensas, dada la complejidad de sus procedimientos. Objetivo: Analizar los eventos adversos que se presentaron en la clínica del posgrado de rehabilitación oral de la Facultad de Odontología de la Pontificia Universidad Javcriana de Bogotá durante 2013. Métodos: De 595 historias clínicas correspondientes a todos los pacientes que finalizaron su tratamiento en 2013. 590 cumplieron con el requisito de estar firmadas por el paciente y por el profesor. A partir de las historias que contenían algún reporte de evento adverso, se registraron los datos demográficos de los pacientes, los tipos de eventos adversos reportados, las posibles causas que su ocurrencia y si eran o no prevenibles. Resultados: En 36 (6,1 %) de las historias clínicas analizadas se encontró algún reporte de evento adverso. El evento más frecuente fue la perdida de la restauración (42 %). La causa más frecuente fue la fractura completa de la restauración (19 %). El 58 % se consideró evento adverso prevenible. En el 61,1 % de los casos fueron prótesis fijas dcntorrctcnidas. Conclusiones: La frecuencia de eventos adversos reportada en las historias clínicas de pacientes atendidos en el área de rehabilitación es baja. Teniendo en cuenta de condición de prevenible de estos casos, es importante registrarlos y analizarlos para asegurar la calidad en la atención de los pacientes.


Background: One of the mechanisms that ensures the health care quality is the analysis of adverse events in the treatment. The oral rehabilitation area is among the more likely because of the complex procedures involved. Objective: To analyze the adverse events that occurred in the clinic of the oral rehabilitation graduate program at the Pontificia Universidad Javeriana Dentistry School in Bogotá during 201 "i.Methods: Out of 595 medical records including all the patients who completed their treatment in 2013. 590 fulfilled the requirement of being signed both by the patient and the teacher. Based on the medical records that reported any kind of adverse event, the patient information regarding demographic data, type of reported adverse event, potential causes for their occurrence, and whether they were preventable was gathered. Results: In 36 (6.1%) of the examined medical records, at least one report of adverse event was found. The most frequently found event was the restoration loss (42%). The most frequently found cause was the full fracture of the restoration (19%). Fifty-eight (58 %) of the adverse events were preventable. Sixty-one (61.1%) of the eases were retained fixed dental prosthcscs. Conclusions: Ihc frequency of adverse events reported in the medical records of patients treated in the rehabilitation area is low. Considering that the eases arc preventable, it is important to record and examine these eases in order to ensure the health care quality for the patients.


Assuntos
Prostodontia , Administração em Saúde , Segurança do Paciente/história , Doença Iatrogênica
3.
J Perioper Pract ; 25(3): 37-8, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26016279

RESUMO

This simple quality initiative won the best innovation in clinical practice at the recent CEO healthcare awards gala event in the North West of Ireland. It demonstrated how a simple collaborative idea led to improving the quality and safety of care in the operating room. As practitioners we have a huge contribution to make in providing quality and safe care to our patients. It is crucial that we share knowledge and have our input recognised.


Assuntos
Distinções e Prêmios , Enfermagem de Centro Cirúrgico/história , Enfermagem de Centro Cirúrgico/métodos , Inovação Organizacional , Segurança do Paciente/história , Melhoria de Qualidade/história , Qualidade da Assistência à Saúde/história , Comunicação , Comportamento Cooperativo , Equipamentos e Provisões , História do Século XXI , Humanos , Irlanda , Estudos de Casos Organizacionais
4.
AANA J ; 83(1): 50-5, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25842634

RESUMO

The model of evidence-based practice (EBP) of Alice Magaw places the practice of nurse anesthesia as an early pioneer in patient safety and is prophetic to the aims of the Institute of Medicine (IOM). In its 2001 report, Crossing the Quality Chasm, the IOM identified 6 aims essential to improving the delivery of care. These aims include safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. Magaw used her vast expertise in anesthetic administration to develop protocols and a body of knowledge that could be used as a template for practitioners near and far. This early use of EBP principles places nurse anesthesia at the forefront of the model and the movement to provide high-quality care. Practitioners sought her practice model out as she demonstrated her techniques to visiting providers as well as through her published ideal anesthetics in the literature. She wrote, "Pioneers are noted for building upon a body of knowledge, establishing a model for continuous improvement, and exemplifying notable methods of research with subsequent documentation of their findings." Magaw exemplified the EBP model.


Assuntos
Anestesia Geral/história , Anestesia Geral/normas , Prática Clínica Baseada em Evidências/história , Modelos de Enfermagem , Enfermeiros Anestesistas/história , Enfermeiros Anestesistas/normas , Segurança do Paciente/história , Atenção à Saúde/história , Atenção à Saúde/normas , Prática Clínica Baseada em Evidências/normas , História do Século XIX , História do Século XX , História do Século XXI , Humanos , Segurança do Paciente/normas , Qualidade da Assistência à Saúde/história , Qualidade da Assistência à Saúde/normas , Gestão da Segurança/história , Gestão da Segurança/normas , Estados Unidos
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