Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 7.054
Acute Med ; 20(1): 37-47, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33749693


The aim of this scoping review is to identify patient reported outcome measures (PROMs) in acute care settings, assess their psychometric properties and provide recommendations for their use in daily practice. We performed a search in the PubMed database to identify publications concerning PROMs in an acute care setting. The COSMIN checklist was used to assess the psychometric properties of the reported PROMs. We found 1407 publications and included 14 articles, describing 15 measures. Most publications provided limited information on psychometric properties. Three generic PROMs were deemed of adequate quality for use in acute care. We recommend future development and evaluation of PROMs focussing on acute care to further evaluate and improve the quality of acute care.

Lista de Verificación , Medición de Resultados Informados por el Paciente , Cuidados Críticos , Humanos , Psicometría , Encuestas y Cuestionarios
East Mediterr Health J ; 27(2): 131-141, 2021 Feb 25.
Artículo en Inglés | MEDLINE | ID: mdl-33665797


Background: During epidemics and pandemics, health systems, and especially hospitals, face many challenges in the management of patients and staff. Hospital preparedness measures are critical for hospitals to respond effectively to the admission and management of COVID-19 patients. Ministry of health policy for pandemics must cover the ability of hospitals to respond to COVID-19. Aims: The aim of this study was to develop a checklist for evaluating the preparedness of hospitals to respond to the COVID-19 pandemic. Methods: We searched for and reviewed available evidence, including the literature and guidelines presented by related organizations. Due to the COVID-19 outbreak, face-to-face interview was not possible so we used telephone and video connections, mobile applications and email for unstructured interviews. Checklist development was carried out by a multidisciplinary panel of experts. Results: After applying the opinions of the experts, the final checklist had 2 main domains: measures at national and measures at hospital level. Preparedness at national level was categorized into 3 aspects that are implemented by the health ministry. Preparedness at hospital level was categorized in 24 subgroups. Conclusion: Hospital preparedness for admission and management of COVID-19 patients is essential. A checklist for the assessment of hospital preparedness for COVID-19 patient management and hospital management was designed and developed. Our preparedness assessment checklist is an expanded tool that provides clear and practical guidance that can be adapted for any hospital admitting COVID-19 patients.

/epidemiología , Lista de Verificación , Planificación en Desastres/organización & administración , Administración Hospitalaria , Humanos , Irán , Pandemias , Administración en Salud Pública
CMAJ Open ; 9(1): E295-E301, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33785477


BACKGROUND: The quality of case reports, which are often the first reported evidence for a disease, may be negatively affected by a rush to publication early in a pandemic. We aimed to determine the completeness of reporting (COR) for case reports published on coronavirus disease 2019 (COVID-19). METHODS: We conducted a systematic search of the PubMed database for all single-patient case reports of confirmed COVID-19 published from Jan. 1 to Apr. 24, 2020. All included case reports were assessed for adherence to the CARE (Case Report) 31-item checklist, which was used to create a composite COR score. The primary outcome was the mean COR score assessed by 2 independent raters. Secondary outcomes included whether there was a change in overall COR score with certain publication factors (e.g., publication date) and whether there was a linear relation between COR and citation count and between COR scores and social media attention. RESULTS: Our search identified 196 studies that were published in 114 unique journals. We found that the overall mean COR score was 54.4%. No one case report included all of the 31 CARE checklist items. There was no significant correlation between COR with either citation count or social media attention. INTERPRETATION: We found that the overall COR for case reports on COVID-19 was poor. We suggest that journals adopt common case-reporting standards to improve reporting quality.

/epidemiología , Lista de Verificación/normas , Edición/normas , Informe de Investigación/normas , Bibliografía de Medicina , Bibliometría , /virología , Manejo de Datos , Estudios Epidemiológicos , Ética , Adhesión a Directriz , Humanos , Evaluación de Resultado en la Atención de Salud , Informe de Investigación/tendencias , /aislamiento & purificación , Medios de Comunicación Sociales/estadística & datos numéricos
Laryngoscope ; 131 Suppl 4: S1-S42, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33729584


OBJECTIVES/HYPOTHESIS: Facial nerve monitoring (FNM) has evolved into a widely used adjunct for many surgical procedures along the course of the facial nerve. Even though majority opinion holds that FNM reduces the incidence of iatrogenic nerve injury, there are few if any studies yielding high-level evidence and no practice guidelines on which clinicians can rely. Instead, a review of the literature and medicolegal cases reveals significant variations in methodology, training, and clinical indications. STUDY DESIGN: Literature review and expert opinion. METHODS: Given the lack of standard references to serve as a resource for FNM, we assembled a multidisciplinary group of experts representing more than a century of combined monitoring experience to synthesize the literature and provide a rational basis to improve the quality of patient care during FNM. RESULTS: Over the years, two models of monitoring have become well-established: 1) monitoring by the surgeon using a stand-alone device that provides auditory feedback of facial electromyography directly to the surgeon, and 2) a team, typically consisting of surgeon, technologist, and interpreting neurophysiologist. Regardless of the setting and the number of people involved, the reliability of monitoring depends on the integration of proper technical performance, accurate interpretation of responses, and their timely application to the surgical procedure. We describe critical steps in the technical set-up and provide a basis for context-appropriate interpretation and troubleshooting of recorded signals. CONCLUSIONS: We trust this initial attempt to describe best practices will serve as a basis for improving the quality of patient care while reducing inappropriate variations. LEVEL OF EVIDENCE: 4 Laryngoscope, 131:S1-S42, 2021.

Electromiografía/métodos , Nervio Facial/fisiología , Nervio Facial/cirugía , Monitoreo Intraoperatorio/instrumentación , Guías de Práctica Clínica como Asunto/normas , Anciano , Lista de Verificación , Análisis Costo-Beneficio , Traumatismos del Nervio Facial/epidemiología , Traumatismos del Nervio Facial/prevención & control , Femenino , Humanos , Enfermedad Iatrogénica/epidemiología , Enfermedad Iatrogénica/prevención & control , Incidencia , Masculino , Persona de Mediana Edad , Monitoreo Intraoperatorio/métodos , Neurofisiología/métodos , Neurofisiología/estadística & datos numéricos , Preceptoría/normas , Calidad de la Atención de Salud , Reproducibilidad de los Resultados
Medicine (Baltimore) ; 100(11): e24841, 2021 Mar 19.
Artículo en Inglés | MEDLINE | ID: mdl-33725955


ABSTRACT: Symptom Checklist-90 (SCL-90) is the popular and widely used instrument, whether in mental health screening, psychological consultation, or the diagnosis and estimate of mental illness. In 1984, it was translated from theEnglish version into Chinese and then SCL-90 has been widely used in China. It is a pity that the item text of Chinese version has not been revised since the birth of it until today. We analyzed the Chinese version of the 90-item text from 3 new perspectives: translation, semantic, and cross-cultural, and thought that 18 items should be revised. This study' results have taken one step forward on the basis of previous studies, which will play an important role in improving the quality of Chinese version SCL-90 and improving the mental health level of Chinese people.

Lista de Verificación/normas , Trastornos Mentales/diagnóstico , Pruebas Psicológicas/normas , Semántica , Evaluación de Síntomas/normas , Grupo de Ascendencia Continental Asiática/psicología , China , Comparación Transcultural , Humanos , Psicometría , Reproducibilidad de los Resultados , Traducciones
Occup Ther Int ; 2021: 6658786, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33688309


Background: Sensory processing supports children's development and abilities to participate in activities across contexts. Self-regulation skills may influence how children process various sensory experiences in daily life activities. The Sensory Processing and Self-Regulation Checklist (SPSRC) is a 130-item caregiver-reported checklist, covering children's essential sensory processing and self-regulation performance in daily activities. Objectives: This study examines the psychometric properties of the SPSRC (English version) in measuring the sensory processing and self-regulation abilities of children. Methods: A preliminary field testing of the SPSRC-English was conducted in a sample of n = 194 children (164 without disability and 30 with a disability) to evaluate its reliability and validity properties. Results: The SPSRC-English was shown to have high internal consistency and test-retest reliability; and good discriminant, structural, and criterion validity in the sensory processing and self-regulation abilities of children with and without disability ages 4-12 years. Conclusion: The current study provides initial evidence on the reliability and validity of SPSRC-English in measuring the sensory processing and self-regulation abilities in children with and without a disability. The SPSRC-English may provide salient information supporting the understanding of sensory processing difficulties among children.

Trastorno del Espectro Autista/diagnóstico , Lista de Verificación/normas , Discapacidades del Desarrollo/diagnóstico , Psicometría/estadística & datos numéricos , Autocontrol , Encuestas y Cuestionarios/normas , Niño , Preescolar , Femenino , Humanos , Masculino , Percepción , Reproducibilidad de los Resultados
AJR Am J Roentgenol ; 216(3): 704-717, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33534619


OBJECTIVE. The purpose of this article is to provide a practice-focused review of accelerating musculoskeletal MRI with the use of widely accessible techniques and to assess the effects of such acceleration on the value of musculoskeletal MRI. CONCLUSION. Echo-train compaction with fast radiofrequency pulses, high gradient performance modes, and high receiver bandwidth, as well as basic phase undersampling techniques, affords at least twofold acceleration of musculoskeletal MRI examinations while retaining image quality, comprehensiveness, and diagnostic performance. Optimized efficiency is a cornerstone for adding value to musculoskeletal MRI.

Lista de Verificación , Imagen por Resonancia Magnética/métodos , Sistema Musculoesquelético/diagnóstico por imagen , Adulto , Análisis de Fourier , Humanos , Imagen por Resonancia Magnética/normas , Masculino , Factores de Tiempo
Reprod Health ; 18(1): 50, 2021 Feb 27.
Artículo en Inglés | MEDLINE | ID: mdl-33639966


BACKGROUND: We aim to assess competencies (knowledge, skills and attitudes) of midwifery care providers as well as their experiences and perceptions of in-service training in the four study countries; Benin, Malawi, Tanzania and Uganda as part of the Action Leveraging Evidence to Reduce perinatal mortality and morbidity in sub-Saharan Africa project (ALERT). While today more women in low- and middle-income countries give birth in health care facilities, reductions in maternal and neonatal mortality have been less than expected. This paradox may be explained by the standard and quality of intrapartum care provision which depends on several factors such as health workforce capacity and the readiness of the health system as well as access to care. METHODS: Using an explanatory sequential mixed method design we will employ three methods (i) a survey will be conducted using self-administered questionnaires assessing knowledge, (ii) skills drills assessing basic intrapartum skills and attitudes, using an observation checklist and (iii) Focus Group Discussions (FGDs) to explore midwifery care providers' experiences and perceptions of in-service training. All midwifery care providers in the study facilities are eligible to participate in the study. For the skills drills a stratified sample of midwifery care providers will be selected in each hospital according to the number of providers and, professional titles and purposive sampling will be used for the FGDs. Descriptive summary statistics from the survey and skills drills will be presented by country. Conventional content analysis will be employed for data analysis of the FGDs. DISCUSSION: We envision comparative insight across hospitals and countries. The findings will be used to inform a targeted quality in-service training and quality improvement intervention related to provision of basic intrapartum care as part of the ALERT project. TRIAL REGISTRATION: PACTR202006793783148-June 17th, 2020.

Actitud del Personal de Salud , Competencia Clínica , Partería , Obstetricia/normas , Calidad de la Atención de Salud , Adulto , Benin/epidemiología , Lista de Verificación , Competencia Clínica/normas , Competencia Clínica/estadística & datos numéricos , Parto Obstétrico/enfermería , Parto Obstétrico/normas , Parto Obstétrico/estadística & datos numéricos , Femenino , Grupos Focales , Conocimientos, Actitudes y Práctica en Salud , Personal de Salud/normas , Personal de Salud/estadística & datos numéricos , Accesibilidad a los Servicios de Salud/normas , Humanos , Cuidado del Lactante/normas , Cuidado del Lactante/estadística & datos numéricos , Recién Nacido , Malaui/epidemiología , Partería/educación , Partería/normas , Partería/estadística & datos numéricos , Obstetricia/estadística & datos numéricos , Embarazo , Encuestas y Cuestionarios , Tanzanía/epidemiología , Uganda/epidemiología , Adulto Joven
Eur J Endocrinol ; 184(2): E5-E9, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33410763


Diagnostic accuracy studies are fundamental for the assessment of diagnostic tests. Researchers need to understand the implications of their chosen design, opting for comparative designs where possible. Researchers should analyse test accuracy studies using the appropriate methods, acknowledging the uncertainty of results and avoiding overstating conclusions and ignoring the clinical situation which should inform the trade-off between sensitivity and specificity. Test accuracy studies should be reported with transparency using the STAndards for the Reporting of Diagnostic accuracy studies (STARD) checklist.

Técnicas de Diagnóstico Endocrino/normas , Pruebas Diagnósticas de Rutina/métodos , Pruebas Diagnósticas de Rutina/normas , Lista de Verificación , Humanos , Distribución Aleatoria , Valores de Referencia , Proyectos de Investigación , Tamaño de la Muestra , Sensibilidad y Especificidad
Emerg Med J ; 38(3): 217-219, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33402355


Our ED-intensive care unit has instituted a new protocol meant to maximise the safety of physicians, nurses and respiratory therapists involved with endotracheal intubation of patients known or suspected of being infected with the novel SARS-CoV-2. The level of detail involved with this checklist is a deviation from standard intubation practices and is likely unfamiliar to most emergency physicians. However, the two-person system used in our department removes the cognitive burden such complexity would otherwise demand and minimises the number of participants that would typically be exposed during endotracheal intubation. We share this checklist to demonstrate to other departments how adopting international airway guidelines to a specific institution can be achieved in order to promote healthcare worker safety.

Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Intubación Intratraqueal/normas , Lista de Verificación , Servicio de Urgencia en Hospital , Humanos , New York , Pandemias
BMC Pregnancy Childbirth ; 21(1): 77, 2021 Jan 22.
Artículo en Inglés | MEDLINE | ID: mdl-33482762


BACKGROUND: Childbirth is a complex process, and checklists are useful tools to remember steps of such complex processes. The World Health Organization safe childbirth checklist is a tool used to improve the quality of care provided to women giving birth. The checklist was modified by Ministry of Health and was introduced to health centers in Ethiopia by the USAID Transform: Primary Health Care Activity. METHODS: A pre and post intervention study design with prospective data collection was employed. The availability of essential childbirth supplies and adherence of health care providers to essential birth practices were compared for the pre and post intervention periods. RESULTS: The pre and post intervention assessments were conducted in 247 and 187 health centers respectively. A statistically significant improvement from 63.6% pre intervention to 83.5% post intervention was observed in the availability of essential childbirth supplies, t (389.7) = - 7.1, p = 0.000. Improvements in adherence of health care providers to essential birth practices were observed with the highest being at pause point three (26.2%, t (306.3) = - 10.6, p = 0.000) followed by pause point four (21.1%, t (282.5) = - 8.0, p = 0.000), and pause point two (18.2%, t (310.8) = - 9.7, p = 0.000). The least and statistically non-significant improvement was observed at pause point one (3.3%, t (432.0) = - 1.5, p = 0.131). CONCLUSION: Improvement in availability of essential childbirth supplies and adherence of health care providers towards essential birth practices was observed after introduction of a modified World Health Organization safe childbirth checklist. Scale up of the use of the checklist is recommended.

Lista de Verificación/estadística & datos numéricos , Parto Obstétrico/normas , Servicios de Salud Materna/organización & administración , Grupo de Atención al Paciente/organización & administración , Complicaciones del Embarazo/prevención & control , Mejoramiento de la Calidad/organización & administración , Adulto , Etiopía , Femenino , Muerte Fetal/prevención & control , Estado de Salud , Humanos , Guías de Práctica Clínica como Asunto , Embarazo , Estudios Prospectivos , Medición de Riesgo , Organización Mundial de la Salud
Rev. enferm. UFPE on line ; 15(1): [1-15], jan. 2021. ilus, tab, graf
Artículo en Portugués | BDENF - Enfermería | ID: biblio-1145767


Objetivo: avaliar o impacto de um bundle de prevenção da Pneumonia Associada à Ventilação Mecânica em uma Unidade de Terapia Intensiva pediátrica. Método: trata-se de um estudo quantitativo e quase-experimental realizado em uma Unidade de Terapia Intensiva pediátrica. Analisaram-se todos os Pacientes em Ventilação Mecânica durante um período de dois anos (nas fases pré e pós-intervenção), em relação à ocorrência de Pneumonia Associada à Ventilação Mecânica. Verificaram-se, a partir do bundle adotado, os seguintes itens: cabeceira elevada; prevenção de úlcera gástrica; higiene oral e avaliação diária da sedação. Resultados: demonstra-se que houve uma diminuição da incidência de pneumonias (P=0,002) e no tempo médio de uso do ventilador após a aplicação do protocolo (P=0,045). Detectou-se uma diferença significativa no que diz respeito às bactérias, com predomínio das Gram-negativas no grupo dos pacientes sem o uso do protocolo, em comparação ao grupo com o bundle (P=0,001). Conclusão: concluiu-se que os fatores de risco para a PAV são considerados modificáveis e que podem ser prevenidos por meio da criação de protocolos específicos de cuidados. Defende-se que a implementação do bundle na Pediatria pode reduzir as infecções nosocomiais, destacando-se a pneumonia relatada neste estudo.(AU)

Objective: to evaluate the impact of a prevention bundle for Mechanical Ventilation Associated Pneumonia in a Pediatric Intensive Care Unit. Method: This is a quantitative and quasiexperimental study conducted in a pediatric Intensive Care Unit. All Patients in Mechanical Ventilation were analyzed during a period of two years (in the pre- and post-intervention phases), in relation to the occurrence of Mechanical Ventilation Associated Pneumonia. The following items were verified from the adopted bundle: high head; prevention of gastric ulcer; oral hygiene and daily assessment of sedation. Results: it is shown that there was a decrease in the incidence of pneumonia (P=0.002) and in the mean time of use of the ventilator after the application of the protocol (P=0.045). A significant difference was detected regarding bacteria, with predominance of Gram-negative in the group of patients without the use of the protocol, compared to the group with the bundle (P=0.001). Conclusion: It was concluded that the risk factors for VAP are considered modifiable and can be prevented through the creation of specific care protocols. It is argued that the implementation of bundle in pediatrics can reduce nosocomial infections, highlighting the pneumonia reported in this study.(AU)

Objetivo: evaluar el impacto de un bundle para la prevención de la neumonía asociada a la ventilación mecánica en una unidad de cuidados intensivos pediátricos. Método: se trata de un estudio cuantitativo y cuasiexperimental realizado en una Unidad de Cuidados Intensivos pediátricos. Todos los pacientes con ventilación mecánica fueron analizados durante un período de dos años (en las fases previa y posterior a la intervención), en relación con la aparición de neumonía asociada a la ventilación mecánica. Desde el bundle adoptado, se verificaron los siguientes elementos: cabecero elevado; prevención de úlcera gástrica; la higiene bucal y la evaluación de la sedación diaria. Resultados: se demostró que hubo una disminución en la incidencia de neumonía (P = 0,002) y en el tiempo medio de uso del ventilador posterior a la aplicación del protocolo (P = 0,045). Se detectó una diferencia significativa con respecto a las bacterias, con predominio de gramnegativos en el grupo de pacientes sin uso del protocolo, frente al grupo con el bundle (p = 0,001). Conclusión: se concluyó que los factores de riesgo de NAV se consideran modificables y que se pueden prevenir mediante la creación de protocolos de atención específicos. Se argumenta que la implementación del bundle en Pediatría puede reducir las infecciones nosocomiales, destacando la neumonía reportada en este estudio.(AU)

Humanos , Masculino , Femenino , Recién Nacido , Lactante , Preescolar , Niño , Respiración Artificial , Unidades de Cuidado Intensivo Pediátrico , Protocolos Clínicos , Salud del Niño , Infección Hospitalaria , Neumonía Asociada al Ventilador , Neumonía Asociada al Ventilador/prevención & control , Registros Electrónicos de Salud , Lista de Verificación
J Stroke Cerebrovasc Dis ; 30(4): 105612, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33493876


BACKGROUND: Following stroke, individuals commonly experience persisting loss of function. Whilst long-term care should involve continued support for ongoing stroke sequelae, this is often not routinely practiced globally. The Post Stroke Checklist was designed to standardise the process of detecting persisting treatable problems following stroke. AIMS: This cross-sectional study aimed to identify the long-term problems reported in Australian and Chinese participants at six months post stroke using the Post Stroke Checklist. It also aimed to provide global insight into poststroke sequelae by comparing the study results to previously published studies which administered the Post Stroke Checklist in other countries. METHODS: Participants were recruited from two hospitals in Australia and one hospital in China. The Post Stroke Checklist consists of 11 problem areas commonly experienced after stroke. This study follows a sequence of studies which have applied the checklist to monitor long-term outcomes after stroke in Germany, Italy, Singapore, Sweden and the United Kingdom. RESULTS: Comparisons between Australia (n = 112) and China (n = 97) demonstrated statistically significant differences on the Post Stroke Checklist items. Across all seven countries, collectively the most common persisting difficulties post-stroke related to: cognition, life after stroke, mood, mobility and activities of daily living. An analysis of means procedure compared individual countries for each checklist item against the overall group mean (all countries combined). CONCLUSIONS: Globally, individuals report persisting functional difficulties following stroke. There appear to be differences in the proportions affected across the various countries, and healthcare systems may benefit from geographically tailoring post-stroke care.

Actividades Cotidianas , Lista de Verificación , Accidente Cerebrovascular/diagnóstico , Anciano , Anciano de 80 o más Años , Australia , China , Estudios Transversales , Investigación sobre Servicios de Salud , Humanos , Masculino , Salud Mental , Persona de Mediana Edad , Evaluación de Necesidades , Valor Predictivo de las Pruebas , Estudios Prospectivos , Accidente Cerebrovascular/fisiopatología , Accidente Cerebrovascular/psicología , Accidente Cerebrovascular/terapia , Rehabilitación de Accidente Cerebrovascular , Factores de Tiempo , Resultado del Tratamiento
Am J Obstet Gynecol ; 224(4): B29-B32, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33417901


Amniotic fluid embolism is a rare syndrome characterized by sudden cardiorespiratory collapse during labor or soon after delivery. Because of its rarity, many obstetrical providers have no experience in managing amniotic fluid embolism and may therefore benefit from a cognitive aid such as a checklist. We present a sample checklist for the initial management of amniotic fluid embolism based on standard management guidelines. We also suggest steps that each facility can take to implement the checklist effectively.

Lista de Verificación , Embolia de Líquido Amniótico/diagnóstico , Embolia de Líquido Amniótico/terapia , Manejo de la Vía Aérea , Cesárea , Coagulación Intravascular Diseminada/terapia , Femenino , Paro Cardíaco/terapia , Humanos , Hipertensión Pulmonar/terapia , Hemorragia Posparto/terapia , Embarazo , Inercia Uterina/terapia , Disfunción Ventricular Derecha/terapia
Esc. Anna Nery Rev. Enferm ; 25(2): e20200198, 2021. tab, graf
Artículo en Portugués | LILACS, BDENF - Enfermería | ID: biblio-1142951


RESUMO Objetivo analisar os eventos adversos cirúrgicos divulgados por uma mídia brasileira. Método pesquisa documental, qualitativa. A fonte de informação consistiu em reportagens audiovisuais sobre danos decorrentes de intervenções cirúrgicas, noticiadas em uma mídia brasileira. Para as buscas no portal eletrônico, consideraram-se as publicadas até junho de 2019. O referencial de Bardin foi empregado na análise temática. Os incidentes mencionados foram classificados segundo as barreiras de segurança contidas na Lista de Verificação de Segurança Cirúrgica (LVSC) da Organização Mundial da Saúde. Resultados foram analisados 16 casos apresentados através de 17 reportagens. Do total de falhas cometidas (n=16), a maioria (n=13) poderia ser prevenida através da checagem de itens contidos na LVSC. Na análise temática, três categorias emergiram: i. incidente relacionado à intervenção cirúrgica; ii. danos físicos, psicológicos e socioeconômicos decorrentes; iii. consequências ético-profissionais e/ou jurídicas. Conclusão e implicações para a prática os eventos adversos cirúrgicos divulgados pelas reportagens impactaram sobremaneira a vida dos pacientes, nos aspectos físicos, emocionais e socioeconômicos. Ainda trouxeram implicações para os profissionais envolvidos e instituições de saúde. Acredita-se que, as barreiras de segurança contidas em instrumento de verificação mundialmente reconhecido, são importantes ferramentas a serem empregadas para promover a segurança do paciente cirúrgico e salvar vidas.

RESUMEN Objetivo analizar los eventos quirúrgicos adversos reportados por un medio brasileño. Método investigación documental, cualitativa. La fuente de información consistió en reportajes audiovisuales sobre daños resultantes de intervenciones quirúrgicas, reportados en un medio brasileño. Para las búsquedas en el portal electrónico, se consideraron las publicaciones realizadas hasta junio de 2019. En el análisis temático se utilizó el marco de Bardin. Los incidentes mencionados fueron clasificados de acuerdo a las barreras de seguridad contenidas en la Lista de Verificación de Seguridad Quirúrgica (LVSC) de la Organización Mundial de la Salud. Resultados se analizaron 16 casos presentados a través de 17 informes. Del total de fallas cometidos (n = 16), la mayoría (n = 13) podría evitarse mediante la verificación de los elementos contenidos en el LVSC. En el análisis temático surgieron tres categorías: i. Incidente relacionado con la intervención quirúrgica; ii. daño físico, psicológico y socioeconómico resultante; iii. Consecuencias ético-profesionales y / o legales. Conclusión e implicaciones para la práctica los eventos quirúrgicos adversos reportados por los informes impactaron enormemente en la vida de los pacientes, en los aspectos físicos, emocionales y socioeconómicos. También trajeron implicaciones para los profesionales involucrados y las instituciones de salud. Se cree que las barreras de seguridad contenidas en un instrumento de verificación reconocido mundialmente son herramientas importantes que se utilizarán para promover la seguridad de los pacientes quirúrgicos y salvar vidas.

ABSTRACT Objective to analyze surgical adverse events reported by a Brazilian media. Method documentary and qualitative research. The source of information consisted of audiovisual reports on damages resulting from surgical interventions, reported in a Brazilian media. For searches on the electronic portal, those published until June 2019 were considered. Bardin's framework was used in the thematic analysis. The aforementioned incidents were classified according to the safety barriers contained in the Surgical Safety Checklist (SSC) of the World Health Organization. Results a total of 16 cases presented through 17 reports were analyzed. Of the total number of failures committed (n = 16), the majority (n = 13) could be prevented by checking items contained in the SSC. In the thematic analysis, three categories emerged: i. incident related to surgical intervention; ii. physical, psychological and socioeconomic resulting damage; iii. ethical-professional and/or legal consequences. Conclusion and implications for the practice the adverse surgical events disclosed by the reports greatly impacted on the lives of patients, in physical, emotional and socioeconomic aspects. They also brought implications for the professionals and health institutions involved. It is believed that the safety barriers contained in a globally recognized verification instrument are important tools to be used to promote the safety of surgical patients and save lives.

Humanos , Masculino , Femenino , Niño , Adolescente , Adulto , Persona de Mediana Edad , Anciano , Procedimientos Quirúrgicos Operativos/efectos adversos , Medios de Comunicación de Masas , Investigación Cualitativa , Lista de Verificación/métodos , Seguridad del Paciente , Daño del Paciente/efectos adversos , Daño del Paciente/legislación & jurisprudencia
Esc. Anna Nery Rev. Enferm ; 25(2): e20200274, 2021. tab, graf
Artículo en Portugués | LILACS, BDENF - Enfermería | ID: biblio-1133827


RESUMO Objetivo verificar as causas da não conferência do carro de emergência e o efeito sobre a taxa de adesão, por meio do emprego de ferramentas da qualidade em uma Unidade de Terapia Intensiva Neonatal. Método pesquisa mista do desenho exploratório sequencial, desenvolvida com enfermeiros e fonte documental na Unidade de Terapia Intensiva Neonatal de hospital universitário, em três etapas: 1) Brainstorming para levantamento das causas de não conferência/construção de Lista de Verificação; 2) Coleta/análise de dados pela aplicação da Lista de Verificação e Diagrama de Pareto; 3) Análise documental. Utilizou-se o teste qui-quadrado para verificar o efeito do emprego das ferramentas de qualidade na adesão à conferência. Resultados 13 causas de não conferência do carro de emergência foram identificadas, sendo oito evitáveis e cinco não evitáveis. As causas evitáveis (n=63) representaram 87,5%, sendo as principais: falta de hábito (n=17; 27%), priorizar atividades assistenciais (n=17; 27%) e realizar divisão do cuidado dos pacientes/priorizar atividades administrativas (n=9; 14,3%). A aplicação das ferramentas da qualidade teve efeito significativo (p-valor<0,001) na adesão à conferência. Conclusão e implicações para a prática o emprego das ferramentas da qualidade foi factível para a identificação causal da não conferência do carro de emergência e melhoria na sua adesão.

RESUMEN Objetivo verificar las causas de la no conferencia del automóvil de emergencia y el efecto sobre la tasa de adherencia, mediante el uso de herramientas de calidad en una Unidad de Cuidados Intensivos Neonatales. Método investigación de métodos mixtos de diseño exploratorio secuencial. Fue desarrollado con enfermeras y una fuente documental en la Unidad de Cuidados Intensivos Neonatales de un hospital universitario, en tres etapas: 1) Brainstorming (Lluvia) de ideas para estudiar las causas de la no conferencia y construir una Lista de verificación; 2) Recopilación/análisis de datos mediante la aplicación de la Lista de verificación y el Diagrama de Pareto; 3) Análisis documental. Se utilizó la prueba de chi-cuadrado para verificar el efecto del uso de herramientas de calidad en la adherencia a la conferencia. Resultados se identificaron 13 causas de no conferencia del automóvil de emergencia, ocho eran prevenibles y cinco no prevenibles. Las causas evitables (n=63) representaron el 87,5%, siendo las principales: falta de hábito (n=17; 27%), priorizar las actividades de atención (n=17; 27%) y realizar la división de la atención a los pacientes/priorizar las actividades administrativas (n=9; 14.3%). La aplicación de herramientas de calidad tuvo un efecto significativo (p<0,001) en la adherencia a la conferencia. Conclusión e implicaciones para la práctica el uso de herramientas de calidad fue factible para la identificación causal del control no diario del carro de emergencia y en la mejora de su adherencia.

ABSTRACT Objective to verify the causes of the not checking of the emergency car and the effect on the adherence rate by using quality tools in a Neonatal Intensive Care Unit. Method mixed methods research of sequential exploratory design, developed with nurses and a documentary source in the Neonatal Intensive Care Unit of a university hospital, in three stages: 1) Brainstorming to survey the causes of not checking/ building a Checklist; 2) Data collection/analysis by applying the Pareto Checklist and Diagram; 3) Documentary analysis. The chi-square test was used to verify the effect of using quality tools in the adherence to checking. Results 13 causes of not checking of the emergency car were identified, eight of which are preventable and five non-preventable. The preventable causes (n=63) represented 87.5%, the main ones being: lack of habit (n=17; 27%), prioritizing care activities (n=17; 27%), and dividing the care of patients / prioritize administrative activities (n=9; 14.3%). The application of quality tools had a significant effect (p-value <0.001) in the adherence to checking. Conclusion and implications for practice the use of quality tools was feasible for the causal identification of the daily emergency car not checking and improvement in its adherence.

Humanos , Recién Nacido , Calidad de la Atención de Salud , Ambulancias , Gestión de la Calidad , Unidades de Cuidado Intensivo Neonatal , Lista de Verificación/métodos , Seguridad del Paciente , Enfermeras y Enfermeros