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A retrospective analysis of adverse events reported by Tunisian intensive care units' professionals.
Tlili, Mohamed Ayoub; Aouicha, Wiem; Gambashidze, Nikoloz; Ben Cheikh, Asma; Sahli, Jihene; Weigl, Matthias; Mtiraoui, Ali; Chelbi, Souad; Said Laatiri, Houyem; Mallouli, Manel.
Afiliação
  • Tlili MA; University of Sousse, Faculty of Medicine of Sousse, Department of Family and Community Medicine, LR12ES03, 4002, Sousse, Tunisia. medtlili@hotmail.fr.
  • Aouicha W; University of Sousse, Faculty of Medicine of Sousse, Department of Family and Community Medicine, LR12ES03, 4002, Sousse, Tunisia.
  • Gambashidze N; Institute for Patient Safety, University Hospital Bonn, Venusberg-Campus-1, 53127, Bonn, Germany.
  • Ben Cheikh A; Department of Prevention and Care Safety, Sahloul University Hospital, 4054, Sousse, Tunisia.
  • Sahli J; University of Sousse, Faculty of Medicine of Sousse, Department of Family and Community Medicine, LR12ES03, 4002, Sousse, Tunisia.
  • Weigl M; Institute for Patient Safety, University Hospital Bonn, Venusberg-Campus-1, 53127, Bonn, Germany.
  • Mtiraoui A; University of Sousse, Faculty of Medicine of Sousse, Department of Family and Community Medicine, LR12ES03, 4002, Sousse, Tunisia.
  • Chelbi S; University of Sousse, Faculty of Medicine of Sousse, Department of Family and Community Medicine, LR12ES03, 4002, Sousse, Tunisia.
  • Said Laatiri H; Department of Prevention and Care Safety, Sahloul University Hospital, 4054, Sousse, Tunisia.
  • Mallouli M; University of Sousse, Faculty of Medicine of Sousse, Department of Family and Community Medicine, LR12ES03, 4002, Sousse, Tunisia.
BMC Health Serv Res ; 24(1): 77, 2024 Jan 16.
Article em En | MEDLINE | ID: mdl-38229159
ABSTRACT

INTRODUCTION:

Adverse events (AEs) that occur in hospitals remain a challenge worldwide, and especially in intensive care units (ICUs) where they are more likely to occur. Monitoring of AEs can provide insight into the status and advances of patient safety. This study aimed to examine the AEs reported during the 20 months after the implementation of the AE reporting system.

METHODS:

We conducted a retrospective analysis of a voluntary ICU AE reporting system. Incidents were reported by the staff from ten ICUs in the Sahloul University Hospital (Tunisia) between February 2020 and September 2021.

RESULTS:

A total of 265 reports were received, of which 61.9% were deemed preventable. The most frequently reported event was healthcare-associated infection (30.2%, n = 80), followed by pressure ulcers (18.5%, n = 49). At the time of reporting, 25 patients (9.4%) had died as a result of an AE and in 51.3% of cases, the event had resulted in an increased length of stay. Provider-related factors contributed to 64.2% of the events, whilst patient-related factors contributed to 53.6% of the events. As for criticality, 34.3% of the events (n = 91) were unacceptable (c3) and 36.3% of the events (n = 96) were 'acceptable under control' (c2).

CONCLUSIONS:

The reporting system provided rich information on the characteristics of reported AEs that occur in ICUs and their consequences and may be therefore useful for designing effective and evidence-based interventions to reduce the occurrence of AEs.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Erros Médicos / Unidades de Terapia Intensiva Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: BMC Health Serv Res Assunto da revista: PESQUISA EM SERVICOS DE SAUDE Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Tunísia

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Erros Médicos / Unidades de Terapia Intensiva Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: BMC Health Serv Res Assunto da revista: PESQUISA EM SERVICOS DE SAUDE Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Tunísia