Parellada BJ, Hidalgo SÁO, Cruz LR, González CY

Language: Spanish
References: 0
Page: 1-16
PDF size: 146.36 Kb.

ABSTRACT

Introduction: The complex combination of processes, technologies and human interactions, which constitute the modern medical care system, can bring important benefits to patients, as well as damages.
Objective: To determine the amount of adverse events that occurred in an intensive care unit.
Method: This is an analytical, prospective and longitudinal study in 551 patients admitted to the Intensive Care Unit at Dr. Luis Díaz Soto Central Military Hospital, from January 2013 to January 2014. The sample consisted of 107 patients, randomly chosen, who met the inclusion criteria. The variables used were sex, age, origin, type of adverse event, stay, prevention of the adverse event, base disease, time, moment of the appearance of the adverse event, relationship with the equipment, contributing factors and damage, and intensity of the adverse events, which were analyzed statistically according to percentages.
Results: 19.41 % of the total suffered one or more adverse events. Among the most frequent events were pneumonia and tracheobronchitis associated with mechanical ventilation, as well as obstruction of the artificial airway, 24 %, 21 % and 20 %, respectively.
Conclusions: Preventable errors accounted for most of the adverse events identified and the frequency was higher in patients with long stay. The contributing factors were linked to severity, complexity or patient agitation, as well as to the lack of knowledge, skills or competence of the staff and to lack of resources with insufficient stability in the inputs. Adverse events caused slight damage to patients. Only a low percentage of damages were considered serious. The system of notification and registration of adverse event in hospital care can be a useful tool for information management and can contribute to timely intervention and knowledge.