Rodríguez RM, Sánchez SLM, Jiménez CLC

Language: Spanish
References: 22
Page: 56-64
PDF size: 189.76 Kb.

ABSTRACT

Introduction. There is a close relationship between the care of patients with complex pathologies and the occurrence of adverse events. For this reason, pediatric patients from third level hospitals are particularly susceptible to presenting adverse events related to their medical care.
Material and Methods. We reviewed the registry of adverse events, sentinel events and the clinical records of patients reported by the Pediatrics Service to the Quality Division of the umae 25 from Monterrey from January 2011 to June 2013. We assessed intrinsic factors that could contribute to the error, their consequences and severity.
Results. We included 417 events: 366 nosocomial infections and 51 non-infectious events. Of the nosocomial infections, the most common were pneumonias in 119 (32.5%), catheter-related infections 91 (24.8%) and bacteremias 49 (13.3%). Non-infectious adverse events reported 10 (21.2%) falls and 37 (72.9%) errors in medication, mainly errors in administration of the drug (64.8%). There were four quasifallas and no sentinel events. For their study they were divided between infectious and noninfectious events. In-hospital stay (p = 0.045), catheter use (p ‹ 0.001), mechanical ventilation (p ‹ 0.001) and treatment with broad-spectrum antibiotics (p ‹ 0.001) were risk factors for infectious adverse events. There was no significant difference in the other variables studied.
Conclusions. Nosocomial infections are the most frequent adverse events in pediatric patients hospitalized at umae 25. Falls are more frequent in school-based patients, while errors in medication administration (wrong doses) are more frequent in children less than one year prolonged hospital stay, mechanical ventilation, central catheter use, and broad-spectrum antibiotics are risk factors for nosocomial infections in pediatric patients.

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