Author, as appears in the article.: Bodí, M.; Oliva, I.; Martín, M.C.; Gilavert, M.C.; Muñoz, C.; Olona, M.; Sirgo, G.

Department: Ciències Mèdiques Bàsiques Medicina i Cirurgia

URV's Author/s: BODI SAERA, MARIA AMPARO; Oliva, I.; Martín, M.C.; Gilavert, M.C.; Muñoz, C.; OLONA CABASES, MARIA MONTSERRAT; Sirgo, G.

Keywords: Critical patients Safety intensive care unit

Abstract: Background: To assess the impact of a real-time random safety tool on structure, process and outcome indicators. Methods: Prospective study conducted over a period of 12 months in two adult patient intensive care units. Safety rounds were conducted three days a week ascertaining 37 safety measures (grouped into 10 blocks). In each round, 50% of the patients and 50% of the measures were randomized. The impact of this safety tool was analysed on indicators of structure (safety culture, healthcare protocols), process (improvement proportion related to tool application, IPR) and outcome (mortality, average stay, rate of catheter-related bacteraemias and rate of ventilator-associated pneumonia, VAP). Results: A total of 1214 patient-days were analysed. Structure indicators: the use of the safety tool was associated with an increase in the safety climate and the creation/modification of healthcare protocols (sedation/analgesia and weaning). Process indicators: Twelve of the 37 measures had an IPR > 10%; six showed a progressive decrease in the IPR over the study period. Nursing workloads and patient severity on the day of analysis were independently associated with a higher IPR in half of the blocks of variables. Outcome indicators: A significant decrease in the rate of VAP was observed. Conclusions: The real-time random safety tool improved the care process and adherence to clinical practice guidelines and was associated with an improvement in structure, process and outcome indicators.

Research group: Grup de Recerca Biomèdica HJ23 SEPSIS, INFLAMACIÓN Y SEGURIDAD

Thematic Areas: Health sciences Ciencias de la salud Ciències de la salut

licence for use: https://creativecommons.org/licenses/by/3.0/es/

ISSN: 2110-5820

Author identifier: N/D; N/D; N/D; N/D; N/D; N/D; N/D

Record's date: 2017-03-21

Journal volume: 7

Papper version: info:eu-repo/semantics/publishedVersion

Entity: Universitat Rovira i Virgili

Journal publication year: 2017

First page: Art.num. 23

Publication Type: Article Artículo Article