Author, as appears in the article.: Bodí M; Oliva I; Martín MC; Gilavert MC; Muñoz C; Olona M; Sirgo G
Department: Medicina i Cirurgia
URV's Author/s: Bodi Saera, Maria Amparo / Olona Cabases, Maria Montserrat / Sirgo Rodríguez, Gonzalo
Keywords: Safety Real-time safety audits Quality indicators Intensive-care-unit Intensive care unit Critical patients real-time safety audits quality indicators quality improvement protocols help patient safety medicine measurable outcomes intensive care unit critically-ill patients critical patients clinical-practice guidelines checklist audits
Abstract: © 2017, The Author(s). 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.
Thematic Areas: Saúde coletiva Medicina iii Medicina ii Medicina i Engenharias iv Critical care medicine Critical care and intensive care medicine Ciências biológicas ii
licence for use: https://creativecommons.org/licenses/by/3.0/es/
ISSN: 21105820
Author's mail: gonzalo.sirgo@urv.cat mariaamparo.bodi@urv.cat mariaamparo.bodi@urv.cat
Author identifier: 0000-0001-7652-8379 0000-0001-7652-8379
Record's date: 2024-08-03
Papper version: info:eu-repo/semantics/publishedVersion
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: Annals Of Intensive Care. 7 (1):
APA: Bodí M; Oliva I; Martín MC; Gilavert MC; Muñoz C; Olona M; Sirgo G (2017). Impact of random safety analyses on structure, process and outcome indicators: multicentre study. Annals Of Intensive Care, 7(1), -. DOI: 10.1186/s136130170245x
Entity: Universitat Rovira i Virgili
Journal publication year: 2017
Publication Type: Journal Publications
Repositori URV