Autor según el artículo: Bodí M; Oliva I; Martín MC; Gilavert MC; Muñoz C; Olona M; Sirgo G
Departamento: Medicina i Cirurgia
Autor/es de la URV: Bodi Saera, Maria Amparo / Olona Cabases, Maria Montserrat / Sirgo Rodríguez, Gonzalo
Palabras clave: 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
Resumen: © 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.
Áreas temáticas: Saúde coletiva Medicina iii Medicina ii Medicina i Engenharias iv Critical care medicine Critical care and intensive care medicine Ciências biológicas ii
Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
ISSN: 21105820
Direcció de correo del autor: gonzalo.sirgo@urv.cat mariaamparo.bodi@urv.cat mariaamparo.bodi@urv.cat
Identificador del autor: 0000-0001-7652-8379 0000-0001-7652-8379
Fecha de alta del registro: 2024-08-03
Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
Enlace a la fuente original: https://annalsofintensivecare.springeropen.com/articles/10.1186/s13613-017-0245-x
URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
Referencia al articulo segun fuente origial: Annals Of Intensive Care. 7 (1):
Referencia de l'ítem segons les normes 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
DOI del artículo: 10.1186/s136130170245x
Entidad: Universitat Rovira i Virgili
Año de publicación de la revista: 2017
Tipo de publicación: Journal Publications
Repositori URV