Best Safety Practices in nursing care in Neonatal Intensive Therapy

Duarte, Sabrina da Costa Machado; Azevedo, Sílvia Schoenau de; Muinck, Gabrielle da Costa de; Costa, Tainara Ferreira da; Cardoso, Maria Manuela Vila Nova; Moraes, Juliana Rezende Montenegro Medeiros de

doi:10.1590/0034-7167-2018-0482

Cited by 21 publications

(29 citation statements)

References 6 publications

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“…ICU patients are susceptible to infections due to critical condition and frequent invasive procedures, which create a gateway for HAI agents (24) . Furthermore, good practice strategies, such as professional training and improvements in working conditions, can increase patient safety within the ICU (25) .…”

Section: Discussionmentioning

confidence: 99%

Costs of healthcare-associated infections in an Intensive Care Unit

Leal

Freitas-Vilela

2021

Rev. Bras. Enferm.

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Objectives: to evaluate hospitalization costs of patients with and without Healthcare-Associated Infections an Intensive Care Unit. Methods: a retrospective case-control study. Data collection was retrieved from the medical records of Intensive Care Unit of a medium-sized public hospital in Goiás-Brazil. For each case, two controls were selected. Data on socioeconomic, clinical, and hospital costs were collected. To verify associations between variables, Odds Ratio and linear regression were calculated. Results: a total of 21 patients diagnosed with Healthcare-Associated Infections and 42 controls were evaluated. The hospitalization cost for patients with infection was four times higher than for non-infection patients (p-value<0.001). There was an association between infection and higher mortality (p-value <0.001), longer hospital-stay (p-value =0.021), and higher hospital costs (p-value =0.007). Conclusions: hospitalization costs of diagnosed Healthcare-Associated Infections patients are high compared to those who do not have this diagnosis.

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Section: Discussionmentioning

confidence: 99%

Costs of healthcare-associated infections in an Intensive Care Unit

Leal

Freitas-Vilela

2021

Rev. Bras. Enferm.

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“…Estas estratégias de orientação fortalecem a segurança do paciente durante a internação e podem reduzir danos decorrentes de quedas. (29) Revisão de literatura infere que a ocorrência de quedas em pacientes hospitalizados foi atribuída a ansiolíticos, hipnóticos e sedativos (48%), antipsicóticos (35%), opioides e antiepiléticos (30%) e antidepressivos (22%). (30) Ao reconhecer os riscos de quedas relacionados a determinados grupos de fármacos os pacientes se tornam ativos no processo de cuidado e parceiros nas intervenções propostas pelos profissionais de saúde.…”

Section: Discussionunclassified

Efetividade de tecnologia educacional para prevenção de quedas em ambiente hospitalar

Ximenes¹,

Brandão²,

Macêdo³

et al. 2022

Acta Paulista De Enfermagem

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Conflitos de interesse: nada a declarar. ResumoObjetivo: Avaliar a efetividade de intervenção educativa mediada por tecnologia impressa no conhecimento sobre prevenção de quedas em pacientes hospitalizados.Método: Estudo quase-experimental, do tipo antes e depois, aplicou uma intervenção educativa mediada por cartilha. O estudo incluiu 86 pacientes hospitalizados em clínica médica-cirúrgica. Utilizou-se teste de conhecimento sobre prevenção de quedas contendo 12 questões, o qual, foi previamente validado por profissionais com expertise em segurança do paciente. O teste de McNemar foi aplicado, para avaliar de forma pareada, as respostas do teste antes e após a intervenção educativa.Resultados: Observou-se que, antes da intervenção, todas as questões do instrumento tiveram menos acertos. Houve associação entre mudança de conhecimento com: percepção sobre causas de quedas durante a internação (p=0,008); eventos considerados como queda (p=0,000); utilização de meios de apoio à mobilidade (p=0,000); dificuldade de visão e audição como fator de risco (p=0,000); o uso de medicamentos (p=0,000); importância de informar o profissional sobre o histórico de quedas (p=0,007); práticas gerais de prevenção (p=0,000); cuidados relacionados ao ambiente (p=0,000) e a prática de exercícios durante a hospitalização (p=0,000).Conclusão: A intervenção educativa com uso da cartilha foi efetiva quanto a orientação sobre riscos de quedas em pacientes adultos hospitalizados.

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“…Therefore, ensuring good care practices requires proactive actions, such as professional training, investments in safe communication and debates on "patient safety" among the teams. These measures contribute to the positive construction of a safety culture, in order to encourage a favorable organizational environment and understand and manage errors (19) .…”

Section: Discussionmentioning

confidence: 99%

Association between professional qualification and adverse events in neonatal and pediatric intensive treatment units

Maziero

Cruz

Batista

et al. 2021

Rev. Gaúcha Enferm.

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Objective: to verify the association between the qualification of nursing professionals and the occurrence of adverse events in neonatal and pediatric intensive care units. Method: Cross-sectional and evaluation study conducted in six intensive care units of five public hospitals in the state of Paraná, Brazil. Data was collected from April/2017 to January/2018 through the use of a questionnaire to be completed by 143 nursing professionals and retrospective analysis of 79 medical records using the Neonatal Trigger Tool and Pediatric Trigger Tool instruments. The prognostic factors were professional training and the existence, or not, of a continuing education service; analysis was performed by logistic regression. Results: Detected 30 adverse events in 22 medical records analyzed. There was a prevalence of infection (n = 12; 40%) and skin damage (n = 9; 30%). Among the prognostic factors, continuing education was identified as a protective factor against adverse events (p≤0.05). Conclusion: Continuing education was associated with the prevention of adverse events in neonatal and pediatric intensive care units.

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Best Safety Practices in nursing care in Neonatal Intensive Therapy

Cited by 21 publications

References 6 publications

Costs of healthcare-associated infections in an Intensive Care Unit

Costs of healthcare-associated infections in an Intensive Care Unit

Efetividade de tecnologia educacional para prevenção de quedas em ambiente hospitalar

Association between professional qualification and adverse events in neonatal and pediatric intensive treatment units

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