Indicadores de segurança do paciente para hospitais de pacientes agudos: revisão sistemática

Warning systems in a computerized nursing process for Intensive Care Units

“…The PSI were launched in March of 2003, by the AHRQ and National Healthcare Disparities Report (NHDR), both in the United States, providing a comprehensive vision and a vision on the changes in the level of quality of health care (21)(22)(23) .…”

Contribuições dos registros eletrônicos para a segurança do paciente em terapia intensiva: uma revisão integrativa

“…8,[49][50][51][52][53][54][55][56][57][58] The indicators point to measurable results to be proven, revealed or presented. They are aimed at analyzing the conditions of the process and the services based on their comparison with established standards, as well as verifying errors and deviations toward improving the quality of care.…”

“…49 It is relevant to consider that whenever quality and safety indicators are developed, the cultural variations, clinical practice, availability of the information systems and the capacity of the healthcare institutions to implement an effective and efficient monitoring system should be taken into account. 8 The quality of the provided care can be assessed by technical, educational, environmentalstructural and ethical indicators, particularly in ICUs. In these environments, the indicators can be positively reflected in several aspects, such as: more recognition, visibility and professional respect; better informed healthcare teams; higher occupancy rates and bed turnover; lower admission time; waste control and cost rationalization; improvement of the quality of care; enhancement of patient and family satisfaction levels; and greater patient safety, among others.…”

“…61 The investment in the development and improvement of information systems by the adoption of measures that orient the construction of effective monitoring programs is, therefore, an essential action in ensuring the production of quality information and indicators, as well as decision-making processes and patient safety. 8 …”

“…It can be also observed that patients and relatives are at constant risk of becoming victims of preventable errors and/or adverse events, even in highly structured health institutions. [7][8][9][10] Among the various health care areas, ICUs stand out as an environment in which the focus on patient safety is of immense importance, as patients admitted to these units tend to be more vulnerable to the occurrence of errors and adverse events due to the severity and gravity of their conditions, a higher frequency of pharmacologic and therapeutic interventions, and the use of multiple technological devices. [10][11][12] The severity and continuous fluctuation in the patient's health status reinforce the relevance of the need for support structures that can provide objective decisionmaking processes toward safer care.…”