Patient Safety: What Is It All about?

Schwappach, David

doi:10.1159/000365497

Cited by 12 publications

(8 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The incidence rates of AEs in critical care can range from 5-15% of all Intensive Care Unit hospitalizations. 14 The high prevalence of AEs in HD has also been found in a Brazilian study that identified 80.3% of AEs per patient, 15 corroborating with the findings of this study.…”

Section: Discussionsupporting

confidence: 90%

“…17 The type of AE with the highest prevalence found in this study is similar to the data found in literature, which also indicates medication error in patients on hemodialysis treatment as the most common type of AE . 4,14,[18][19] The National Agency of Sanitary Surveillance defines medication error as any preventable event that may lead to the inappropriate use of a medication under the control of the health team or even the patient himself, that leads to, or has the potential to lead to, harm to the patient. 20 In view of this concept, during data collection it was noticed that most medication errors occurred due to noncompli-ance with the prescription, mainly the omission of administrating erythropoietin and iron hydroxide saccharate, which may be justified by the fact that the patients of the service are responsible for bringing the medications that will be administered by the nursing staff during the HD sessions, according to their monthly prescription.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalência E Fatores Associados Para a Ocorrência De Eventos Adversos No Serviço De Hemodiálise

Lessa¹,

Bezerra²,

Barbosa³

et al. 2018

Texto contexto - enferm.

View full text Add to dashboard Cite

RESUMO Objetivo: analisar a prevalência e os fatores associados para a ocorrência de eventos adversos no serviço de hemodiálise. Método: estudo descritivo longitudinal com abordagem quantitativa, cuja amostra foi composta de 51 pacientes atendidos na unidade de hemodiálise entre maio e julho de 2016. Os dados foram obtidos por meio do registro diário de eventos adversos em um checklist e submetidos análise e, para as variáveis categóricas, foi realizada a análise bivariada, por meio do teste Qui-Quadrado de independência de Pearson. Resultados: foram registrados 1110 eventos adversos com prevalência em 98,03% dos pacientes, sendo os mais frequentes: erro de medicação (45,2%) e fluxo sanguíneo inadequado (42,9%). Quanto ao grau de dano, a maioria dos eventos foi de grau leve (93,8%), seguido do moderado (5,9%). A ocorrência do evento adverso esteve associada ao sexo feminino, idade menor que 40 anos, ausência de comorbidades, tempo de tratamento menor que um ano e uso de cateter venoso central de longa permanência. Conclusão: a prevalência de eventos adversos foi considerada alta, com predominância do grau leve. O estudo reforça a necessidade de estratégias de gestão e assistência para implantação de medidas de controle da ocorrência dos eventos adversos em hemodiálise, resultando em benefícios econômicos e sociais para a instituição e sua clientela.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Prevalência E Fatores Associados Para a Ocorrência De Eventos Adversos No Serviço De Hemodiálise

Lessa¹,

Bezerra²,

Barbosa³

et al. 2018

Texto contexto - enferm.

View full text Add to dashboard Cite

show abstract

“…Medical errors can be classified in different categories besides errors of execution and omission. There can be errors at the sharp end , meaning in activities close to the patient, and errors on the blunt end , where the problem relates more to organizational issues and/or a poor process design (2). Slips and lapses are failures of a schematic behaviour and are often related to stress and fatigue.…”

Section: The Concept Of Patient Safetymentioning

confidence: 99%

“…Patients with end-stage renal disease (ESRD) suffer from multiple comorbidities and are exposed to medical treatments for life with an extended risk to for a potentially preventable adverse event. Table I summarizes patient safety topics that are closely related to persons with ESRD undergoing haemodialysis (2, 9, 10).…”

Section: Safety In Dialysis Access Patientsmentioning

confidence: 99%

Key Points for Patient Safety in Dialysis Access

et al. 2015

Self Cite

View full text Add to dashboard Cite

For more than 15 years, patient safety has been an issue in different domains of medicine. There is evidence for this subject and also a great need for information. First, we should be familiar with the basic terminology such as the relationship between adverse events and errors, and understand the variations of error. In patient management, besides skills and knowledge (evidence-based medicine), the ability (competence) of healthcare professionals to act and react in unexpected situations is key to prevent and treat adverse events. Not only healthcare professionals should be involved in the process but also healthy people in a way that they understand and patients in a way that they are actively involved. This paper will show how a more general view of patient safety can and should be implemented in the daily work of caregivers dealing with dialysis access in different aspects. A key factor to advance in this subject is to be open-minded and sensualized for this topic. The reader should get an idea of how an institution can create a culture of safety.

show abstract

“…Even if an AVF is created with an appropriate vein and it successfully matures, puncturing to obtain vascular access is often difficult because of the deep positioning of the matured vessel. In such cases, inappropriate needling can lead to infiltration and aneurysm and hematoma formation, ultimately damaging the hemodialysis route [5]. To resolve this problem, superficialization of the vessel is crucial [6,7].…”

Section: Introductionmentioning

confidence: 99%

Videoscopic Surgery for Arteriovenous Hemodialysis Access

Jeong

Bae

Chung

et al. 2020

Korean J Thorac Cardiovasc Surg

View full text Add to dashboard Cite

Background: When an arteriovenous fistula (AVF) is created using the basilic or deep cephalic vein, it is additionally necessary to transfer the vessels to a position where needling is easy; however, many patients develop wound-related postsurgical complications due to the long surgical wounds resulting from conventional superficialization of a deep AVF or basilic vein transposition. Thus, to address this problem, we performed videoscopic surgery with small surgical incisions. Methods: Data from 16 patients who underwent additional videoscopic radiocephalic superficialization, brachiocephalic superficialization, and brachiobasilic transposition after AVF formation at our institution in 2018 were retrospectively reviewed. Results: Needling was successful in all patients. No wound-related complications occurred. The mean vessel size and blood flow of the AVF just before the first needling were 0.73±0.16 mm and 1,516.25±791.26 mL/min, respectively. The mean vessel depth after surgery was 0.26±0.10 cm. Percutaneous angioplasty was additionally performed in 25% of the patients. Primary patency was observed in 100% of patients during the follow-up period (262.44±73.49 days). Conclusion: Videoscopic surgery for AVF dramatically reduced the incidence of postoperative complications without interrupting patency; moreover, such procedures may increase the use of native vessels for vascular access. In addition, dissection using a videoscope compared to blind dissection using only a skip incision dramatically increased the success rate of displacement by reducing damage to the dissected vessels.

show abstract

Patient Safety: What Is It All about?

Cited by 12 publications

References 23 publications

Prevalência E Fatores Associados Para a Ocorrência De Eventos Adversos No Serviço De Hemodiálise

Prevalência E Fatores Associados Para a Ocorrência De Eventos Adversos No Serviço De Hemodiálise

Key Points for Patient Safety in Dialysis Access

Videoscopic Surgery for Arteriovenous Hemodialysis Access

Contact Info

Product

Resources

About