Implementation of a color system as a strategy for patient safety in a pediatric ICU: experience report

Detalhes bibliográficos
Autor(a) principal: Motta, Raquel de Oliveira Laudiosa da
Data de Publicação: 2021
Outros Autores: Anjos, Cristineide dos, Sousa, Amanda Danielle Resende Silva e, Souza, Samhira Vieira Franco de, Rodrigues, Patricia Vargas Tavares, Ferreira, Gilson Serpa, Azevedo, Suely Lopes de
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
DOI: 10.33448/rsd-v10i12.20465
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/20465
Resumo: Objective: to report the experience of implementing a color identification system to promote patient safety in a Pediatric Oncology Intensive Care Unit of a federal hospital in the city of Rio de Janeiro. Methodology: this is a descriptive research of the experience report type, which was based on the goals 1 and 3 of the World Health Organization. Results: in the implementation process, the colors were systematically distributed, where each bed or unit of the The patient received a corresponding color, as well as related items, such as: medical records, clipboards, medication storage containers, medication identification labels and bottles for administration in an infusion pump. This system was extended to continuous infusion medications according to the degree of complexity (vasoactive amines, sedative analgesia, among others), as well as the identification of infusion pumps, equipment and infusion lines for each drug in progress. Conclusion: the method was performed in order to contribute to the promotion of patient safety, since the use of colors establishes another element for checking and, therefore, a "barrier" strategy inserted in the identification process, whose objective is to minimize adverse events due to human error, in addition to improving the identification practice that already exists in the institution.
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spelling Implementation of a color system as a strategy for patient safety in a pediatric ICU: experience reportImplementación de un sistema de color como estrategia para la seguridad del paciente en una UCI pediátrica: informe de experienciaImplementação de um sistema de cores como estratégia para segurança do paciente em uma UTI pediátrica: relato de experiênciaPatient safetyQuality managementNursing carePatient identification systemAdverse event.Segurança do pacienteGestão da qualidadeAssistência de enfermagemSistema de identificação de pacientesEvento adverso.Seguridad del pacienteGestión de la calidadCuidado de enfermeraSistema de identificación de pacientesAcontecimiento adverso.Objective: to report the experience of implementing a color identification system to promote patient safety in a Pediatric Oncology Intensive Care Unit of a federal hospital in the city of Rio de Janeiro. Methodology: this is a descriptive research of the experience report type, which was based on the goals 1 and 3 of the World Health Organization. Results: in the implementation process, the colors were systematically distributed, where each bed or unit of the The patient received a corresponding color, as well as related items, such as: medical records, clipboards, medication storage containers, medication identification labels and bottles for administration in an infusion pump. This system was extended to continuous infusion medications according to the degree of complexity (vasoactive amines, sedative analgesia, among others), as well as the identification of infusion pumps, equipment and infusion lines for each drug in progress. Conclusion: the method was performed in order to contribute to the promotion of patient safety, since the use of colors establishes another element for checking and, therefore, a "barrier" strategy inserted in the identification process, whose objective is to minimize adverse events due to human error, in addition to improving the identification practice that already exists in the institution.Objetivo: reportar la experiencia de implementar un sistema de identificación por colores para promover la seguridad del paciente en una Unidad de Cuidados Intensivos de Oncología Pediátrica de un hospital federal de la ciudad de Río de Janeiro. Metodología: se trata de una investigación descriptiva del tipo relato de experiencia, la cual se basó en las metas 1 y 3 de la Organización Mundial de la Salud. Resultados: en el proceso de implementación, los colores se distribuyeron sistemáticamente, donde cada cama o unidad del paciente recibió un color correspondiente, así como elementos relacionados, tales como: registros médicos, portapapeles, contenedores de almacenamiento de medicamentos, etiquetas de identificación de medicamentos y frascos para la administración en una bomba de infusión. Este sistema se amplió a los medicamentos de infusión continua según el grado de complejidad (aminas vasoactivas, analgesia sedante, entre otros), así como a la identificación de bombas de infusión, equipos y líneas de infusión para cada fármaco en curso. Conclusión: el método se realizó con el fin de contribuir a la promoción de la seguridad del paciente, ya que el uso de colores establece un elemento más de control y, por lo tanto, una estrategia de "barrera" insertada en el proceso de identificación, cuyo objetivo es minimizar los eventos adversos debidos. al error humano, además de mejorar la práctica de identificación que ya existe en la institución.Objetivo: relatar a experiência da implementação de um sistema de identificação por cores na promoção da segurança do paciente em uma Unidade de Terapia Intensiva Pediátrica Oncológica de um hospital federal no Município do Rio de Janeiro. Metodologia: trata-se de uma pesquisa descritiva do tipo relato de experiência, que teve com embasamento as metas 1 e 3 da Organização Mundial da Saúde. Resultados: no processo de implementação as cores foram distribuídas de forma sistemática, onde cada leito ou unidade do paciente recebeu uma cor correspondente, bem como os itens relacionados, tais quais: prontuários, pranchetas, recipientes para armazenamento das medicações, etiquetas de identificação das medicações e frascos para administração em bomba de infusão. Tal sistema foi estendido às medicações de infusão contínua segundo o grau de complexidade (aminas vasoativas, sedoanalgesia, entre outras), assim como na identificação das bombas infusoras, dos equipos e das linhas de infusão de cada droga em curso. Conclusão: o método foi executado a fim de contribuir para a promoção da segurança do paciente, uma vez que a utilização das cores estabelece mais um elemento para conferência e, portanto, uma estratégia de “barreira” inserida no processo de identificação, cujo objetivo é minimizar eventos adversos por erro humano, além de aperfeiçoar a prática de identificação já existente na instituição.Research, Society and Development2021-09-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2046510.33448/rsd-v10i12.20465Research, Society and Development; Vol. 10 No. 12; e441101220465Research, Society and Development; Vol. 10 Núm. 12; e441101220465Research, Society and Development; v. 10 n. 12; e4411012204652525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/20465/18409Copyright (c) 2021 Raquel de Oliveira Laudiosa da Motta; Cristineide dos Anjos; Amanda Danielle Resende Silva e Sousa; Samhira Vieira Franco de Souza; Patricia Vargas Tavares Rodrigues; Gilson Serpa Ferreira; Suely Lopes de Azevedohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMotta, Raquel de Oliveira Laudiosa daAnjos, Cristineide dosSousa, Amanda Danielle Resende Silva e Souza, Samhira Vieira Franco deRodrigues, Patricia Vargas Tavares Ferreira, Gilson Serpa Azevedo, Suely Lopes de 2021-11-14T20:26:51Zoai:ojs.pkp.sfu.ca:article/20465Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:40:06.395044Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Implementation of a color system as a strategy for patient safety in a pediatric ICU: experience report
Implementación de un sistema de color como estrategia para la seguridad del paciente en una UCI pediátrica: informe de experiencia
Implementação de um sistema de cores como estratégia para segurança do paciente em uma UTI pediátrica: relato de experiência
title Implementation of a color system as a strategy for patient safety in a pediatric ICU: experience report
spellingShingle Implementation of a color system as a strategy for patient safety in a pediatric ICU: experience report
Implementation of a color system as a strategy for patient safety in a pediatric ICU: experience report
Motta, Raquel de Oliveira Laudiosa da
Patient safety
Quality management
Nursing care
Patient identification system
Adverse event.
Segurança do paciente
Gestão da qualidade
Assistência de enfermagem
Sistema de identificação de pacientes
Evento adverso.
Seguridad del paciente
Gestión de la calidad
Cuidado de enfermera
Sistema de identificación de pacientes
Acontecimiento adverso.
Motta, Raquel de Oliveira Laudiosa da
Patient safety
Quality management
Nursing care
Patient identification system
Adverse event.
Segurança do paciente
Gestão da qualidade
Assistência de enfermagem
Sistema de identificação de pacientes
Evento adverso.
Seguridad del paciente
Gestión de la calidad
Cuidado de enfermera
Sistema de identificación de pacientes
Acontecimiento adverso.
title_short Implementation of a color system as a strategy for patient safety in a pediatric ICU: experience report
title_full Implementation of a color system as a strategy for patient safety in a pediatric ICU: experience report
title_fullStr Implementation of a color system as a strategy for patient safety in a pediatric ICU: experience report
Implementation of a color system as a strategy for patient safety in a pediatric ICU: experience report
title_full_unstemmed Implementation of a color system as a strategy for patient safety in a pediatric ICU: experience report
Implementation of a color system as a strategy for patient safety in a pediatric ICU: experience report
title_sort Implementation of a color system as a strategy for patient safety in a pediatric ICU: experience report
author Motta, Raquel de Oliveira Laudiosa da
author_facet Motta, Raquel de Oliveira Laudiosa da
Motta, Raquel de Oliveira Laudiosa da
Anjos, Cristineide dos
Sousa, Amanda Danielle Resende Silva e
Souza, Samhira Vieira Franco de
Rodrigues, Patricia Vargas Tavares
Ferreira, Gilson Serpa
Azevedo, Suely Lopes de
Anjos, Cristineide dos
Sousa, Amanda Danielle Resende Silva e
Souza, Samhira Vieira Franco de
Rodrigues, Patricia Vargas Tavares
Ferreira, Gilson Serpa
Azevedo, Suely Lopes de
author_role author
author2 Anjos, Cristineide dos
Sousa, Amanda Danielle Resende Silva e
Souza, Samhira Vieira Franco de
Rodrigues, Patricia Vargas Tavares
Ferreira, Gilson Serpa
Azevedo, Suely Lopes de
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Motta, Raquel de Oliveira Laudiosa da
Anjos, Cristineide dos
Sousa, Amanda Danielle Resende Silva e
Souza, Samhira Vieira Franco de
Rodrigues, Patricia Vargas Tavares
Ferreira, Gilson Serpa
Azevedo, Suely Lopes de
dc.subject.por.fl_str_mv Patient safety
Quality management
Nursing care
Patient identification system
Adverse event.
Segurança do paciente
Gestão da qualidade
Assistência de enfermagem
Sistema de identificação de pacientes
Evento adverso.
Seguridad del paciente
Gestión de la calidad
Cuidado de enfermera
Sistema de identificación de pacientes
Acontecimiento adverso.
topic Patient safety
Quality management
Nursing care
Patient identification system
Adverse event.
Segurança do paciente
Gestão da qualidade
Assistência de enfermagem
Sistema de identificação de pacientes
Evento adverso.
Seguridad del paciente
Gestión de la calidad
Cuidado de enfermera
Sistema de identificación de pacientes
Acontecimiento adverso.
description Objective: to report the experience of implementing a color identification system to promote patient safety in a Pediatric Oncology Intensive Care Unit of a federal hospital in the city of Rio de Janeiro. Methodology: this is a descriptive research of the experience report type, which was based on the goals 1 and 3 of the World Health Organization. Results: in the implementation process, the colors were systematically distributed, where each bed or unit of the The patient received a corresponding color, as well as related items, such as: medical records, clipboards, medication storage containers, medication identification labels and bottles for administration in an infusion pump. This system was extended to continuous infusion medications according to the degree of complexity (vasoactive amines, sedative analgesia, among others), as well as the identification of infusion pumps, equipment and infusion lines for each drug in progress. Conclusion: the method was performed in order to contribute to the promotion of patient safety, since the use of colors establishes another element for checking and, therefore, a "barrier" strategy inserted in the identification process, whose objective is to minimize adverse events due to human error, in addition to improving the identification practice that already exists in the institution.
publishDate 2021
dc.date.none.fl_str_mv 2021-09-26
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/20465
10.33448/rsd-v10i12.20465
url https://rsdjournal.org/index.php/rsd/article/view/20465
identifier_str_mv 10.33448/rsd-v10i12.20465
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/20465/18409
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 10 No. 12; e441101220465
Research, Society and Development; Vol. 10 Núm. 12; e441101220465
Research, Society and Development; v. 10 n. 12; e441101220465
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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dc.identifier.doi.none.fl_str_mv 10.33448/rsd-v10i12.20465