Preventive risk analysis in the maintenance of patency of the peripherally inserted central catheter
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Escola de Enfermagem da USP (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342019000100603 |
Resumo: | ABSTRACT This theoretical and reflexive study analyzed the risks related to the maintenance of patency of the Peripherally Inserted Central Catheter with the use of saline solution in comparison with saline-filled syringes, through the application of the Healthcare Failure Mode and Effect Analysis - HFMEA. The process was mapped, detailing the failure modes of each step. For the calculation of the Risk Priority Number, the severity and probability of the failure modes were analyzed. This analysis gave rise to the severity and probability matrix. Finally, actions to reduce the failure modes in the maintenance of patency were proposed, considering the use of saline-filled syringes in comparison to the use of saline ampoules. It was verified that the use of saline ampoules is associated with a greater risk, since it requires four stages more than saline-filled syringe does not, increasing the risk of contamination and the level of three different risks, which would result in additional hospital costs. The use of the saline-filled syringe would avoid risks that could negatively affect the patient’s health, the nursing professional and the health institution. |
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Revista da Escola de Enfermagem da USP (Online) |
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Preventive risk analysis in the maintenance of patency of the peripherally inserted central catheterVascular Access DevicesCentral Venous CathetersNursing CarePatient SafetyCost ControlQuality of Health CareABSTRACT This theoretical and reflexive study analyzed the risks related to the maintenance of patency of the Peripherally Inserted Central Catheter with the use of saline solution in comparison with saline-filled syringes, through the application of the Healthcare Failure Mode and Effect Analysis - HFMEA. The process was mapped, detailing the failure modes of each step. For the calculation of the Risk Priority Number, the severity and probability of the failure modes were analyzed. This analysis gave rise to the severity and probability matrix. Finally, actions to reduce the failure modes in the maintenance of patency were proposed, considering the use of saline-filled syringes in comparison to the use of saline ampoules. It was verified that the use of saline ampoules is associated with a greater risk, since it requires four stages more than saline-filled syringe does not, increasing the risk of contamination and the level of three different risks, which would result in additional hospital costs. The use of the saline-filled syringe would avoid risks that could negatively affect the patient’s health, the nursing professional and the health institution.Universidade de São Paulo, Escola de Enfermagem2019-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342019000100603Revista da Escola de Enfermagem da USP v.53 2019reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USP10.1590/s1980-220x2018011803462info:eu-repo/semantics/openAccessLima,Antônio Fernandes CostaSaba,AmandaBerger,SimoneBianchini,Silvia SauaiaBerssaneti,Fernando Tobaleng2019-07-01T00:00:00Zoai:scielo:S0080-62342019000100603Revistahttp://www.scielo.br/reeuspPUBhttps://old.scielo.br/oai/scielo-oai.php||nursingscholar@usp.br1980-220X0080-6234opendoar:2019-07-01T00:00Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Preventive risk analysis in the maintenance of patency of the peripherally inserted central catheter |
title |
Preventive risk analysis in the maintenance of patency of the peripherally inserted central catheter |
spellingShingle |
Preventive risk analysis in the maintenance of patency of the peripherally inserted central catheter Lima,Antônio Fernandes Costa Vascular Access Devices Central Venous Catheters Nursing Care Patient Safety Cost Control Quality of Health Care |
title_short |
Preventive risk analysis in the maintenance of patency of the peripherally inserted central catheter |
title_full |
Preventive risk analysis in the maintenance of patency of the peripherally inserted central catheter |
title_fullStr |
Preventive risk analysis in the maintenance of patency of the peripherally inserted central catheter |
title_full_unstemmed |
Preventive risk analysis in the maintenance of patency of the peripherally inserted central catheter |
title_sort |
Preventive risk analysis in the maintenance of patency of the peripherally inserted central catheter |
author |
Lima,Antônio Fernandes Costa |
author_facet |
Lima,Antônio Fernandes Costa Saba,Amanda Berger,Simone Bianchini,Silvia Sauaia Berssaneti,Fernando Tobal |
author_role |
author |
author2 |
Saba,Amanda Berger,Simone Bianchini,Silvia Sauaia Berssaneti,Fernando Tobal |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Lima,Antônio Fernandes Costa Saba,Amanda Berger,Simone Bianchini,Silvia Sauaia Berssaneti,Fernando Tobal |
dc.subject.por.fl_str_mv |
Vascular Access Devices Central Venous Catheters Nursing Care Patient Safety Cost Control Quality of Health Care |
topic |
Vascular Access Devices Central Venous Catheters Nursing Care Patient Safety Cost Control Quality of Health Care |
description |
ABSTRACT This theoretical and reflexive study analyzed the risks related to the maintenance of patency of the Peripherally Inserted Central Catheter with the use of saline solution in comparison with saline-filled syringes, through the application of the Healthcare Failure Mode and Effect Analysis - HFMEA. The process was mapped, detailing the failure modes of each step. For the calculation of the Risk Priority Number, the severity and probability of the failure modes were analyzed. This analysis gave rise to the severity and probability matrix. Finally, actions to reduce the failure modes in the maintenance of patency were proposed, considering the use of saline-filled syringes in comparison to the use of saline ampoules. It was verified that the use of saline ampoules is associated with a greater risk, since it requires four stages more than saline-filled syringe does not, increasing the risk of contamination and the level of three different risks, which would result in additional hospital costs. The use of the saline-filled syringe would avoid risks that could negatively affect the patient’s health, the nursing professional and the health institution. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342019000100603 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342019000100603 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1980-220x2018011803462 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
dc.source.none.fl_str_mv |
Revista da Escola de Enfermagem da USP v.53 2019 reponame:Revista da Escola de Enfermagem da USP (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista da Escola de Enfermagem da USP (Online) |
collection |
Revista da Escola de Enfermagem da USP (Online) |
repository.name.fl_str_mv |
Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||nursingscholar@usp.br |
_version_ |
1748936540166291456 |