Adverse events in critically ill patients: a cross-sectional study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
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=S0080-62342022000100444 |
Resumo: | Abstract Objective: To identify the prevalence of adverse events and the critically ill patient’s need for care in an intensive care unit. Method: This is a cross-sectional study, carried out from January to March 2020. The adverse events investigated were pressure injury, accidental orotracheal extubation, fall, loss of central venous access, and healthcare-associated infection. The number of hours required for patient care was measured by the Nursing Activities Score. The categorical independent variables were described by absolute and relative frequencies, and the continuous ones, by central tendency. The magnitude measure was the odds ratio and a confidence interval of 95% was considered. Results: of the 88 patients evaluated, 52.3% had adverse events, which were associated with a greater need for care, severity, and longer hospital stay. The mean Nursing Activities Score was 51.01% (12 h 24 min), with a deficit of 20% to 30% of nursing staff in the unit being identified. Conclusion: The prevalence of adverse events in the unit is high and the shortage of nursing staff in the unit revealed the need for adequate staffing to reduce the damage caused by the care provided to critically ill patients. |
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Revista da Escola de Enfermagem da USP (Online) |
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Adverse events in critically ill patients: a cross-sectional studyNursing CarePersonnel ManagementHealth Services AdministrationLegislation, NursingPatient SafetyIntensive Care UnitsAbstract Objective: To identify the prevalence of adverse events and the critically ill patient’s need for care in an intensive care unit. Method: This is a cross-sectional study, carried out from January to March 2020. The adverse events investigated were pressure injury, accidental orotracheal extubation, fall, loss of central venous access, and healthcare-associated infection. The number of hours required for patient care was measured by the Nursing Activities Score. The categorical independent variables were described by absolute and relative frequencies, and the continuous ones, by central tendency. The magnitude measure was the odds ratio and a confidence interval of 95% was considered. Results: of the 88 patients evaluated, 52.3% had adverse events, which were associated with a greater need for care, severity, and longer hospital stay. The mean Nursing Activities Score was 51.01% (12 h 24 min), with a deficit of 20% to 30% of nursing staff in the unit being identified. Conclusion: The prevalence of adverse events in the unit is high and the shortage of nursing staff in the unit revealed the need for adequate staffing to reduce the damage caused by the care provided to critically ill patients.Universidade de São Paulo, Escola de Enfermagem2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342022000100444Revista da Escola de Enfermagem da USP v.56 2022reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USP10.1590/1980-220x-reeusp-2021-0481eninfo:eu-repo/semantics/openAccessAssis,Stefanny Furtado deVieira,Débora Feijó Villas BoasSousa,Fernanda Raphael Escobar Gimenes dePinheiro,Carlos Eduardo de OliveiraPrado,Patrícia Rezende doeng2022-05-04T00:00:00Zoai:scielo:S0080-62342022000100444Revistahttp://www.scielo.br/reeuspPUBhttps://old.scielo.br/oai/scielo-oai.php||nursingscholar@usp.br1980-220X0080-6234opendoar:2022-05-04T00:00Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Adverse events in critically ill patients: a cross-sectional study |
title |
Adverse events in critically ill patients: a cross-sectional study |
spellingShingle |
Adverse events in critically ill patients: a cross-sectional study Assis,Stefanny Furtado de Nursing Care Personnel Management Health Services Administration Legislation, Nursing Patient Safety Intensive Care Units |
title_short |
Adverse events in critically ill patients: a cross-sectional study |
title_full |
Adverse events in critically ill patients: a cross-sectional study |
title_fullStr |
Adverse events in critically ill patients: a cross-sectional study |
title_full_unstemmed |
Adverse events in critically ill patients: a cross-sectional study |
title_sort |
Adverse events in critically ill patients: a cross-sectional study |
author |
Assis,Stefanny Furtado de |
author_facet |
Assis,Stefanny Furtado de Vieira,Débora Feijó Villas Boas Sousa,Fernanda Raphael Escobar Gimenes de Pinheiro,Carlos Eduardo de Oliveira Prado,Patrícia Rezende do |
author_role |
author |
author2 |
Vieira,Débora Feijó Villas Boas Sousa,Fernanda Raphael Escobar Gimenes de Pinheiro,Carlos Eduardo de Oliveira Prado,Patrícia Rezende do |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Assis,Stefanny Furtado de Vieira,Débora Feijó Villas Boas Sousa,Fernanda Raphael Escobar Gimenes de Pinheiro,Carlos Eduardo de Oliveira Prado,Patrícia Rezende do |
dc.subject.por.fl_str_mv |
Nursing Care Personnel Management Health Services Administration Legislation, Nursing Patient Safety Intensive Care Units |
topic |
Nursing Care Personnel Management Health Services Administration Legislation, Nursing Patient Safety Intensive Care Units |
description |
Abstract Objective: To identify the prevalence of adverse events and the critically ill patient’s need for care in an intensive care unit. Method: This is a cross-sectional study, carried out from January to March 2020. The adverse events investigated were pressure injury, accidental orotracheal extubation, fall, loss of central venous access, and healthcare-associated infection. The number of hours required for patient care was measured by the Nursing Activities Score. The categorical independent variables were described by absolute and relative frequencies, and the continuous ones, by central tendency. The magnitude measure was the odds ratio and a confidence interval of 95% was considered. Results: of the 88 patients evaluated, 52.3% had adverse events, which were associated with a greater need for care, severity, and longer hospital stay. The mean Nursing Activities Score was 51.01% (12 h 24 min), with a deficit of 20% to 30% of nursing staff in the unit being identified. Conclusion: The prevalence of adverse events in the unit is high and the shortage of nursing staff in the unit revealed the need for adequate staffing to reduce the damage caused by the care provided to critically ill patients. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
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=S0080-62342022000100444 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342022000100444 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1980-220x-reeusp-2021-0481en |
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.56 2022 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_ |
1748936541965647872 |