Mejorando la seguridad del pacienteUtilidad de las listas de verificación de seguridad en una unidad neonatal

  1. María Arriaga Redondo 1
  2. Ester Sanz López 1
  3. Ana Rodríguez Sánchez de la Blanca 1
  4. I. Marsinyach Ros 1
  5. Laura Collados Gómez 2
  6. Alicia Díaz Redondo 2
  7. Manuel Sánchez Luna 1
  1. 1 Servicio de Neonatología, Hospital General Universitario Gregorio Marañón, Madrid
  2. 2 Servicio de Medicina Preventiva y Gestión de Calidad, Hospital General Universitario Gregorio Marañón, Madrid, España
Revista:
Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría ( AEP )

ISSN: 1695-4033,  1696-4608

Ano de publicación: 2017

Volume: 87

Número: 4

Páxinas: 191-200

Tipo: Artigo

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Outras publicacións en: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría ( AEP )

Resumo

Introduction Due to the complexity and characteristics of their patients, neonatal units are risk areas for the development of adverse events (AE). For this reason, there is a need to introduce and implement some tools and strategies that will help to improve the safety of the neonatal patient. Safety check-lists have shown to be a useful tool in other health areas but they are not sufficiently developed in Neonatal Units. Material and methods A quasi-experimental prospective study was conducted on the design and implementation of the use of a checklist and evaluation of its usefulness for detecting incidents. The satisfaction of the health professionals on using the checklist tool was also assessed. Results The compliance rate in the neonatal intensive care unit (NICU) was 56.5%, with 4.03 incidents per patient being detected. One incident was detected for every 5.3 checklists used. The most frequent detected incidents were those related to medication, followed by inadequate alarm thresholds, adjustments of the monitors, and medication pumps. The large majority (75%) of the NICU health professionals considered the checklist useful or very useful, and 68.75% considered that its use had managed to avoid an AE. The overall satisfaction was 83.33% for the professionals with less than 5 years working experience, and 44.4% of the professionals with more than 5 years of experience were pleased or very pleased. Conclusion The checklists have shown to be a useful tool for the detection of incidents, especially in NICU, with a positive assessment from the health professionals of the unit.

Fonte de datos: Dialnet