Assessment of factors associated with patient safety in the intensive care unit

Abstract

Introduction: The set of processes, elements and instruments and methodologies based on medical evidence that considerably reduce the risk of the patient suffering an adverse event (AE) of any kind or, failing that, reduce its impact, is called safety of the patient. Patient.

Objective: Identify the factors that affect safety in intensive care services, a relevant indicator of the quality of health care

Methodology: Descriptive, cross-sectional study. Four basic aspects that impact patient safety were reviewed. The prognosis of the patients was evaluated with APACHE II and the need for attention by the TISS score, Adherence to Guidelines, Patient Safety Culture and Perception of Workload. The qualitative variables are summarized through absolute and percentage frequencies. The magnitude of the association between APACHE II and TISS Score was made through χ².

Results: 27 (29.6%) Nurses (ENF) and 64 (70.3%) Certified Nursing Assistants were evaluated. The patients had an APACHE II of 25.9 ± 5.5pts (IQR 23 - 29pts) and a TISS of 24 ± 12.9pts (IQR 14 - 31), with no direct relationship between these two evaluation parameters (χ²: 14.4; p- value: 0.7006). There was a high level of compliance with the Guidelines over 90% and a great capacity for teamwork, also greater than 90%. Both NFS and ACEs demonstrated evidence-based knowledge of their procedures. The most prevalent risk factor was work stress (60.44%) and that this prevented people from resting correctly.

Conclusions: The most important aspect was work stress, which had a negative impact on all aspects of the life of health personnel.