Adverse Events In Nursing Care Research Articles

A importância da notificação de eventos adversos frente à segurança do paciente e à melhoria da qualidade assistencial: uma revisão bibliográfica

Objetivo: Demonstrar a importância da atuação do enfermeiro na realização da notificação de eventos adversos, buscando a melhoria da qualidade assistencial e a segurança do paciente. Métodos: Foi realizada pesquisa qualitativa, do tipo revisão narrativa, com utilização de artigos científicos com lapso temporal de 2005 a 2019. Revisão bibliográfica: Foram abordados temas como a ocorrência de eventos adversos na assistência de enfermagem, a relevância da notificação desses eventos, condutas que visam à efetividade na segurança do paciente e à excelência no atendimento das instituições de saúde. Considerações finais: Observou-se que a atuação do enfermeiro é imprescindível no processo de trabalho, pois esse profissional se faz peça fundamental no auxílio ao diagnóstico de riscos e incidentes no cotidiano assistencial, além de gerenciar, planejar, organizar, executar ações, discutir periodicamente com sua equipe, elaborando e ministrando treinamentos com o objetivo de otimizar o atendimento ao paciente. O profissional de enfermagem é a principal fonte de cuidados para o alcance de assistência qualificada.

Study on the application of nursing quality sensitive index in the safety management of elderly inpatients in the department of neurology

Objective To investigate the effect of sensitive indicators of nursing quality in the management of elderly inpatients in neurology department. Methods A total of 160 inpatients in the department of neurology who were admitted between January 2016 and December 2017 were selected as study subjects. The patients were divided into pre-implementation (January to December 2016) and post-implementation (2017 Month-December) with 80 cases each. Traditional nursing Quality Management mode was adopted before implementation, and the management mode of nursing quality sensitive index was adopted after implementation. These two with priority improvement indicators, adverse events in nursing care, patient satisfaction and so on were compared. Results After the implementation, the correct rate of risk assessment, the implementation rate of nursing specifications, the correct rate of drug delivery, the rate of graded care execution, and the rate of individualized rehabilitation training were significantly higher than before implementation.The difference was statistically significant (χ2=4.103- 5.769, P<0.05). The incidence rate of adverse events such as stress injury was 3.75%(3/80), which was significantly lower than that before implementation 20.0%(16/80). The difference was statistically significant (χ2=7.206, P<0.05). The patient satisfaction rate was 96.25%(77/80), which was significantly higher than 87.50%(70/80) before implementation.The difference was statistically significant (χ2=4.103, P<0.05). Conclusion The implementation of the sensitive index of nursing quality can improve the nursing quality of elderly inpatients in the department of neurology, reduce the occurrence of nursing adverse events and improve the satisfaction of patients. Key words: Aged; Department of neurology; Sensitive index of nursing quality; Safety management

Effects of quality control team on nursing care quality of ICU department

Objective To explore the relationship between quality control team and quality of nursing care in ICU.Methods We established a quality control team to check up,supervise and guide the work of nursing staffs on duty.The nursing care working indexes before and after the set-up of quality control team were compared.Results After establishing the quality control team,the quality of nursing care was improved.According to the evaluation criteria of continuous quality improvement of the Guangdong province,the score of the primary care increased from originally (92.4 ± 1.5) to (96.1 ± 1.1),and that of the specialty care was from (91.2 ± 1.3) to (95.3 ± 2.2),while nursing documentation quality was from (92.1 ± 1.6) to (97.3 ± 1.5).Safety measures of the patients were critically enhanced,the adverse events in nursing care were statistically significantly reduced by 2.8％.Conclusion The quality control team could improve the quality of nursing care in ICU and effectively reduce the incidence rate of adverse events. Key words: Quality control team; Intensive care unit (ICU); Quality of nursing care