de Andrés Gimeno B, Salazar de la Guerra R M, Ferrer Arnedo C, Revuelta Zamorano M, Ayuso Murillo D, González Soria J
Unidad de Calidad, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, España.
Unidad de Enfermería, Hospital de Guadarrama, Madrid, España.
Rev Calid Asist. 2014 Jul-Aug;29(4):212-9. doi: 10.1016/j.cali.2014.04.002. Epub 2014 Jul 10.
Improvements in clinical safety can be achieved by promoting a safety culture, professional training, and learning through benchmarking. The aim of this study was to identify areas for improvement after analysing the safety indicators in two public Hospitals in North-West Madrid Region.
Descriptive study performed during 2011 in Hospital Universitario Puerta de Hierro Majadahonda (HUPHM) and Hospital de Guadarrama (HG). The variables under study were 40 indicators on nursing care related to patient safety. Nineteen of them were defined in the SENECA project as care quality standards in order to improve patient safety in the hospitals. The data collected were clinical history, Madrid Health Service assessment reports, care procedures, and direct observation
Within the 40 indicators: 22 of them were structured (procedures), HUPHM had 86%, and HG 95% 14 process indicators (training and protocols compliance) with similar results in both hospitals, apart from the care continuity reports and training in hand hygiene. The 4 results indicators (pressure ulcer, falls and pain) showed different results.
The analysis of the indicators allowed the following actions to be taken: to identify improvements to be made in each hospital, to develop joint safety recommendations in nursing care protocols in prevention and treatment of chronic wound, to establish systematic pain assessments, and to prepare continuity care reports on all patients transferred from HUPHM to HG.
通过促进安全文化、专业培训以及对标学习可实现临床安全性的提升。本研究旨在分析马德里自治区西北部两家公立医院的安全指标后确定改进领域。
2011年在马亚达翁达铁门大学医院（HUPHM）和瓜达拉马医院（HG）开展描述性研究。所研究的变量为40项与患者安全相关的护理指标。其中19项在塞内卡项目中被定义为护理质量标准，以提高医院患者安全。收集的数据包括临床病史、马德里卫生服务评估报告、护理程序及直接观察。
在40项指标中，22项为结构化指标（程序），HUPHM的达标率为86%，HG为95%；14项过程指标（培训及协议依从性）在两家医院结果相似，但护理连续性报告及手卫生培训除外。4项结果指标（压疮、跌倒及疼痛）显示出不同结果。
对指标的分析促使采取以下行动：确定每家医院需改进之处，制定慢性伤口防治护理协议中的联合安全建议，建立系统性疼痛评估，以及编写所有从HUPHM转至HG的患者的连续性护理报告。
