González-Méndez María Isabel, López-Rodríguez Luís
UGC de Cuidados Intensivos, Hospital Virgen del Rocío, Sevilla, España.
Departamento de Enfermería, Facultad de Enfermería, Fisioterapia y Podología, Universidad de Sevilla, España; Hospital Virgen del Rocío, Sevilla, España.
Enferm Clin. 2017 Mar-Apr;27(2):113-117. doi: 10.1016/j.enfcli.2017.02.006. Epub 2017 Mar 6.
The care quality has gradually been placed in the center of the health system, reaching the patient safety a greater role as one of the key dimensions of quality in recent years. The monitoring, measurement and improvement of safety and quality of care in the Intensive Care Unit represent a great challenge for the critical care community. Health interventions carry a risk of adverse events or events that can cause injury, disability and even death in patients. In Intensive Care Unit, the severity of the critical patient, communication barriers, a high number of activities per patient per day, the practice of diagnostic procedures and invasive treatments, and the quantity and complexity of the information received, among others, put at risk these units as areas for the occurrence of adverse events. This article presents some of the strategies and interventions proposed and tested internationally to optimize the care of critical patients and improve the safety culture in the Intensive Care Unit.
护理质量已逐渐被置于卫生系统的核心位置，近年来患者安全作为质量的关键维度之一发挥着更大作用。重症监护病房护理安全与质量的监测、衡量和改进对重症监护领域而言是一项巨大挑战。卫生干预措施存在导致不良事件或可能致使患者受伤、残疾甚至死亡的事件的风险。在重症监护病房，重症患者的病情严重程度、沟通障碍、每位患者每天大量的活动、诊断程序和侵入性治疗的实施，以及所接收信息的数量和复杂性等因素，使这些病房成为不良事件发生的高风险区域。本文介绍了一些在国际上提出并经过测试的策略和干预措施，以优化重症患者护理并改善重症监护病房的安全文化。
