患者安全事件与护理工作量
Patient Safety Incidents and Nursing Workload.
作者信息
Carlesi Katya Cuadros, Padilha Kátia Grillo, Toffoletto Maria Cecília, Henriquez-Roldán Carlos, Juan Monica Andrea Canales
机构信息
PhD, Adjunct Professor, Facultad de Enfermería, Universidad Andrés Bello, Santiago de Chile, Chile.
PhD, Full Professor, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brasil.
出版信息
Rev Lat Am Enfermagem. 2017 Apr 6;25:e2841. doi: 10.1590/1518-8345.1280.2841.
OBJECTIVE
to identify the relationship between the workload of the nursing team and the occurrence of patient safety incidents linked to nursing care in a public hospital in Chile.
METHOD
quantitative, analytical, cross-sectional research through review of medical records. The estimation of workload in Intensive Care Units (ICUs) was performed using the Therapeutic Interventions Scoring System (TISS-28) and for the other services, we used the nurse/patient and nursing assistant/patient ratios. Descriptive univariate and multivariate analysis were performed. For the multivariate analysis we used principal component analysis and Pearson correlation.
RESULTS
879 post-discharge clinical records and the workload of 85 nurses and 157 nursing assistants were analyzed. The overall incident rate was 71.1%. It was found a high positive correlation between variables workload (r = 0.9611 to r = 0.9919) and rate of falls (r = 0.8770). The medication error rates, mechanical containment incidents and self-removal of invasive devices were not correlated with the workload.
CONCLUSIONS
the workload was high in all units except the intermediate care unit. Only the rate of falls was associated with the workload.
目的
确定智利一家公立医院护理团队的工作量与护理相关患者安全事件发生之间的关系。
方法
通过病历审查进行定量、分析性横断面研究。使用治疗干预评分系统（TISS - 28）对重症监护病房（ICU）的工作量进行评估，对于其他科室，我们使用护士/患者和护理助理/患者比例。进行了描述性单变量和多变量分析。对于多变量分析，我们使用主成分分析和Pearson相关性分析。
结果
分析了879份出院后临床记录以及85名护士和157名护理助理的工作量。总体事件发生率为71.1%。发现工作量变量之间存在高度正相关（r = 0.9611至r = 0.9919）以及跌倒发生率（r = 0.8770）。用药错误率、机械约束事件和侵入性装置自行拔除与工作量无关。
结论
除中级护理单元外，所有科室的工作量都很高。只有跌倒发生率与工作量相关。
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