Farzi Sedigheh, Saghaei Mahmoud, Irajpour Alireza, Ravaghi Hamid
Department of Adult Health Nursing, Nursing and Midwifery Care Research Centre, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Anesthesiology, Isfahan University of Medical Sciences, Isfahan, Iran.
J Res Med Sci. 2018 Dec 28;23:104. doi: 10.4103/jrms.JRMS_140_18. eCollection 2018.
Patient safety is a priority in all health-care centers across the world. This study aimed to determine the frequency of events that threaten patient safety and the grade threating of events from the perspective of the health-care professionals in the intensive care units (ICUs).
This cross-sectional study was conducted in 2016. The participants were 306 members of health-care professionals (physicians and nurses) with at least 1 year of work experience in ICUs of educational hospitals affiliated to Isfahan University of Medical Sciences. Data were collected using a three-section self-made questionnaire. Data analysis was done using descriptive statistics (frequency distribution and percentage) and version 16 of SPSS software.
A total of 306 questionnaires were completed out of 320 questionnaires handed out among participants. During the last month, 91.2% of the participants had reported at least a case of medication error, 75.6% had reported at least a case of ventilator-associated pneumonia, and 74.2% had reported at least a case of catheter-induced urinary infection in ICUs.
The occurrence of events threatening the patient safety in ICUs warrants proper planning by administrators of health-care centers. Medication error was the most frequent and important event of threat to patient safety and falling was the least frequent event of threat to patient safety in ICUs. Considering the frequency and magnitude of medication error in ICUs, a well-adjusted preventive plan should be designed and implemented to improve the patient safety.
患者安全是全球所有医疗保健中心的首要任务。本研究旨在从重症监护病房(ICU)医护人员的角度确定威胁患者安全的事件发生频率以及事件的威胁等级。
这项横断面研究于2016年进行。参与者为306名医护人员(医生和护士),他们在伊斯法罕医科大学附属教学医院的ICU至少有1年工作经验。数据通过一份自制的三段式问卷收集。数据分析采用描述性统计(频率分布和百分比)以及SPSS软件16版进行。
在向参与者发放的320份问卷中,共完成了306份。在上个月,91.2%的参与者报告至少发生过1例用药错误,75.6%报告至少发生过1例呼吸机相关性肺炎,74.2%报告至少发生过1例导管相关性尿路感染。
ICU中威胁患者安全的事件发生,需要医疗保健中心管理人员进行适当规划。用药错误是ICU中威胁患者安全最频繁且最重要的事件,跌倒则是威胁患者安全最不频繁的事件。考虑到ICU中用药错误的频率和严重程度,应设计并实施一个经过良好调整的预防计划以提高患者安全。