PMID- 28977219
OWN - NLM
STAT- MEDLINE
DCOM- 20180626
LR  - 20220310
IS  - 1984-0446 (Electronic)
IS  - 0034-7167 (Linking)
VI  - 70
IP  - 5
DP  - 2017 Sep-Oct
TI  - Severity and workload related to adverse events in the ICU.
PG  - 942-948
LID - S0034-71672017000500942 [pii]
LID - 10.1590/0034-7167-2016-0427 [doi]
AB  - OBJECTIVE: To analyze whether an increase in patient severity and nursing 
      workload are correlated to a greater incidence of adverse events (AEs) in 
      critical patients. METHOD: A prospective single cohort study was performed on a 
      sample of 138 patients hospitalized in an intensive care unit (ICU). RESULTS: A 
      total of 166 AEs, occurred, affecting 50.7% of the patients. Increased patient 
      severity presented a direct relationship to the probability of AEs occurring. 
      However, nursing workload did not present a statistically significant 
      relationship with the occurrence of AEs. CONCLUSION: The results cast light on 
      the importance of using evaluation tools by the nursing personnel in order to 
      optimize their daily activities and focus on patient safety. OBJETIVO: Analisar 
      se o aumento da gravidade do paciente e a carga de trabalho de enfermagem esta 
      relacionado a maior incidencia de Eventos Adversos (EAs) em pacientes criticos. 
      METODO: Estudo de coorte unica, prospectivo, com amostra de 138 pacientes 
      internados em uma Unidade de Terapia Intensiva (UTI). RESULTADOS: Ao todo, foram 
      evidenciados 166 EAs, que acometeram 50,7% dos pacientes. O aumento da gravidade 
      do paciente apresentou relacao direta com a chance de ocorrencia de EAs. 
      Entretanto, a carga de trabalho de enfermagem nao apresentou relacao 
      estatisticamente significativa, na ocorrencia de EAs. CONCLUSAO: Os resultados 
      permitem refletir acerca da importancia da equipe de enfermagem, em utilizar 
      instrumentos de avaliacao, com o objetivo de melhorar e planejar suas acoes 
      diarias, com foco na seguranca do paciente.
FAU - Serafim, Clarita Terra Rodrigues
AU  - Serafim CTR
AD  - Universidade Estadual Paulista Julio de Mesquita Filho, Botucatu School of 
      Medicine, Nursing Department. Botucatu, Sao Paulo, Brazil.
FAU - Dell'Acqua, Magda Cristina Queiroz
AU  - Dell'Acqua MCQ
AD  - Universidade Estadual Paulista Julio de Mesquita Filho, Botucatu School of 
      Medicine, Nursing Department. Botucatu, Sao Paulo, Brazil.
FAU - Castro, Meire Cristina Novelli E
AU  - Castro MCNE
AD  - Universidade Estadual Paulista Julio de Mesquita Filho, Botucatu School of 
      Medicine, Nursing Department. Botucatu, Sao Paulo, Brazil.
FAU - Spiri, Wilza Carla
AU  - Spiri WC
AD  - Universidade Estadual Paulista Julio de Mesquita Filho, Botucatu School of 
      Medicine, Nursing Department. Botucatu, Sao Paulo, Brazil.
FAU - Nunes, Helio Rubens de Carvalho
AU  - Nunes HRC
AD  - Universidade Estadual Paulista Julio de Mesquita Filho, School of Medicine, 
      Research Support Office. Botucatu, Sao Paulo, Brazil.
LA  - eng
LA  - por
PT  - Journal Article
PL  - Brazil
TA  - Rev Bras Enferm
JT  - Revista brasileira de enfermagem
JID - 7910105
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cohort Studies
MH  - Critical Illness/epidemiology/nursing
MH  - Female
MH  - Humans
MH  - Intensive Care Units/organization & administration/*statistics & numerical data
MH  - Male
MH  - Medical Errors/*statistics & numerical data
MH  - Middle Aged
MH  - National Health Programs/statistics & numerical data
MH  - *Patient Acuity
MH  - Patient Safety/standards/statistics & numerical data
MH  - Personnel Staffing and Scheduling/standards/statistics & numerical data
MH  - Prospective Studies
MH  - Quality Indicators, Health Care/statistics & numerical data
MH  - Workload/*standards/statistics & numerical data
EDAT- 2017/10/05 06:00
MHDA- 2018/06/27 06:00
CRDT- 2017/10/05 06:00
PHST- 2016/08/06 00:00 [received]
PHST- 2017/02/02 00:00 [accepted]
PHST- 2017/10/05 06:00 [entrez]
PHST- 2017/10/05 06:00 [pubmed]
PHST- 2018/06/27 06:00 [medline]
AID - S0034-71672017000500942 [pii]
AID - 10.1590/0034-7167-2016-0427 [doi]
PST - ppublish
SO  - Rev Bras Enferm. 2017 Sep-Oct;70(5):942-948. doi: 10.1590/0034-7167-2016-0427.