PMID- 30401420
OWN - NLM
STAT- MEDLINE
DCOM- 20191025
LR  - 20191025
IS  - 2603-6479 (Electronic)
IS  - 2603-6479 (Linking)
VI  - 33
IP  - 5
DP  - 2018 Sep-Oct
TI  - [Critically ill patient isolation: risk or protection?].
PG  - 250-255
LID - S2603-6479(18)30068-X [pii]
LID - 10.1016/j.jhqr.2018.06.003 [doi]
AB  - INTRODUCTION: Isolation precautions are an effective measure to prevent the 
      spread of multi-resistant microorganisms (MMR). However, its implementation is 
      complex and can increase some risks to the patient. The aim of this study is to 
      determine whether the implementation of isolation precautions increase the risk 
      of patient safety incidents (PSI) in critically ill patients. MATERIAL AND 
      METHODS: A retrospective observational study was conducted involving patients 
      admitted to the ICU of a University Hospital, and that required isolation for 
      more than 48h. Period of study: two years (from 2013/03/01 to 2015/03/31). Data 
      source was the electronic medical record. The tools for evaluation were the 
      Modular Review Form questionnaires (MRF1 and MRF2). An analysis was made of PSI 
      and adverse events (AEs) during periods with and without isolation precautions, 
      including the PSI type, severity, and preventability. RESULTS: The study included 
      a total of 76 patients, 74 of whom had at least one PSI. A total of 798 PSI were 
      detected (511 during isolation period), 599 were a No harm incident (NHI) and 199 
      were adverse AEs. The most frequent PSIs were associated with medication (316) 
      and patient health care (279). Most of them were moderately or highly 
      preventable. The incidence of PSI during periods with and without isolation was 
      27.3 (SD 33.8) and 29 (39.6) per 100 patient-days, respectively. CONCLUSIONS: 
      PSIs in ICU are frequent, and the most of them are preventable. The adoption of 
      isolation precautions does not constitute a risk factor for PSI. Improving 
      patient safety culture is essential for an adequate prevention strategy.
CI  - Copyright (c) 2018 FECA. Publicado por Elsevier Espana, S.L.U. All rights reserved.
FAU - Gutierrez-Cia, I
AU  - Gutierrez-Cia I
AD  - Hospital Clinico Universitario, Zaragoza, Espana; Instituto de Investigacion 
      Sanitaria Aragon, Zaragoza, Espana.
FAU - Aibar-Remon, C
AU  - Aibar-Remon C
AD  - Instituto de Investigacion Sanitaria Aragon, Zaragoza, Espana; Servicio de 
      Medicina Preventiva y Salud Publica, Hospital Clinico Universitario, Universidad 
      de Zaragoza, Zaragoza, Espana. Electronic address: caibar@unizar.es.
FAU - Obon-Azuara, B
AU  - Obon-Azuara B
AD  - Instituto de Investigacion Sanitaria Aragon, Zaragoza, Espana; Servicio de 
      Medicina Intensiva, Hospital Clinico Universitario, Zaragoza, Espana.
FAU - Urbano-Gonzalo, O
AU  - Urbano-Gonzalo O
AD  - Instituto de Investigacion Sanitaria Aragon, Zaragoza, Espana; Servicio de 
      Nefrologia, Hospital Clinico Universitario, Zaragoza, Espana.
FAU - Moliner-Lahoz, J
AU  - Moliner-Lahoz J
AD  - Instituto de Investigacion Sanitaria Aragon, Zaragoza, Espana; Servicio de 
      Medicina Preventiva y Salud Publica, Hospital Clinico Universitario, Universidad 
      de Zaragoza, Zaragoza, Espana.
FAU - Gea-Velazquez de Castro, M T
AU  - Gea-Velazquez de Castro MT
AD  - Hospital Universitario San Juan, Alicante, Espana.
FAU - Aranaz-Andres, J M
AU  - Aranaz-Andres JM
AD  - Hospital Universitario Ramon y Cajal, Madrid, Espana.
LA  - spa
PT  - Journal Article
PT  - Observational Study
TT  - Aislamiento del paciente critico:  inverted question markriesgo o proteccion?
DEP - 20181005
PL  - Spain
TA  - J Healthc Qual Res
JT  - Journal of healthcare quality research
JID - 101735273
SB  - IM
CIN - J Healthc Qual Res. 2018 Sep - Oct;33(5):247-249. PMID: 30392524
CIN - J Healthc Qual Res. 2019 May - Jun;34(3):159-160. PMID: 30871946
MH  - APACHE
MH  - Aged
MH  - *Critical Illness
MH  - Drug-Related Side Effects and Adverse Reactions/epidemiology
MH  - Female
MH  - Humans
MH  - Intensive Care Units/*statistics & numerical data
MH  - Length of Stay
MH  - Male
MH  - Medical Errors/statistics & numerical data
MH  - Patient Isolation/*statistics & numerical data
MH  - Patient Safety/*statistics & numerical data
MH  - Retrospective Studies
MH  - Safety Management
MH  - Surveys and Questionnaires
MH  - Time Factors
OTO - NOTNLM
OT  - Aislamiento de pacientes
OT  - Cuidados criticos
OT  - Intensive care
OT  - Patient isolation
OT  - Patient safety
OT  - Seguridad del paciente
EDAT- 2018/11/08 06:00
MHDA- 2019/10/28 06:00
CRDT- 2018/11/08 06:00
PHST- 2018/04/08 00:00 [received]
PHST- 2018/06/20 00:00 [revised]
PHST- 2018/06/26 00:00 [accepted]
PHST- 2018/11/08 06:00 [entrez]
PHST- 2018/11/08 06:00 [pubmed]
PHST- 2019/10/28 06:00 [medline]
AID - S2603-6479(18)30068-X [pii]
AID - 10.1016/j.jhqr.2018.06.003 [doi]
PST - ppublish
SO  - J Healthc Qual Res. 2018 Sep-Oct;33(5):250-255. doi: 10.1016/j.jhqr.2018.06.003. 
      Epub 2018 Oct 5.