Unidade de terapia intensiva: segurança e monitoramento de eventos adversos

Mônica Vanessa Ochôa da Silva, Rita Catalina Aquino Caregnato

Resumo


RESUMO

Objetivo: conhecer publicações sobre o monitoramento de eventos adversos em pacientes internados na Unidade de Terapia Intensiva. Método: trata-se de estudo bibliográfico, tipo revisão integrativa, de artigos publicados entre 2013 e 2017, indexados nas bases de dados LILACS, BDENF, MEDLINE e Science Direct. Realizou-se a análise crítica e descritiva, classificando os artigos pelo nível de evidência. Apresentaram-se os resultados em forma de figura. Resultados: incluíram-se 21 artigos, 80% em inglês, a maioria extraída da MEDLINE, com evidências baixas, provenientes de estudos descritivos, abordando eventos adversos e formas de monitoramento relacionados à medicação, comunicação, estratégias de enfrentamento e educação, fatores relacionados, extubações acidentais, quedas e higiene de mãos. Conclusão: avalia-se que as publicações abordam o monitoramento dos eventos adversos na UTI como um processo complexo, contínuo e de abordagem sistêmica. Recomenda-se o uso de protocolos, trabalho em equipe, comunicação assertiva, educação, desmistificação dos eventos adversos, empoderamento das lideranças engajadas na temática e fomento do conhecimento acerca do tema. Descritores: Segurança do Paciente; Monitoramento; Eventos Adversos; Dano ao Paciente; Unidades de Terapia Intensiva; Qualidade da Assistência à Saúde.

ABSTRACT

Objective: to know publications about the monitoring of adverse events in patients admitted to the Intensive Care Unit. Method: this is a bibliographical study, type integrative, of articles published between 2013 and 2017, indexed in the databases LILACS, BDENF, MEDLINE and Science Direct. A critical and descriptive analysis was performed, classifying the articles by the level of evidence. The results were presented in figure form. Results: 21 articles were included, 80% in English, most extracted from MEDLINE, with low evidence from descriptive studies, addressing adverse events and medication-related monitoring, communication, coping and education strategies, related factors, accidental extubation, falls and hand hygiene. Conclusion: it is evaluated that the publications address the monitoring of adverse events in the ICU as a complex, continuous and systemic approach. It is recommended the use of protocols, teamwork, assertive communication, education, demystification of adverse events, empowerment of the leaders engaged in the theme and promotion of knowledge about the theme. Descriptors: Patient Safety; Monitoring; Medical Errors/Adverse Effects; Patient Harm; Intensive Care Units; Quality of Health Care.

RESUMEN

Objetivo: conocer publicaciones sobre el monitoreo de eventos adversos en pacientes internados en la Unidad de Terapia Intensiva. Método: se trata de estudio bibliográfico, tipo revisión integrativa, de artículos publicados entre 2013 y 2017, indexados en las bases de datos LILACS, BDENF, MEDLINE y Science Direct. Se realizó el análisis crítico y descriptivo, clasificando los artículos por el nivel de evidencia. Se presentaron los resultados en forma de figura. Resultados: se incluyeron 21 artículos, 80% en inglés, la mayoría extraída de MEDLINE, con evidencias bajas, provenientes de estudios descriptivos, abordando eventos adversos y formas de monitoreo relacionados a la medicación, comunicación, estrategias de enfrentamiento y educación, factores relacionados, extubaciones accidentales, caídas e higiene de manos. Conclusión: se evalúa que las publicaciones abordan el monitoreo de los eventos adversos en la UTI como un proceso complejo, continuo y de abordaje sistémico. Se recomienda el uso de protocolos, trabajo en equipo, comunicación asertiva, educación, desmitificación de los eventos adversos, empoderamiento de los liderazgos comprometidos en la temática y fomento del conocimiento acerca del tema. Descriptores: Seguridad del Paciente; Monitoreo; Errores Médicos; Daño del Paciente; Unidades de Cuidados Intensivos; Calidad de la Atención de Salud.


Palavras-chave


Segurança do Paciente; Monitoramento; Eventos Adversos; Dano ao Paciente; Unidades de Terapia Intensiva; Qualidade da Assistência à Saúde

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DOI: https://doi.org/10.5205/1981-8963.2019.239368



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