Evaluation of the Care Safety of Patients with Surgical Interventions from a High-Complexity Institution in Medellín, Colombia

ABSTRACT: This work sought to evaluate care safety of patients with surgical interventions in the area of general surgery in terms of administrative problems in caring, incidents, and adverse events. Methods. This was an observational-type prospective descriptive study that followed up patients inte...

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Autores:
Duque Henao, Sandra Lorena
Echeverri Montoya, María Jimena
Tipo de recurso:
Article of investigation
Fecha de publicación:
2016
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/6544
Acceso en línea:
http://hdl.handle.net/10495/6544
Palabra clave:
Patient safety
Health care facilities
Health personnel
Hospital units
Patient care
Seguridad de pacientes con intervención quirúrgica
Instituciones de salud
Personal de salud
Unidades hospitalarias
Cuidados al paciente
Rights
openAccess
License
Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
id UDEA2_8c88daa92de53e9b45a1457a03f347ec
oai_identifier_str oai:bibliotecadigital.udea.edu.co:10495/6544
network_acronym_str UDEA2
network_name_str Repositorio UdeA
repository_id_str
dc.title.spa.fl_str_mv Evaluation of the Care Safety of Patients with Surgical Interventions from a High-Complexity Institution in Medellín, Colombia
dc.title.alternative.spa.fl_str_mv Seguridad de la atención de los pacientes con intervenciones quirúrgicas de una institución de alto nivel de complejidad en Medellín, Colombia
title Evaluation of the Care Safety of Patients with Surgical Interventions from a High-Complexity Institution in Medellín, Colombia
spellingShingle Evaluation of the Care Safety of Patients with Surgical Interventions from a High-Complexity Institution in Medellín, Colombia
Patient safety
Health care facilities
Health personnel
Hospital units
Patient care
Seguridad de pacientes con intervención quirúrgica
Instituciones de salud
Personal de salud
Unidades hospitalarias
Cuidados al paciente
title_short Evaluation of the Care Safety of Patients with Surgical Interventions from a High-Complexity Institution in Medellín, Colombia
title_full Evaluation of the Care Safety of Patients with Surgical Interventions from a High-Complexity Institution in Medellín, Colombia
title_fullStr Evaluation of the Care Safety of Patients with Surgical Interventions from a High-Complexity Institution in Medellín, Colombia
title_full_unstemmed Evaluation of the Care Safety of Patients with Surgical Interventions from a High-Complexity Institution in Medellín, Colombia
title_sort Evaluation of the Care Safety of Patients with Surgical Interventions from a High-Complexity Institution in Medellín, Colombia
dc.creator.fl_str_mv Duque Henao, Sandra Lorena
Echeverri Montoya, María Jimena
dc.contributor.author.none.fl_str_mv Duque Henao, Sandra Lorena
Echeverri Montoya, María Jimena
dc.subject.none.fl_str_mv Patient safety
Health care facilities
Health personnel
Hospital units
Patient care
Seguridad de pacientes con intervención quirúrgica
Instituciones de salud
Personal de salud
Unidades hospitalarias
Cuidados al paciente
topic Patient safety
Health care facilities
Health personnel
Hospital units
Patient care
Seguridad de pacientes con intervención quirúrgica
Instituciones de salud
Personal de salud
Unidades hospitalarias
Cuidados al paciente
description ABSTRACT: This work sought to evaluate care safety of patients with surgical interventions in the area of general surgery in terms of administrative problems in caring, incidents, and adverse events. Methods. This was an observational-type prospective descriptive study that followed up patients intervened surgically by the general surgery group of a tier IV hospital unit in the city of Medellín. Results. The study evaluated 182 patients who received complete follow up during the care process in the institution; of these, 59 (32.4%) received unsafe care (10 incidents, 9 problems with quality, and 40 adverse events); the remaining 123 (67.6%) had safe care of which, 28 developed complications in spite of not having had flaws in the care process. Regarding the health professionals responsible for patient care, we found that 57.4% of the adverse events was the responsibility of the treating physician and the remaining 42.6% was the responsibility of the nursing staff. Conclusion. The prevalence of adverse surgical events in this study was above that found in literature. Management of nursing care focused on improving the healthcare system in the area of surgery could reduce substantially not only the occurrence of flaw in caring, but also the economic burden upon the healthcare system.
publishDate 2016
dc.date.issued.none.fl_str_mv 2016
dc.date.accessioned.none.fl_str_mv 2017-02-28T15:58:44Z
dc.date.available.none.fl_str_mv 2017-02-28T15:58:44Z
dc.type.spa.fl_str_mv info:eu-repo/semantics/article
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.hasversion.spa.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.type.local.spa.fl_str_mv Artículo de investigación
format http://purl.org/coar/resource_type/c_2df8fbb1
status_str publishedVersion
dc.identifier.citation.spa.fl_str_mv Duque SL, Echeverri MJ. Evaluation of the Care Safety of Patients with Surgical Interventions from a High-Complexity Institution in Medellín, Colombia. Invest. Educ. Enferm. 2016;34(3): 456-464.
dc.identifier.issn.none.fl_str_mv 0120-5307
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10495/6544
dc.identifier.eissn.none.fl_str_mv 2216-0280
identifier_str_mv Duque SL, Echeverri MJ. Evaluation of the Care Safety of Patients with Surgical Interventions from a High-Complexity Institution in Medellín, Colombia. Invest. Educ. Enferm. 2016;34(3): 456-464.
0120-5307
2216-0280
url http://hdl.handle.net/10495/6544
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.ispartofjournalabbrev.spa.fl_str_mv Invest. educ. enferm.
dc.rights.*.fl_str_mv Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
dc.rights.spa.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.uri.*.fl_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/co/
dc.rights.accessrights.spa.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.creativecommons.spa.fl_str_mv https://creativecommons.org/licenses/by-nc-sa/4.0/
rights_invalid_str_mv Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
https://creativecommons.org/licenses/by-nc-sa/2.5/co/
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eu_rights_str_mv openAccess
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Universidad de Antioquia, Facultad de Enfermería
dc.publisher.place.spa.fl_str_mv Medellín, Colombia
institution Universidad de Antioquia
bitstream.url.fl_str_mv http://bibliotecadigital.udea.edu.co/bitstream/10495/6544/1/DuqueSandra_2016_SafetyCareSurgicalInterventions.pdf
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spelling Duque Henao, Sandra LorenaEcheverri Montoya, María Jimena2017-02-28T15:58:44Z2017-02-28T15:58:44Z2016Duque SL, Echeverri MJ. Evaluation of the Care Safety of Patients with Surgical Interventions from a High-Complexity Institution in Medellín, Colombia. Invest. Educ. Enferm. 2016;34(3): 456-464.0120-5307http://hdl.handle.net/10495/65442216-0280ABSTRACT: This work sought to evaluate care safety of patients with surgical interventions in the area of general surgery in terms of administrative problems in caring, incidents, and adverse events. Methods. This was an observational-type prospective descriptive study that followed up patients intervened surgically by the general surgery group of a tier IV hospital unit in the city of Medellín. Results. The study evaluated 182 patients who received complete follow up during the care process in the institution; of these, 59 (32.4%) received unsafe care (10 incidents, 9 problems with quality, and 40 adverse events); the remaining 123 (67.6%) had safe care of which, 28 developed complications in spite of not having had flaws in the care process. Regarding the health professionals responsible for patient care, we found that 57.4% of the adverse events was the responsibility of the treating physician and the remaining 42.6% was the responsibility of the nursing staff. Conclusion. The prevalence of adverse surgical events in this study was above that found in literature. Management of nursing care focused on improving the healthcare system in the area of surgery could reduce substantially not only the occurrence of flaw in caring, but also the economic burden upon the healthcare system.RESUMEN: Evaluar la seguridad en la atención de los pacientes con intervenciones quirúrgicas en el área de cirugía general en términos de problemas administrativos para la atención, incidentes y eventos adversos. Métodos. Estudio descriptivo prospectivo de tipo observacional que realizó seguimiento a pacientes intervenidos quirúrgicamente por el grupo de cirugía general de una unidad hospitalaria de cuarto nivel de complejidad de la ciudad de Medellín (Colombia). Resultados. Se evaluaron 182 pacientes a quienes se les realizó el seguimiento completo durante proceso de atención en la institución, de ellos 59 (32.4%) tuvieron atención insegura (10 incidentes, 9 problemas con la calidad y 40 eventos adversos); los 123 restantes (67.6%), atención segura, de los cuales, 28 desarrollaron complicaciones a pesar de no haber tenido falla en el proceso de atención. Con relación al profesional de la salud responsable de la atención de los pacientes, encontramos que el 57.4% de los eventos adversos fue responsabilidad del médico tratante y el 42.6% restante fue responsabilidad del personal de enfermería. Conclusión. La prevalencia de evento adverso quirúrgico en este estudio fue superior a la encontrada en la literatura. La gestión del cuidado de enfermería enfocada a la mejora del sistema de atención en el área de cirugía podría reducir sustancialmente no solo la ocurrencia de la falla de la atención sino también la carga económica que ello conlleva al sistema de atención en salud.application/pdfengUniversidad de Antioquia, Facultad de EnfermeríaMedellín, Colombiainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTArtículo de investigaciónhttp://purl.org/coar/version/c_970fb48d4fbd8a85Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc-sa/4.0/Patient safetyHealth care facilitiesHealth personnelHospital unitsPatient careSeguridad de pacientes con intervención quirúrgicaInstituciones de saludPersonal de saludUnidades hospitalariasCuidados al pacienteEvaluation of the Care Safety of Patients with Surgical Interventions from a High-Complexity Institution in Medellín, ColombiaSeguridad de la atención de los pacientes con intervenciones quirúrgicas de una institución de alto nivel de complejidad en Medellín, ColombiaInvest. educ. enferm.Investigación y Educación en Enfermería456464343ORIGINALDuqueSandra_2016_SafetyCareSurgicalInterventions.pdfDuqueSandra_2016_SafetyCareSurgicalInterventions.pdfArtículo de investigaciónapplication/pdf616327http://bibliotecadigital.udea.edu.co/bitstream/10495/6544/1/DuqueSandra_2016_SafetyCareSurgicalInterventions.pdf25d32acb949dd52832b37cd553580f49MD51CC-LICENSElicense_urllicense_urltext/plain; charset=utf-849http://bibliotecadigital.udea.edu.co/bitstream/10495/6544/2/license_url4afdbb8c545fd630ea7db775da747b2fMD52license_textlicense_texttext/html; charset=utf-80http://bibliotecadigital.udea.edu.co/bitstream/10495/6544/3/license_textd41d8cd98f00b204e9800998ecf8427eMD53license_rdflicense_rdfapplication/rdf+xml; charset=utf-80http://bibliotecadigital.udea.edu.co/bitstream/10495/6544/4/license_rdfd41d8cd98f00b204e9800998ecf8427eMD54LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://bibliotecadigital.udea.edu.co/bitstream/10495/6544/5/license.txt8a4605be74aa9ea9d79846c1fba20a33MD5510495/6544oai:bibliotecadigital.udea.edu.co:10495/65442021-03-25 09:11:50.715Repositorio Institucional Universidad de Antioquiaandres.perez@udea.edu.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