Unplanned withdrawals of invasive devices in an intensive care unit

Authors

DOI:

https://doi.org/10.33448/rsd-v9i7.4143

Keywords:

Critical Care; Health Care; Quality Indicators; Patient Safety.

Abstract

Objective: to analyze the unplanned withdrawals of invasive devices in an intensive care unit. Method: this is a cross-sectional, descriptive, documentary study carried out at a university hospital in Rio de Janeiro. Data collection took place on the control forms of invasive devices, from February to September 2018. The data were analyzed using simple and inferential descriptive statistics. Results: 2292 records were consulted, which resulted in the analysis of 7,098 invasive devices / day. Of these, 115 had unplanned withdrawals, corresponding to a rate of 16.2. Most unplanned withdrawals occurred with enteral tubes (76), with the main reason for withdrawal by the patient himself (55- 72.4%). Conclusion: the analysis of withdrawals, allows the adoption of strategies and actions that act to prevent the withdrawal of these devices.

References

Barbosa, TP, Oliveira, GAA, Lopes, MNA, Poletti, NAA, Beccaria, LM. (2014). Care practices for patient safety in an intensive care unit. Acta Paul Enferm, 27(3), 243-48.

Camerini, FG, Silva, LD, Henrique, DM, Andrade, KBS & Almeida, LF. (2017). Occurrence of hemorrhagic events related to invasive devices manipulated by nursing in anticoagulated patients. Rev Rene. 2017, 18(4), 437-444.

Costa, GS, Souza, CC, Diaz, FBBS & Toledo, LV. (2019). Bed bath in critical care patients: an integrative review. Rev Baiana Enferm., 32(1), e20483.

Lima, CSP, Barbosa, SFF. (2015). Ocorrência de eventos adversos como indicadores de qualidade assistencial em unidade de terapia intensiva. Rev Enferm UERJ. 2015, 23(2), 222-28.

Melo, EM, Oliveira, TMM, Marques, AM, Ferreira, AMM, Silveira, FMM & Lima, VF. (2016). Caracterização dos pacientes em uso de drogas vasoativas internados em unidade de terapia intensiva. Rev Fund Care Online, 8(3), 4898-904.

Paes, GO, Moreira, SO, Moreira, MB & Martins, TG. (2017) Incompatibilidade medicamentosa em terapia intensiva: revisão sobre as implicações para a prática de enfermagem. Rev Eletr Enf., 19(1), a20.

Pereira, LMV, Almeida, LF, Franco, AS, Cascardo, ALM., Silva, RRG, Souza, MMC. (2018) Unplanned removal of invasive devices and their implications for the safety of the critical patient. Rev Fund Care Online, 10(2), 490-495.

Pereira, SRM, Coelho, MJ, Mesquita, AMF, Teixeira, AO & Graciano, SA. (2013). Causes for the unplanned removal of the feeding tube in intensive care. Acta Paul Enferm, 26(4), 338-344.

Pereira, AS, Shitsuka, DM, Parreira, FJ & Shitsuka, R. (2018). Metodologia da pesquisa científica. [e-book]. Santa Maria. Ed. UAB/NTE/UFSM. Acesso: 17 maio 2020. Disponível em: https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1.

Pincelli, EL, Waters, C & Hupsel, ZN. (2015) Ações de enfermagem na prevenção do delirium em pacientes na Unidade de Terapia Intensiva. Arq Med Hosp Fac Cienc Med. Santa Casa. São Paulo, 60(1): 131-39.

Rossaneis, MA, Haddad, MCL, Melo, MRAC, Bernardes, A. (2015). Indicadores de qualidade da assistência: opinião de enfermeiros gerentes de hospitais de ensino. Cogitare Enferm, 20(4), 798-804.

Sampaio, IR, Ferrari, TKV, Toso, TP, Duarte, LM, Luzzi, LC, Souza, VV & Mezzomo, TR. (2019). Análise da adequação dos indicadores de qualidade em terapia nutricional enteral em uma unidade de terapia intensiva. Research, Society and Development, 8(12), e468121941.

Silva, MHO, Camerini, FG, Henrique, DM, Almeida, LF, Franco, AS, Pereira, SRM. (2018). Delirium na terapia intensiva: fatores predisponentes e prevenção de eventos adversos. Rev Baiana Enferm., 32(1), 1-11.

Silva, MT & Palu, LA. (2018). Prevenção de complicações evitáveis em uma unidade de terapia intensiva: uma revisão integrativa. Saúde e Pesquisa, 11(3), 613-621.

Souza, RF, Alves, AS, Alencar, IGM. (2018). Adverse events in the intensive care unit. Rev Enferm UFPE on line, 12(1), 19-27.

Tavares, APM, Moura, ECC, Avelino, FVSD Lopes, VCA & Nogueira, LT. (2019). Patient safety culture from the perspective of the nursing team. Rev Rene, 19: e3152.

Uemura, K, Inoue, S & Kawaguchi M. (2018). The unnecessary application of central venous catheterization in surgical patients. Rev Bra Anesthesiol, 68(4), 336-343.

Xelegati, RGCS, Dessotte, CAM, Zen, YP, Évora, YDM. (2019). Eventos adversos relacionados ao uso de equipamentos e materiais na assistência de enfermagem a pacientes hospitalizados. Rev. Esc. Enferm. USP, 53, e03503.

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Published

17/05/2020

How to Cite

ROSÁRIO, O. O. M. do; ALMEIDA, L. F. de; CAMERINI, F. G.; MARINS, A. L. C.; PAULA, V. G. de; PEREIRA, S. R. M. Unplanned withdrawals of invasive devices in an intensive care unit. Research, Society and Development, [S. l.], v. 9, n. 7, p. e371974143, 2020. DOI: 10.33448/rsd-v9i7.4143. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/4143. Acesso em: 23 dec. 2024.

Issue

Vol. 9 No. 7

Section

Health Sciences

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