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http://hdl.handle.net/2445/124104
Title: | Accuracy and completeness of records of adverse events through interface terminology |
Author: | González Samartino, Maribel Delgado-Hito, Pilar Adamuz Tomás, Jordi Viso Cano, Maria Fe Castellà Creus, Mònica Juvé Udina, Eulàlia |
Keywords: | Pneumònia Infermeria quirúrgica Úlcera per pressió Pneumonia Surgical nursing Bedsores |
Issue Date: | 1-Jan-2018 |
Publisher: | Universidade de São Paulo |
Abstract: | Objective: To determine what adverse events, including pressure ulcers, infection of the surgical site and aspiration pneumonia, nurses record in clinical histories, in terms of diagnostic accuracy and completeness, through ATIC. Method: Observational, descriptive, cross-sectional, multicenter study of 64 medical-surgical and semi-critical units of two university hospitals in Catalonia, Spain, during 2015. e diagnostic accuracy was assessed by means of the correspondence between the event declared in the Minimum Basic Data Set and the problem documented by the nurse. e record was considered complete when it contained the risk of the event, prescriptions of care and a record of the evolution. Results: e sample evaluated included 459 records. e accuracy results of pressure ulcers are highly correlated between the nursing diagnosis recorded and that declared in the Minimum Basic Data Set. e accuracy in surgical site infection is moderate, and aspiration resulting in pneumonia is very low. e completeness of results is remarkable, except for the risk of bronchoaspiration. Conclusion: e adverse event recorded by nurses with greatest accuracy is pressure ulcers. |
Note: | Reproducció del document publicat a: https://doi.org/10.1590/S1980-220X2017011203306 |
It is part of: | Revista da Escola de Enfermagem da USP, 2018, vol. 52, num. e03306 |
URI: | http://hdl.handle.net/2445/124104 |
Related resource: | https://doi.org/10.1590/S1980-220X2017011203306 |
ISSN: | 0080-6234 |
Appears in Collections: | Articles publicats en revistes (Infermeria Fonamental i Clínica) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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