Safety incidents in airway and mechanical ventilation in Spanish ICUs: The IVeMVA study
| Autor: | Maria Cruz Martín, Nicolás Nin, Blanca Obón, Ángela Alonso-Ovies, I. Gutiérrez, Paz Merino, Federico Gordo, J.M. Añón, IVeMVA study investigators, Mónica Magret |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Iatrogenic Disease Critical Care and Intensive Care Medicine law.invention 03 medical and health sciences Patient safety 0302 clinical medicine Tracheostomy 030202 anesthesiology law Medicine Intubation Humans Prospective Studies Adverse effect Aged Mechanical ventilation business.industry Incidence (epidemiology) 030208 emergency & critical care medicine Middle Aged Intensive care unit Respiration Artificial Intensive Care Units Cross-Sectional Studies Spain Emergency medicine Airway management Female business Airway |
| Zdroj: | Journal of critical care. 47 |
| ISSN: | 1557-8615 |
| Popis: | Purpose To assess incidence, related factors and characteristics of safety incidents associated with the whole process of airway management and mechanical ventilation (MV) in Spanish ICUs. Materials and methods Observational, prospective, 7 days cross-sectional multicenter study. Airway and MV related incidents were reported using structured questionnaire. Type, characteristics, severity, avoidability and contributing factors of the incidents were assessed. Results Participant ICUs: 104. Inclusion of 1267 patients; 745 (59%) suffered one or more incidents. Incidents reported: 2492 (59% non-harm-events, 41% adverse events). Individual risk of suffering at least one incident: 66.6%. Incidence ratio (median) of incidents: 2 per 100 patient-hours. 73.7% of incidents were related to MV process, 9.5% to tracheostomy, 6.2% to non-invasive MV, 5.4% to weaning/extubation, 4.4% to intubation and 0.8% to prone position. Temporary damage was produced in 12% incidents, while 0.8% was related to permanent injuries, risk to the patient's life or contributed to death. Incidents were considered avoidable in 73.5% of cases. 98% of all incidents had 1 or more contributing factors. Conclusions MV is a risk process in critical patients. Although most incidents did not harm patients, some caused damage and a few were related to the patient's death or permanent damage. Preventability is high. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect