| Autor: |
J, Alcaraz-Martínez, J M, Aranaz-Andrés, A, Cantero-Sandoval, P, Piñera-Salmerón, J, Mas-Luzón, J A, Serrano-Martínez, E, González Garro |
| Rok vydání: |
2017 |
| Předmět: |
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| Zdroj: |
Journal of healthcare quality research. 33(2) |
| ISSN: |
2603-6479 |
| Popis: |
To analyse the use of complementary tests and their relationship with safety incidents in hospital emergency departments.An analysis was performed on 935 patients seen in the 9 hospital emergency departments. The source of data used for the detection of incidents were: emergency department clinical record and reports, together with face-to-face observation in the department, plus a telephone survey of the patient or family member at one week after the care. Statistical tests used: The Student t test for quantitative variables, Chi squared test for qualitative variables, and the ANOVA test.A peripheral venous catheter was used in 397 patients (42.4% (95% CI; 39.3-45.5%)), with a variability with significant differences between hospitals (P.01), with a range of use from 37% to 81.8%. It was also observed that in 23.4% (95% CI; 19.2-27.6%) of the cases, the catheter was not used after the first blood draw. Radiological tests were requested for 351 patients, 37.7% (95% CI; 34.6-40.8%), also with significant differences between hospitals (P.01), ranging from 24.6 to 65, 1%. Incidents were detected in 95 (10.2%) patients (95% CI; 8.3-12.1%) in the all the study centres. A higher proportion of safety incidents have been observed in patients where peripheral venous catheter has been used (12.8%) than in those in whom they had not been used (8.5%) (P=.03), as well as in patients on whom an x-ray was requested (12.8%) compared to those who did not (8.64%) (P=.04). A longer stay was also observed in cases with an incident (mean 248.9minutes) than in those where there were none (mean 164.1minutes) (P.001). No statistically significant differences were found in the other parameters studied.A relationship was observed between the use of a peripheral venous catheter (many of them without use) and radiological tests and the occurrence of safety incidents in the Emergency Departments. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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