Evaluación de la seguridad del paciente con COVID-19 en comparación con pacientes sin COVID-19 y factores predisponentes de los errores de enfermería

Autores/as

DOI:

https://doi.org/10.5294/aqui.2022.22.3.2

Palabras clave:

Covid-19, errores médicos, enfermera, seguridad del paciente, aislamiento de pacientes

Resumen

Objetivos: el presente estudio tuvo como objetivo determinar la seguridad en pacientes hospitalizados con covid-19 en comparación con los que no tenían covid-19 y encontrar factores predisponentes de errores de enfermería según la percepción de los enfermeros. Métodos: esta investigación descriptiva-comparativa empleó datos de encuestas de 800 enfermeros en ocho hospitales iraníes en 2021 mediante tres cuestionarios con alta confiabilidad y validez elaborados por investigadores que incluían datos sociodemográficos, indicadores de seguridad del paciente y factores predisponentes de errores de enfermería. Los datos recopilados se analizaron mediante ANOVA, prueba t independiente y el software SPSS22. Resultados: las puntuaciones medias de seguridad de los pacientes con y sin covid-19 fueron 3,42 ± 0,17 y 3,74 ± 0,06, respectivamente. Las mayores diferencias en seguridad del paciente se atribuyeron a las dimensiones de control de infecciones (0,66) y caída del paciente (0,56). Por otra parte, las causas más comunes de los errores de enfermería estuvieron relacionadas con el aspecto gerencial (2,67 ± 1,39), y los factores predisponentes más comunes de los errores de enfermería fueron la alta carga de trabajo, la baja proporción de enfermeros por pacientes y la fatiga. Conclusiones: los pacientes con covid-19 tienen menor seguridad que los que no presentan la enfermedad. Además, la gestión inadecuada y la alta carga de trabajo conducen a errores de enfermería. Por lo tanto, las autoridades deben diseñar estrategias adecuadas para reducir la carga de trabajo de los enfermeros y mejorar la seguridad del paciente, en especial en aquellos con covid-19.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J. Autoimmun. 2020;109:102433. DOI: https://doi.org/10.1016/j.jaut.2020.102433

Gorbalenya AE, Baker SC, Baric R, Groot RJd, Drosten C, Gulyaeva AA, et al. Severe acute respiratory syndrome-related coronavirus: The species and its viruses–a statement of the Coronavirus Study Group. 2020. DOI: https://doi.org/10.1101/2020.02.07.937862

World Health Organization. COVID-19 Coronavirus pandemic 2021. Retrieved from World meters, November 22, 2021. Available from: https://www.worldometers.info/coronavirus.

del Carpio-Toia AM, del Carpio LBM, Mayta-Tristan P, Alarcón-Yaquetto DE, Málaga G. Workplace violence against physicians treating covid-19 patients in peru: a cross-sectional study. Jt. Comm. J. Qual. Patient Saf.. 2021. DOI: https://doi.org/10.1016/j.jcjq.2021.06.002

Bulut C, Kato Y. Epidemiology of COVID-19. J. Med. Sci. 2020;50. DOI: https://doi.org/10.3906/sag-2004-172

Lai C-C, Wang C-Y, Wang Y-H, Hsueh S-C, Ko W-C, Hsueh P-R. Global epidemiology of coronavirus disease 2019: disease incidence, daily cumulative index, mortality, and their association with country healthcare resources and economic status. Int J Antimicrob Agents. 2020;55(4). DOI: https://doi.org/10.1016/j.ijantimicag.2020.105946

Gutiérrez-Cía I, Aibar-Remón C, Obón-Azuara B, Urbano-Gonzalo O, Moliner-Lahoz J, de Castro MG-V, et al. Aislamiento del paciente crítico:¿ riesgo o protección? J Healthc Qual Res. 2018;33(5):250-5. DOI: https://doi.org/10.1016/j.jhqr.2018.06.003

Teare E, Barrett S. Controversies: Is it time to stop searching for MRSA?: Stop the ritual of tracing colonised people. BMJ. 1997;314(7081):665. DOI: https://doi.org/10.1136/bmj.314.7081.665

Willis E, Harvey C, Thompson S, Pearson M, Meyer A. Work intensification and quality assurance: missed nursing care. J Nurs Care Qual. 2018;33(2):E10–E16. DOI: https://doi.org/10.1097/NCQ.0000000000000277

Anoosheh M, Ahmadi F, Faghihzadeh S, Vaismoradi M. Causes and management of nursing practice errors: a questionnaire survey of hospital nurses in Iran. International nursing review. 2008;55(3):288-95. DOI: https://doi.org/10.1111/j.1466-7657.2008.00623.x

Milos P, Larraín AI. The Ethical-Legal Link between Care Management and Risk Management in the Context of Patient Safety. Aquichan. 2015;15(1):141-53. DOI: https://doi.org/10.5294/aqui.2015.15.1.13

Butt C. Aspects of Palliative Care Nursing in the Time of COVID-19. Aquichan. 2021;21(1):1. DOI: https://doi.org/10.5294/aqui.2021.21.1.1

Mohammadnahal L, Mirzaei A, Khezeli MJ. The effect of caring for covid 19 patients on nurses’productivity and burnout. JNMS. 2021;18(11):859.

Al Maqbali M, Al Khadhuri J. Psychological impact of the coronavirus 2019 (COVID‐19) pandemic on nurses. Japan Journal of Nursing Science. 2021:e12417. DOI: https://doi.org/10.1111/jjns.12417

Mo Y, Deng L, Zhang L, Lang Q, Liao C, Wang N, et al. Work stress among Chinese nurses to support Wuhan in fighting against COVID‐19 epidemic. J Nurs Manag. 2020;28(5):1002-9. DOI: https://doi.org/10.1111/jonm.13014

Nemati M, Ebrahimi B, Nemati F. Assessment of Iranian nurses’ knowledge and anxiety toward COVID-19 during the current outbreak in Iran. Arch Clin Infect Dis. 2020;15(COVID-19). DOI: https://doi.org/10.5812/archcid.102848

Wu Y, Wang J, Luo C, Hu S, Lin X, Anderson AE, et al. A comparison of burnout frequency among oncology physicians and nurses working on the front lines and usual wards during the COVID-19 epidemic in Wuhan, China. J Pain Symptom Manage. 2020;60(1):e60-e65. DOI: https://doi.org/10.1016/j.jpainsymman.2020.04.008

Panagioti M, Geraghty K, Johnson J, Zhou A, Panagopoulou E, Chew-Graham C, et al. Association between physician burnout and patient safety, professionalism, and patient satisfaction: a systematic review and meta-analysis. JAMA internal medicine. 2018;178(10):1317-31. DOI: https://doi.org/10.1001/jamainternmed.2018.3713

Li L, Sun N, Fei S, Yu L, Chen S, Yang S, et al. Current status of and factors influencing anxiety and depression in front‐line medical staff supporting Wuhan in containing the novel coronavirus pneumonia epidemic. Japan Journal of Nursing Science. 2021;18(2):e12398. DOI: https://doi.org/10.1111/jjns.12398

World Health Organization (2020). health worker safety: a priority for patient safety. Available from: https://www.who.int/campaigns/world-patient-safety-day/2020

World Health Organization (2021). WHO Global Patient Safety Network Webinar. Patient safety implications during the COVID-19 pandemic. Available from: https://www.who.int/patientsafety/partnerships/GPSN-webinars/en/

Cook T, Kursumovic E, Lennane S. Exclusive: deaths of NHS staff from covid-19 analysed. HSJ. 2020. DOI: https://doi.org/10.1111/anae.15116

Zhao C, Chang Q, Zhang X, Wu Q, Wu N, He J, et al. Evaluation of safety attitudes of hospitals and the effects of demographic factors on safety attitudes: a psychometric validation of the safety attitudes and safety climate questionnaire. BMC health services research. 2019;19(1):1-11. DOI: https://doi.org/10.1186/s12913-019-4682-0

Rafiei H, Abdar ME, Iranmanesh S, Lalegani H, Safdari A, Dehkordi AH. Knowledge about pressure ulcer prevention, classification and management: A survey of registered nurses working with trauma patients in the emergency department. International Journal of Orthopaedic and Trauma Nursing. 2014;18(3):135-42. DOI: https://doi.org/10.1016/j.ijotn.2014.03.004

National Academies of Sciences E, Medicine. Crossing the global quality chasm: Improving health care worldwide. 2018. DOI: https://doi.org/10.17226/25152

Slawomirski L, Auraaen A, Klazinga NS. The economics of patient safety: Strengthening a value-based approach to reducing patient harm at national level. 2017;96:67. DOI: https://doi.org/10.1787/5a9858cd-en

de Vries EN, Ramrattan MA, Smorenburg SM, Gouma DJ, Boermeester MA. The incidence and nature of in-hospital adverse events: a systematic review. BMJ Qual Saf. 2008;17(3):216-23. DOI: https://doi.org/10.1136/qshc.2007.023622

Salih SA, Reshia FAA, Bashir WAH, Omar AM, Elwasefy SA. Patient safety attitude and associated factors among nurses at Mansoura University Hospital: A cross sectional study. International Journal of Africa Nursing Sciences. 2021;14:100287. DOI: https://doi.org/10.1016/j.ijans.2021.100287

Khalesi N, Arabloo J, Khosravizadeh O, Taghizadeh S, Heyrani A & Ebrahimian A. Psychometric properties of the Persian version of the “hospital ethical climate survey”. Journal of Medical Ethics and History of Medicine 2014;7(1):15.

Gandra S, Barysauskas CM, Mack DA, Barton B, Finberg R, Ellison RT. Impact of elimination of contact precautions on noninfectious adverse events among MRSA and VRE patients. ICHE. 2018;39(10):1272-3. DOI: https://doi.org/10.1017/ice.2018.204

Ahmad Fkhrodin S, Salehi S, Nekavand M. Comparison of evaluation of patient safety assessment indicators in special sections hospitals private and educational ahvaz university of medical sciences in 2019. JNMS. 2021;18(11):832-9.

Ravaghi H, Sadat M, Mostofian F, Vazirian S, Heydarpoor P. Assessment of Patient Safety in Hospitals. 1st edition. Tehran: Minis health med edu. 2011.

Zeighami R, Shokati Ahmadabad M, Mohammadian A, Alipoor Heydari M, Rafiei H. Nursing errors and effect on health care: Perception of risk factors from view of nurse in Qazvin. International Journal of Epidemiologic Research. 2016;3(1):26-32.

Tran K, Bell C, Stall N, Tomlinson G, McGeer A, Morris A, et al. The effect of hospital isolation precautions on patient outcomes and cost of care: a multi-site, retrospective, propensity score-matched cohort study. J Gen Intern Med. 2017;32(3):262-8. DOI: https://doi.org/10.1007/s11606-016-3862-4

Guilley-Lerondeau B, Bourigault C, des Buttes A-CG, Birgand G, Lepelletier D. Adverse effects of isolation: a prospective matched cohort study including 90 direct interviews of hospitalized patients in a French University Hospital. Eur J Clin Microbiol. 2017;36(1):75-80. DOI: https://doi.org/10.1007/s10096-016-2772-z

Martin EM, Bryant B, Grogan TR, Rubin ZA, Russell DL, Elashoff D, et al. Noninfectious hospital adverse events decline after elimination of contact precautions for MRSA and VRE. ICHE. 2018;39(7):788-96. DOI: https://doi.org/10.1017/ice.2018.93

Stelfox HT, Bates DW, Redelmeier DA. Safety of patients isolated for infection control. Jama. 2003;290(14):1899-905. DOI: https://doi.org/10.1001/jama.290.14.1899

Jiménez-Pericás F, de Castro MTGV, Pastor-Valero M, Remón CA, Miralles JJ, García MdCM, et al. Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study. BMJ open. 2020;10(10):e035238. DOI: https://doi.org/10.1136/bmjopen-2019-035238http://dx.doi.org/10.1136/bmjopen-2019-035238

Bruyneel A, Gallani M-C, Tack J, d’Hondt A, Canipel S, Franck S, et al. Impact of COVID-19 on nursing time in intensive care units in Belgium. Intensive and Critical Care Nursing. 2021;62:102967. DOI: https://doi.org/10.1016/j.iccn.2020.102967

Hamamoto M, Unoki T, Tamoto M, Sakuramoto H, Kawai Y, Miyamoto T, et al. Survey on the actual number of nurses required for critical patients with COVID‐19 in Japanese intensive care units: Preliminary report. Japan Journal of Nursing Science. 2021:e12424. DOI: https://doi.org/10.1111/jjns.12424

Sonis JD, Kennedy M, Aaronson EL, Baugh JJ, Raja AS, Yun BJ, et al. Humanism in the age of COVID-19: renewing focus on communication and compassion. West J Emerg Med. 2020;21(3):499. DOI: https://doi.org/10.5811/westjem.2020.4.47596

Marzban S, Maleki M, Nasiri pour A, Jahangiri K. Assessment of patient safety management system in ICU. J Qazvin Univ Med Sci. 2013;17(5):4-12.

Saleh AM, Darawad MW, Al‐Hussami M. The perception of hospital safety culture and selected outcomes among nurses: An exploratory study. Nursing & health sciences. 2015;17(3):339-46. DOI: https://doi.org/10.1111/nhs.12196

Aranaz-Andrés JM, Aibar-Remón C, Vitaller-Murillo J, Ruiz-López P, Limón-Ramírez R, Terol-García E, et al. Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events. Journal of Epidemiology & Community Health. 2008;62(12):1022-9. DOI: https://doi.org/10.1136/jech.2007.065227

Alizadeh AM, Davari F, Mansouri M, Mohammadnia M. Analysis of medical errors: a case study. J Med Ethics. 2017;10(38):59-68. DOI: https://doi.org/10.21859/mej-103859

Guan W-j, Ni Z-y, Hu Y, Liang W-h, Ou C-q, He J-x, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med Overseas Ed. 2020;382(18):1708-20. DOI: https://doi.org/10.1056/NEJMoa2002032

Magnavita N, Tripepi G, Di Prinzio RR. Symptoms in health care workers during the COVID-19 epidemic. A cross-sectional survey. Int J Environ Res Public Health. 2020;17(14):5218. https://doi.org/10.3390/ijerph17145218

Walleth, Yan. J. Translated, by: Lahijanian. Safety Systems. H. 1st Edition. Science and industry University. 2000, Page: 1-3 BASNEF model and its improvement in the Personnel working in production line of Kimia co. 2005; [1]. [Master Thesis]. Iran Medical University. Available from: http://www.echemica.com/

Bagaei R, Nadari Y, Khalkhali H. Evaluation of predisposing factors of nursing errors in critical care units of urmia medical science university hospitals. Nursing And Midwifery Journal. 2012;10(3):0-.

Azarabad S, Zaman S, Nouri B, Valiee S. Frequency, causes and reporting barriers of nursing errors in the operating room students. rme.gums. 2018;10(2):18-27. DOI: https://doi.org/10.29252/rme.10.2.18

Zarea K, Mohammadi A, Beiranvand S, Hassani F, Baraz S. Iranian nurses’ medication errors: A survey of the types, the causes, and the related factors. International journal of Africa nursing sciences. 2018;8:112-6. DOI: https://doi.org/10.1016/j.ijans.2018.05.001

Khammarnia M, Ansari-Moghaddam A, Setoodehzadeh F, Rezaei K, Clark C, Peyvand M. A Systematic Review and Meta-analysis of the Medical Error Rate in Iran: 2005-2019. QMHC. 2021;30(3):166-175. DOI: https://doi.org/10.1097/QMH.0000000000000304

Publicado

2022-07-28

Cómo citar

Mohammadnahal, L., Mirzaei , A., & Khezeli , M. J. . (2022). Evaluación de la seguridad del paciente con COVID-19 en comparación con pacientes sin COVID-19 y factores predisponentes de los errores de enfermería. Aquichan, 22(3), e2232. https://doi.org/10.5294/aqui.2022.22.3.2

Número

Sección

Artículos