Publicación:
Eventos adversos derivados del cuidado de enfermería en instituciones prestadoras de servicios de salud

dc.audience
dc.contributor.advisorBerrocal Narváez, Neila Esther
dc.contributor.authorMartínez Santos, Sindy Paola
dc.contributor.authorMesa García, María José
dc.contributor.authorPérez Diaz, Jesús Alberto
dc.contributor.jurySoto Osorio, Edith Del Carmen
dc.contributor.juryPadilla Choperena, Candelaria
dc.date.accessioned2024-02-01T16:34:36Z
dc.date.available2024-02-01T16:34:36Z
dc.date.issued2024-01-30
dc.description.abstract El análisis de la literatura reveló importantes hallazgos sobre eventos adversos en el cuidado de enfermería en IPS de segundo nivel de complejidad. Se destacaron tipos comunes como errores de medicación y caídas de pacientes, señalando la necesidad de prevenirlos mediante la implementación de procesos y sistemas de seguridad del paciente. Se identificaron factores contribuyentes, como la falta de protocolos estandarizados y las deficiencias en la comunicación interprofesional, que propiciaban la ocurrencia de estos eventos. Se propusieron acciones de mejora, como la promoción de una cultura de seguridad y la capacitación continua del personal. Se subrayó la importancia de involucrar a estudiantes de enfermería en la detección y notificación de eventos adversos, destacando el papel crucial de la educación en la promoción de una atención segura y de calidad. Estos resultados enfatizaron la necesidad de intervenciones específicas y políticas dirigidas a mejorar la seguridad del paciente en el contexto de la enfermería en IPS de segundo nivel de complejidad. spa
dc.description.abstractThe analysis of the literature revealed important findings on adverse events in nursing care in IPS of second level of complexity. Common types such as medication errors and patient falls were highlighted, pointing out the need to prevent them by implementing patient safety processes and systems. Contributing factors were identified, such as the lack of standardized protocols and deficiencies in Interprofessional communication, that led to the occurrence of these events. Improvement actions were proposed, such as the promotion of a safety culture and continuous staff training. The importance of involving nursing students in the detection and reporting of adverse events was highlighted, highlighting the crucial role of education in promoting safe and quality care. These results emphasized the need for specific interventions and policies aimed at improving patient safety in the context of nursing in IPS of second level of complexity. eng
dc.description.degreelevelEspecialización
dc.description.degreenameEspecialista en Auditoria de la Calidad en Salud
dc.description.modalityMonografías
dc.description.tableofcontentsRESUMEN................................ 7spa
dc.description.tableofcontentsABSTRACT ........................8eng
dc.description.tableofcontentsINTRODUCCIÓN............................... 9spa
dc.description.tableofcontents1. OBJETIVOS ...................................... 11spa
dc.description.tableofcontents1.1. General........................... 11spa
dc.description.tableofcontents1.2. Específicos ........................ 11spa
dc.description.tableofcontentsMETODOLOGÍA............................... 12spa
dc.description.tableofcontentsTIPO DE ESTUDIO.................. 12spa
dc.description.tableofcontentsMUESTRA............................................... 12spa
dc.description.tableofcontentsUNIDAD DE ANÁLISIS................................................................................................. 13spa
dc.description.tableofcontentsORGANIZACIÓN DE LA INFORMACIÓN................................................................. 13spa
dc.description.tableofcontentsPRESENTACIÓN DE LA INFORMACIÓN................................................................ 13spa
dc.description.tableofcontentsASPECTOS ÉTICOS.................................................................................................... 13spa
dc.description.tableofcontentsASPECTOS DE PROPIEDAD INTELECTUAL Y DERECHOS DE AUTOR....... 14spa
dc.description.tableofcontents2. MONOGRAFÍA .......................................................................................................... 15spa
dc.description.tableofcontents2.1. CLASIFICACIÓN DE LOS EVENTOS ADVERSOS SEGÚN TIPOS, ÁREAS DE SERVICIO Y SU GRAVEDAD.............................................................................. 15spa
dc.description.tableofcontents2.2. FACTORES QUE CONTRIBUYEN A LA APARICIÓN DE EVENTOS ADVERSOS. .................................................................................................................. 22spa
dc.description.tableofcontents2.3. ACCIONES DE MEJORA DESENCADENADAS POR HALLAZGOS.......... 25spa
dc.description.tableofcontents3. CONSIDERACIONES FINALES............................................................................. 32spa
dc.description.tableofcontents4. CONCLUSIONES...................................................................................................... 34spa
dc.description.tableofcontents5. RECOMENDACIONES ............................................................................................ 35spa
dc.description.tableofcontents7. BIBLIOGRAFÍA ............................................ 36spa
dc.format.mimetypeapplication/pdf
dc.identifier.instnameUniversidad de Córdoba
dc.identifier.reponameRepositorio universidad de Córdoba
dc.identifier.repourlhttps://repositorio.unicordoba.edu.co
dc.identifier.urihttps://repositorio.unicordoba.edu.co/handle/ucordoba/8182
dc.language.isospa
dc.publisherUniversidad de Córdoba
dc.publisher.facultyFacultad de Ciencias de la Salud
dc.publisher.placeMontería, Córdoba, Colombia
dc.publisher.programEspecialización en Auditoria de la Calidad en Salud
dc.relation.references1. Aranaz-Andrés JM, Aibar-Remón C, Limón-Ramírez R, Amarilla A, Restrepo FR, Urroz O, ... & Terol-García E. Design of the IBEAS study: prevalence of adverse events in Latin American hospitals. Revista de Calidad Asistencial. 2011;26(3):194- 200.
dc.relation.references2. Social, M. D. (2018). Ministry of Health and Social Protection. Retrieved on 15.
dc.relation.references3. Rodríguez Rodríguez, D. C., Sierra Méndez, H. T., & Díaz Jojoa, R. A. (2021). Characterization of adverse events in the hospitalization functional unit of a level IV care institution in Huila in 2020
dc.relation.references4. Edu.py. Compilation monograph (review article) (cited on October 7, 2023). Available at: https://www.utic.edu.py/repositorio/images/archivos/UTIC_monograf%C3%ADa%2 0de%20compilacion.pdf
dc.relation.references5. REPUBLIC OF COLOMBIA. MINISTRY OF HEALTH. RESOLUTION NUMBER 8430 OF 1993 (October 4). By which the scientific, technical, and administrative standards for health research are established. (Online). (Cited on July 2, 2022). Available at: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLU CION-8430-DE1993.PDF
dc.relation.references6. Castillo García JL, Olvera Olvera LG. Incidence of adverse events in the care of hospitalized patients in a third-level institution during 2019. Revista de Calidad Asistencial. 2023;38(1):45-52.
dc.relation.references7. ENEAS E. National study on adverse effects related to hospitalization. Madrid: Ministry of Health and Consumption; 2006.
dc.relation.references8. Ministry of Social Protection of Colombia. Ministry of Health and Social Protection. Bogotá: Ministry of Social Protection of Colombia; 2018.
dc.relation.references9. Carmona Valencia PA, García Dallos D, Pérez López Y, Tabima Osorio JH. Adverse events in the Versalles clinic during the second semester of 2017. Revista de Calidad Asistencial. 2018;33(2):87-94.
dc.relation.references10. Carvajal Barrera EP, Sepúlveda Gómez LM, Ramírez Muñoz D, Jiménez Correa AM. Patient safety culture in the low complexity Oral Health IPS, Manizales Caldas. 2019-II 2020-I. Revista de Calidad Asistencial. 2021;36(1):12-19.
dc.relation.references11. Donado Linero MM. Adverse events in adult intensive care units in Barranquilla, Colombia, 2017-2018. Revista de Calidad Asistencial. 2020;35(3):142-149.
dc.relation.references12. Sánchez Cote DB, Camelo Barreto JA, Giraldo Luna CM. Prevalence of adverse events in the home care program. Bogotá 2014-2021. Revista de Calidad Asistencial. 2022;37(1):23-30
dc.relation.references13. Ministry of Health and Social Protection of Colombia. Resolution 0256 of 2016.
dc.relation.references14. Ricaurte Sosa, Y. M. (2013). Evaluation of the effectiveness of the institutional patient safety policy: adverse event, from the nursing perspective in a third-level IPS. Bogotá DC (Doctoral dissertation).
dc.relation.references15. Mercado Espitia, K. P. (2020). Mechanisms and strategies to implement the patient safety policy in Colombia.
dc.relation.references16. Vítolo, F., & de Seguros, N. C. (2021). Human factors and patient safety. Noble Virtual Library.
dc.relation.references17. Rodríguez Rey, Y. L. (2014). Causes of occurrence of adverse events related to nursing care (Doctoral dissertation).
dc.relation.references18. Cuello Márquez, S., Humánez Humánez, L. M., & Oquendo Martínez, C. D. (2021). Patient safety as a standard of quality of patient care, related to the occurrence of adverse events associated with health care, in critical care units in Latin American countries, 2017-2020.
dc.relation.references19. Franco AL. Fundamentals of patient safety to reduce medical errors. University of Valle; 2006.
dc.relation.references20. Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG, ... and Hiatt HH. Incidence of adverse events and negligence in hospitalized patients: results from the Harvard Medical Practice Study I. New England Journal of Medicine. 2008;324(6):370-376.
dc.relation.references21. Instructional P. PATIENT SAFETY AND SAFE CARE (Internet). Gobernador.co. (cited on April 29, 2023). Available at:https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/CA/Guia buenas-practicas-seguridad-paciente.pdf
dc.relation.references22. Patient safety (Internet). Who.int. (cited on April 29, 2023). Available at: https://www.who.int/es/news-room/fact-sheets/detail/patient-safety
dc.relation.references23. Ministry of Health and Social Protection of Colombia. Patient safety and safe care. Technical guide "Good practices for patient safety in health care".
dc.relation.references24. World Health Organization. Conceptual framework of the International Classification for Patient Safety. Final technical report, January 2009
dc.relation.references25. Ministry of Health and Social Protection. Resolution No. 3100 of 2019 by which the procedures and conditions for the registration of health service providers and the habilitation of health services are defined. Bogotá: Minsalud; 2019.
dc.relation.references26. Ministry of Health and Social Protection of Colombia. Decree 1011 of 2006 by which the Mandatory Quality Assurance System for Health Care of the General Social Security System in Health is established. Bogotá: Minsalud; 2006.
dc.relation.references27. Ministry of Health and Social Protection of Colombia. Resolution 5095 of 2018, by which the "Manual of Accreditation in Ambulatory and Hospital Health of Colombia, version 3.1" is adopted. Bogotá: Minsalud; 2018.
dc.relation.references28. Morales-Cangas, M. A., Ulloa-Meneses, C. M., Rodríguez-Díaz, J. L., & Parcon Bitanga, M. (2019). Adverse events in Intensive Care and Internal Medicine services. Archivo Médico de Camagüey Journal, 23(6), 738-747.
dc.relation.references29. Riera-Vázquez, N. A., Gutiérrez-Alba, G., Reyes-Morales, H., Pavón-León, P., Gogeascoechea-Trejo, M. C., & Muños-Hernandez, J. (2022). Adverse events and essential actions for patient safety. Journal of Healthcare Quality Research, 37(4), 239-246.
dc.relation.references30. Corrales, F. D. C. B. (2020). Level of perception of patient safety culture and reporting of adverse events in a level I hospital. CURAE Scientific Journal, 3(1), 43- 52.
dc.relation.references31. Flórez, F., López, L., & Bernal, C. (2022). Prevalence of adverse events and their manifestations in health professionals as second victims. Biomédica, 42(1), 184- 195.
dc.relation.references32. Gómez Giraldo, D., & Murillo Marín, L. Y. (2020). Bibliographic review on the importance of reporting adverse events in the health sector in Colombia.
dc.relation.references33. Institute of Medicine (IOM). "To Err is Human: Building a Safer Health System." Institute of Medicine Report. Washington, DC: National Academies Press.
dc.relation.references34. James Reason. "Managing the Risks of Organizational Accidents." Ashgate Publishing Limited. 2017.
dc.relation.references35. Donabedian, A. "The Quality of Care: How Can It Be Assessed?" Health Administration Press. 2018.
dc.relation.references36. Carayón P, et al. Human factors systems approach to healthcare quality and patient safety. The Patient Safety Journal. 2016;2(4):126-132.
dc.relation.references37. Vincent, C. et al. (2012). "Understanding and Investigating Patient Adverse Events." In "Patient Safety and Quality: An Evidence-Based Handbook for Nurses" (Chapter 13). Agency for Healthcare Research and Quality.
dc.relation.references38. Carayon, P. et al. (2016). "Human factors systems approach to healthcare quality and patient safety." The Journal of Patient Safety, 2(4), 126-132.
dc.relation.references39. Leape, L. L. "Error in medicine." JAMA, 272(23), 1851-1857.
dc.relation.references40. Camelo Sánchez, S. P., Guerrero Martinez, V. C., & Torres Dorado, G. (2023). Adverse events linked to health care in the emergency department of a medium complexity clinic in Cali from June to December 2021.
dc.relation.references41. Acosta Pérez, M. J., & Mora Padrón, T. R. (2020). Report behavior of adverse events in a health institution and its relationship with the training practices of nursing students at the University of Córdoba 2019.
dc.relation.references42. U.S. Department of Health and Human Services Office of Inspector General. (2010). Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. https://oig.hhs.gov/oei/reports/oei-06-09-00090.pdf
dc.relation.references43. Thomas, E. J., Studdert, D. M., Burstin, H. R., Orav, E. J., Zeena, T., Williams, E. J., & Howard, K. M. (2009). Incidence and types of adverse events and negligent care in Utah and Colorado. Medical Care, 38(3), 261–271. https://doi.org/10.1097/00005650-200003000-00003
dc.relation.references44. European Medicines Agency. (2018). Guideline on good pharmacovigilance practices (GVP) Module VI – Collection, management and submission of reports of suspected adverse reactions to medicinal products (Rev 2). https://www.ema.europa.eu/en/documents/scientific-guideline/draft-guideline-good pharmacovigilance-practices-gvp-module-vi-collection-management submission_en.pdf
dc.relation.references45. American Society of Clinical Oncology. (2018). Management of Immune-Related Adverse Events in Patients Treated With Immune Checkpoint Inhibitor Therapy: American Society of Clinical Oncology Clinical Practice Guideline. Journal of Clinical Oncology, 36(17), 1714–1768. https://doi.org/10.1200/JCO.2017.77.6385
dc.relation.references46. StatPearls Publishing. (2023). Adverse Events. National Center for Biotechnology Information. https://www.ncbi.nlm.nih.gov/books/NBK558963/
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2
dc.rights.licenseAtribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.keywordsAdverse events
dc.subject.keywordsPatient safety
dc.subject.keywordsNursing care
dc.subject.proposalEventos adversos
dc.subject.proposalSeguridad del paciente
dc.subject.proposalCuidados de Enfermería
dc.titleEventos adversos derivados del cuidado de enfermería en instituciones prestadoras de servicios de saludspa
dc.typeTrabajo de grado - Especialización
dc.type.coarhttp://purl.org/coar/resource_type/c_46ec
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.contentText
dc.type.driverinfo:eu-repo/semantics/workingPaper
dc.type.versioninfo:eu-repo/semantics/acceptedVersion
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