Authors

1Teresa López Quesada, 2Alfredo Abad Gurumeta

Position

¹Enfermera. Hospital Universitario Infanta Sofía. Madrid.²Doctor en Medicina. Hospital Universitario Infanta Sofía. Madrid.

Contact address

Teresa López Quesada. Hospital Universitario Infanta Sofía. Pº Europa, 34. 28702 San Sebastián de los Reyes (Madrid).

Contact email: teresalopezq@hotmail.com

Abstract

Objective: to determine the level of adherence to said protocol in Critical Care Units of a University Hospital in Madrid. As secondary objective, the detection of the causes of adverse effects, if any, was considered.
Materials and methods: prospective longitudinal descriptive study with three assessment time points (I: after implantation of the protocol “Identification of ways of administration and enteral nutrition through color code in Critical Patient Units”; II: after a reminder session; III: at one month of the session) without known programming by the Nursing team, in three Critical Care Units: Intensive Care Unit (ICU), Neonatal Intensive Care Unit, and the Post-Anesthesia Care Unit (PACU). A synthetic index was designed, based on the triple identification, to assess adherence.
Results: forty-six patients were studied with 129 devices. The level of adherence in the PACU was 55.33% (58.98 – 42.22 – 64.81, at time points I, II and III), at ICU of 84.61% (80.05 – 69.8 – 100, at time points I, II and III), and at the Neonatal Unit of 31.75% (50 – 28.57 – 16.67, at time points I, II and III).
Conclusions: in the third time point, the PACU and Intensive Care Units improved their results, but not Neonatology. A system of assessment time points as a measure of control for the protocol may encourage a continuous improvement targeted to prevent adverse effects, both at teaching and professional ­levels.

Keywords:

Ways of administration; patient safety; drugs; enteral nutrition; critical patientintensive care

Versión en Español

Título:

Grado de cumplimiento del protocolo de identificación de vías de administración en unidades de críticos