ABSTRACT
Objective To explore nursing safety management path of patients treat with modified electroconvulsive therapy(MECT) to improve the quality of nursing and reduce the adverse events. Methods According to the theory of Hazard Analysis and Critical Control Point(HACCP)and the SBAR standard communicative model, design and apply nurses handover check list for patients who treat with MECT(the following are referred to as MECT form).The nurses used MECT form to evaluate and manage the risk of patients before and after MECT treatment. This was also help to control the standardization criterion of nursing before and after treatment,meanwhile reduce the risk of treatment.Analyze the data of adverse event before and after applied this MECT form. Results After applied this form for one year,the number of above levle-0 adverse events decreased from 3.51% (191/5 441) to 1.05% (61/5 817) (x2=77.856, P 0.05). Conclusion The application of MECT form improves the nursing quality of MECT treatment in psychiatric department and secure the nursing safety.
ABSTRACT
Introducción: El procedimiento de hemodiálisis resulta influido por numerosos factores del ambiente hospitalario animado e inanimado. El objetivo del trabajo fue elaborar una herramienta para identificar peligros ambientales en unidades de hemodiálisis. Métodos: Se elaboró una lista de verificación para la identificación de peligros ambientales en unidades de hemodiálisis a partir de las guías de recogida de datos, de revisión de documentos y de observación de aspectos ambientales que se aplicaron en un proyecto desarrollado en el Instituto Nacional de Higiene, Epidemiología y Microbiología para la caracterización de estas. Resultados: La lista de verificación contó con elementos de condiciones ambientales, procedimientos, recursos humanos y equipamiento. Se aplicó en 3 unidades de hemodiálisis. Conclusiones: La utilización de la lista de verificación propuesta permite evaluar la asociación entre la exposición a factores ambientales peligrosos y la aparición de complicaciones en pacientes con tratamiento de hemodiálisis y contribuir a identificar los aspectos ambientales para los cuales debe realizarse el manejo del peligro en cada unidad.
Introduction: Hemodialysis procedure is influenced by many hospital animated and inanimate environmental factors. The aim of present paper was to design a tool to identify the environmental dangers in hemodialysis units. Methods: A checking list for identification of environmental dangers in hemodialysis units from the data collection guides, of document review and of the observation of environmental features applied in a project developed in National Institute of Hygiene, Epidemiology and Microbiology to their characterization. Results:The checking list covered elements from environmental conditions, procedures, human resources and equipment and it was applied to 3 hemodyalisis units. Conclusions: The above mentioned proposed list allows assessing the association among the dangerous environmental factors and the appearance of complications in patients under hemodialysis treatment and to contribute to identification of environmental features to carry out the danger management in each unit.