ABSTRACT
Los productos químicos, ya sea en el ámbito doméstico, agrícola o industrial, pueden tener como órgano diana de su acción tóxica la piel y las mucosas, y producir desde una irritación a una quemadura, o utilizar estas vías para la absorción y la generación de toxicidad sistémica. La descontaminación precoz de piel y mucosas es fundamental para evitar la absorción del tóxico y así reducir o evitar lesiones locales y secuelas generales que pueden ser graves o incluso mortales. Para ello es necesario disponer de un área de descontaminación química, conocer las técnicas y métodos principales de descontaminación y disponer de protocolos de actuación (AU)
Chemicals, whether domestic, agricultural or industrial, may have a toxic effect on the skin and mucous membranes, with consequences ranging from irritation to burns, or even to systemic toxicity after absorption. Early decontamination of skin and mucous membranes is essential to prevent absorption of the toxicant and reduce or avoid local injury and general sequels that can be serious or even fatal. It is therefore necessary to have a chemical decontamination area, to be aware of the main decontamination techniques and methods and to have action protocols (AU)
Subject(s)
Humans , Chemical Compounds/adverse effects , Chemically-Induced Disorders/nursing , Decontamination/methods , Burns, Chemical/nursing , Hazardous Substances/adverse effects , Toxic Substances , Personal Protective Equipment , 35435 , Absorption, PhysiologicalABSTRACT
Introducción. Los problemas surgidos con los productos sanitarios aumentan la morbilidad de los pacientes, repercuten en la seguridad de los profesionales y aumentan el gasto sanitario. La Comisión de Recursos Materiales del Hospital Clínic de Barcelona decidió conocer las incidencias relacionadas con estos productos mediante un sistema de notificación de incidentes, entre octubre de 2011 y junio de 2013. Metodología. Estudio descriptivo, retrospectivo. Muestreo no probabilístico, consecutivo de las declaraciones de incidencias. Variables estudiadas: tipo de material, tipo y tiempo de resolución y grado de repercusión. Para el análisis estadístico se utilizó el programa SPSS, versión 20. Resultados. Se recogieron 103 declaraciones de incidencias de 68 artículos, de las cuales el 83.8 % correspondía a material sanitario, y el 16.2 % a no sanitario. El material sanitario repercutió más frecuentemente y de forma grave en los pacientes, frente al no sanitario (p = 0.026). Según la familia del material, las incidencias estaban en relación: el 30.9 %, con «infusión»; el 17.6 %, con «material de cobertura»; el 13.2 %, con «curas», y el 11.8 %, con «ventilación». Las familias de artículos de infusión y ventilación dieron problemas más graves en los pacientes (p = 0.001). Las incidencias con artículos sanitarios se resolvieron en una media de 18.0 ± 28.0 días, y los no sanitarios en una media de 8.4 ± 6.6 días (p = 0.03). Conclusiones. El material sanitario es el que present a mayor número de incidencias, que repercuten de forma grave en la seguridad del paciente. Estas incidencias se resuelven en un periodo de tiempo largo, que puede mejorarse (AU)
Introduction. The problems encountered with medical devices increase patient morbidity, affect safety professionals and increase health spending. The Material Resources Committee of the Hospital Clínic of Barcelona decided to understand the implications associated with these products through a system of incident reporting from October 2011 to June 2013. Methodology. A descriptive retrospective study. No probabilistic statements consecutive occurrences sampling. Variables studied: type of material, type and time resolution and degree of impact. For statistical analysis SPSS version 20 software was used. Results. 103 incident statements of 68 items, of which 83.8 % were medical supplies and 16.2 % for non-health were collected. The medical supplies impacted more frequently and severely in patients compared to non-health (p = 0.026). According to the family of the material, the incidents were related: 30.9 %, to «infusión»; 17.6 %, to «cover material»; 13.2 %, to «cures». And 11.8 %, to «ventilation». Families of infusion and ventilation items got more serious problems in patients (p = 0.001). Incidences sanitary items were resolved in an average of 18.0 ± 28.0 days and non-health at an average of 8 4 ± 6.6 days (p = 0.03). Conclusions. The medical equipment is the one with most incidents, severely impacting on patient safety. These incidents are resolved over a long period of time, that could be improved (AU)
Subject(s)
Female , Humans , Male , 35480 , Material Resources in Health/organization & administration , Material Resources in Health/standards , Materials Management, Hospital , Materials Management, Hospital/organization & administration , Indicators of Morbidity and Mortality , Retrospective Studies , 28599 , Safety Management/trends , Patient Safety/economics , Patient Safety/standards , ComorbidityABSTRACT
INTRODUCTION: The problems encountered with medical device increase patient morbidity, affect safety professionals and in crease health spending. The Material Resources Committee a the Hospital Clinic of Barcelona decided to understand the im plications associated with these products through a system o incident reporting from October2011 to June2013. METHODOLOGY: A descriptive retrospective study. No probabi listic statements consecutive occurrences sampling. Variable studied: type of material, type and time resolution and degre, of impact. For statistical analysis SPSS version 20 software wa used. RESULTS: 103 incident statements of 68 items, of which 83.8% were medical supplies and 16.2% for non-health were collected. The medical supplies impacted more frequently and severely in patients compared to non-health (p = 0.026). According to the family of the material, the incidents were related: 30.9%, to "infusión"; 17.6 %, to "cover material"; 13.2 %, to "cures" and 11.8 %, to "ventilation". Families of infusion and ventilation items got more serious problems in patients (p = 0.001). Incidences sanitary items were resolved in an average of 18.0 ± 28.0 days and non-health at an average of 8 4 ± 6.6 days (p = 0.03). CONCLUSIONS: The medical equipment is the one with most incidents, severely impacting on patient safety. These incidents ar resolved over a long period of time that could be imoroved.
