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1.
Rev. calid. asist ; 26(6): 380-385, nov.-dic. 2011.
Artigo em Espanhol | IBECS | ID: ibc-91618

RESUMO

Objetivo. Conocer la percepción de los profesionales sobre el grado de utilización y la utilidad del listado de verificación quirúrgica (LVQ) tras su implantación en un hospital terciario. Material y métodos. Estudio descriptivo transversal. Cuestionario autocumplimentado con 5 preguntas sobre utilidad, 5 sobre utilización, 1 pregunta abierta y 4 preguntas de control. La población objetivo: cirujanos, anestesiólogos, enfermeras de planta y de quirófano del hospital. Resultados. La tasa de respuesta fue del 73% (entre el 51 y el 88%, según perfil profesional). El 95,7% de los profesionales manifestó utilizar siempre o casi siempre el LVQ cuando se interviene a un paciente quirúrgicamente. Los profesionales otorgaron al LVQ una utilidad media de 6,6 puntos (escala, 0-10), el 11,6% manifestó que gracias al LVQ se habían evitado errores, el 32,5% consideró que es una herramienta que mejora la comunicación entre los profesionales, y al 68% le gustaría que se cumplimentase el LVQ si ellos mismos fuesen a ser intervenidos. Los profesionales que contestaron que gracias al LVQ se consiguió evitar errores otorgaron valores de utilidad 1,4 puntos por encima de la media, en este mismo grupo, al 100% de los profesionales les gustaría que se utilizase el LVQ en ellos mismos y el 63,2% consideró que mejoraba la comunicación. No hubo diferencias en la utilidad en función de la experiencia profesional o el sexo. Conclusiones. Los profesionales utilizan casi siempre el LVQ y le otorgan una utilidad moderada. Los profesionales que experimentaron que gracias al LVQ se había conseguido evitar errores confirieron al LVQ una utilidad mayor que los que no lo experimentaron(AU)


Objective. To find out the perception of the health care professionals on the level of implementation and the usefulness of the surgical safety checklist (LVQ) after its introduction in a tertiary care hospital. Material and method. A descriptive cross-sectional study was conducted using a specially designed self-completion questionnaire. This consisted of 5 questions on the usefulness, 5 questions on the use of the LVQ, one open question and 4 control questions. The target population was hospital surgeons, anaesthetists, ward nurses, and surgical nurses. Results. The response rate was 73%, ranking from 51% to 88% depending on the respondent profile. Almost all (95.7%) of the respondents declared they always or almost always used the LVQ when performing a surgical operation. The health care professionals rated the usefulness of the LVQ with a mean of 6.6 (scale, 1-10); 11.6% mentioned that actual errors had been avoided through the use of the LVQ; 32.5% considered the LVQ as a tool that improves communication between professionals; and 68% of the respondents declared they would like the LVQ to be used if they were surgical patients. Those respondents who answered that the LVQ had prevented errors gave higher usefulness scores, 1.4 above the mean. In this same group, 100% of the respondents would like the LVQ to be used on themselves and 63.2% considered that communication had improved. There were no differences in usefulness scores as regards professional experience or gender. Conclusions. The health care professionals use the LVQ very frequently, and consider that it has a moderate usefulness. Those professionals with experience of the LVQ preventing errors considered it to be more useful than those who did not experience an error being prevented(AU)


Assuntos
Humanos , Masculino , Feminino , Percepção , Comissão Para Atividades Profissionais e Hospitalares/organização & administração , Comissão Para Atividades Profissionais e Hospitalares/tendências , Comitê de Profissionais/normas , Comitê de Profissionais , Conselhos de Especialidade Profissional/organização & administração , Organizações de Normalização Profissional , Estudos Transversais/métodos , Estudos Transversais/tendências , Estudos Transversais , Inquéritos e Questionários , Riscos Ocupacionais
2.
Rev Calid Asist ; 26(6): 380-5, 2011.
Artigo em Espanhol | MEDLINE | ID: mdl-21571565

RESUMO

OBJECTIVE: To find out the perception of the health care professionals on the level of implementation and the usefulness of the surgical safety checklist (LVQ) after its introduction in a tertiary care hospital. MATERIAL AND METHOD: A descriptive cross-sectional study was conducted using a specially designed self-completion questionnaire. This consisted of 5 questions on the usefulness, 5 questions on the use of the LVQ, one open question and 4 control questions. The target population was hospital surgeons, anaesthetists, ward nurses, and surgical nurses. RESULTS: The response rate was 73%, ranking from 51% to 88% depending on the respondent profile. Almost all (95.7%) of the respondents declared they always or almost always used the LVQ when performing a surgical operation. The health care professionals rated the usefulness of the LVQ with a mean of 6.6 (scale, 1-10); 11.6% mentioned that actual errors had been avoided through the use of the LVQ; 32.5% considered the LVQ as a tool that improves communication between professionals; and 68% of the respondents declared they would like the LVQ to be used if they were surgical patients. Those respondents who answered that the LVQ had prevented errors gave higher usefulness scores, 1.4 above the mean. In this same group, 100% of the respondents would like the LVQ to be used on themselves and 63.2% considered that communication had improved. There were no differences in usefulness scores as regards professional experience or gender. CONCLUSIONS: The health care professionals use the LVQ very frequently, and consider that it has a moderate usefulness. Those professionals with experience of the LVQ preventing errors considered it to be more useful than those who did not experience an error being prevented.


Assuntos
Atitude do Pessoal de Saúde , Lista de Checagem , Erros Médicos/prevenção & controle , Segurança do Paciente , Recursos Humanos em Hospital/psicologia , Gestão da Segurança/organização & administração , Centro Cirúrgico Hospitalar/organização & administração , Adulto , Estudos Transversais , Feminino , Implementação de Plano de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação de Programas e Projetos de Saúde , Espanha , Inquéritos e Questionários
3.
Arch Inst Cardiol Mex ; 56(3): 211-7, 1986.
Artigo em Espanhol | MEDLINE | ID: mdl-2944490

RESUMO

Recent evidences suggest that the sympathetic nervous system plays a major role in the pathogenesis and maintenance of several clinical forms of hypertensive disease. The clonidine suppression test allows us to uncover the subtle changes in neuronal noradrenaline release in essential hypertension. To prove this possibility, we selected 16 patients: 7 borderline hypertensives (BH) (4 males and 3 females), mean age: 24 years; and 9 established hypertensives (EH) (6 males and 3 females), mean age: 25 years. In both groups, the heart rate (HR) and blood pressure (BP) were registered every 30 min and by intravenous catheter plasma catecholamines (PCA) and plasma renin activity (PRA) were measured before and after (180 and 240 min) one oral dosis of clonidine (300 mcg) had been administered. Patients remained in clinostatism for 180 and and orthostatism for 60 min. HR and BP diminished in BH and EH after clonidine during clinostatism in comparison to preclonidine period. PCA also showed reduction in 180 min with respect to the basaline period. PRA did not present change in 180 min in either groups in relation to time O. During orthostatism, HR increased in both groups with respect to the baseline period. BP remained low in relation to baseline time. PCA were increased with respect to preclonidine period. PRA showed a slight tendency to increase in relation to time O in both groups. CAP baseline level are not reliable indexes of the role of the sympathetic tone in maintenance of high BP values in hypertensive disease.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Clonidina , Hipertensão/fisiopatologia , Sistema Nervoso Simpático/fisiopatologia , Adulto , Pressão Sanguínea/efeitos dos fármacos , Feminino , Frequência Cardíaca/efeitos dos fármacos , Humanos , Hipertensão/sangue , Masculino , Norepinefrina/sangue , Postura , Renina/sangue
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