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Annals of Intensive Care
Published in: Annals of Intensive Care 1/2017

Open Access 01-12-2017 | Research

Impact of random safety analyses on structure, process and outcome indicators: multicentre study

Authors: María Bodí, Iban Oliva, Maria Cruz Martín, Maria Carmen Gilavert, Carlos Muñoz, Montserrat Olona, Gonzalo Sirgo

Published in: Annals of Intensive Care | Issue 1/2017

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Abstract

Background

To assess the impact of a real-time random safety tool on structure, process and outcome indicators.

Methods

Prospective study conducted over a period of 12 months in two adult patient intensive care units. Safety rounds were conducted three days a week ascertaining 37 safety measures (grouped into 10 blocks). In each round, 50% of the patients and 50% of the measures were randomized. The impact of this safety tool was analysed on indicators of structure (safety culture, healthcare protocols), process (improvement proportion related to tool application, IPR) and outcome (mortality, average stay, rate of catheter-related bacteraemias and rate of ventilator-associated pneumonia, VAP).

Results

A total of 1214 patient-days were analysed. Structure indicators: the use of the safety tool was associated with an increase in the safety climate and the creation/modification of healthcare protocols (sedation/analgesia and weaning). Process indicators: Twelve of the 37 measures had an IPR > 10%; six showed a progressive decrease in the IPR over the study period. Nursing workloads and patient severity on the day of analysis were independently associated with a higher IPR in half of the blocks of variables. Outcome indicators: A significant decrease in the rate of VAP was observed.

Conclusions

The real-time random safety tool improved the care process and adherence to clinical practice guidelines and was associated with an improvement in structure, process and outcome indicators.
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Metadata
Title
Impact of random safety analyses on structure, process and outcome indicators: multicentre study
Authors
María Bodí
Iban Oliva
Maria Cruz Martín
Maria Carmen Gilavert
Carlos Muñoz
Montserrat Olona
Gonzalo Sirgo
Publication date
01-12-2017
Publisher
Springer Paris
Published in
Annals of Intensive Care / Issue 1/2017
Electronic ISSN: 2110-5820
DOI
https://doi.org/10.1186/s13613-017-0245-x

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