Peripheral intravenous catheter (PIVC) insertion is one of the most common clinical procedures worldwide, yet little data are available from Latin America. Our aim was to describe processes and practices regarding PIVC use in hospitalized patients related hospital guidelines, characteristics inserters, prevalence complications, idle PIVCs.In 2019 we conducted a multinational, cross-sectional study adult pediatric with hospitals five American countries: Argentina, Brazil, Chile, Colombia,...

Recent progress in identification of oral microorganisms has shown that the oropharynx can be a site origin for dissemination pathogenic organisms to distant body sites, such as lungs.To compare oropharyngeal microbiological profile, duration mechanical ventilation, and length stay intensive care unit children receiving ventilation who had pharmacological or nonpharmacological care.A randomized controlled study was performed pediatric São Paulo, Brazil. A total 56 were randomly assigned an...

Hand hygiene represents a fundamental nursing care practice and is traditionally considered the most important effective measure in prevention control of healthcare-related infections. However, studies indicate that adherence to procedure unsatisfactory throughout world, show low rates. In context which patient safety stands out as priority, this text submits refl ections about professional responsibility when not adhering hand practices, ethical aspects related conduct.

This randomized controlled crossover study, conducted in a university hospital, aimed to compare the success of first attempt at peripheral intravenous catheter (PIVC) insertion using 2 technologies visualization veins children risk difficult access (DIVA) guided by light-emitting diodes (LEDs) or infrared radiation (IR). The allocation type technology initially used was determined randomization. primary outcome successful PIVC on attempt. Data were analyzed McNemar test, paired t-test, and...

ABSTRACT This study's aim was to describe the experience of implementing Brazilian Network for Nursing and Patient Safety, as well activities intended disseminate a culture patient safety in health educational institutions. is an experiment report. The completed six years ago and, since its establishment, has promoted actions always consonance with objectives International Safety World Alliance Safety. Networks proposed by Pan American Health Organization corroborated taken Network. These...

To assess the practical application of Pediatric Surgical Safety Checklist on preoperative period and to verify family satisfaction regarding use material.Exploratory study that aimed analyze checklist by children who underwent surgical interventions. The sample was constituted 60 (from preschoolers teens) members. variables related demographic characterization, filling out checklist, satisfaction, being evaluated through inferential descriptive statistical analysis.Most (71.7%) were male,...

OBJECTIVES: this study was aimed at developing and validating a checklist of preoperative pediatric interventions related to the safety surgical patients. METHOD: methodological concerning construction validation an instrument with safe care indicators. The subject through Delphi technique, establishing consensus level 80%. RESULTS: five professional specialists in area conducted on content construct reached after two applications technique. CONCLUSION: "Safe Pediatric Surgery Checklist",...

To compare the use of vascular Doppler ultrasound with vein visualization and palpation for positioning peripherally inserted central catheters in children to determine influence these methods on success first puncture attempt, catheter positioning, time required accomplishment.A prospective randomized, controlled trial was conducted a university hospital after ethical approval carried out among (from birth 18 yrs).São Paulo Hospital, São Paulo, Brazil.The sample comprises 42 insertions...

OBJETIVO: Identificar a compreensão de alunos graduação em enfermagem e medicina uma universidade pública do Município São Paulo sobre erro humano segurança paciente. MÉTODOS: Estudo prospectivo exploratório no qual foram investigadas variáveis relativas à caracterização dos aos aspectos atitudinais conceituais o tema. A amostra constituiu-se 109 que responderam ao formulário eletrônico. RESULTADOS: maior parte obteve aprendizado formal esse tema apresentou atitudes demonstraram incerteza...

A segurança do paciente constitui problema de saúde pública, e erros com medicamentos são os mais freqüentes graves. O artigo apresenta características epidemiológicas dos medicação em diferentes áreas atendimento pediátrico, aponta estratégias prevenção. Aproximadamente 8% das pesquisas sobre identificadas bases dados nacionais internacionais referem-se à população pediátrica. Crianças apresentam maior vulnerabilidade ocorrência devido a fatores intrínsecos, destacando-se anatômicas...

Background The epidemiology of ventilator-associated pneumonia is well described for adults, but little information available on risk factors this disease in children. Objective To identify predisposing Methods A cross-sectional prospective cohort study 96 patients a 9-bed pediatric intensive care unit was performed. Variables examined were demographic characteristics, inpatient care, medications, nutrition, invasive procedures, and characteristics mechanical ventilation. Data analyzed by...

A prospective, randomized controlled trial compared the success of peripheral venipuncture in pediatric patients using vascular ultrasound and standard landmark methods occurrence infiltration phlebitis. The sample was composed 382 venipunctures; 188 (49.2%) were performed with ultrasound, 194 (50.8%) method. No significant difference (P = .059) found between either method venipuncture. higher frequency .025) group.

Background: Critical care nursing interventions to oral can reduce microorganisms in the oropharynx available for translocation. Objectives: To analyse effect of 0·12% chlorhexidine digluconate on colonization oropharyngeal and tracheal secretions by Gram‐negative pathogens mechanically ventilated children. Methods: A randomized, controlled double‐blinded study was performed paediatric intensive unit (PICU) a Brazilian university hospital. Exclusion criteria included child age under 28 days,...

Resumo Objetivo Identificar fatores associados à ocorrência de flebite decorrente da infusão intravenosa periférica amiodarona em idosos. Métodos Coorte prospectiva, observacional sobre risco para pacientes com idade acima 60 anos que receberam amiodarona, internados, no ano 2012, nas unidades Coronarianas (22 leitos) e Semi Intensivas Gerais (43 um hospital privado grande porte, localizado na cidade São Paulo, Brasil. Resultados Do total 102 idosos, 34 (33,3%) apresentaram flebite. A foi...

Descriptive study, developed at a general university hospital that aimed verifying the number and types of i.v. drugs administered to children, adequacy their pharmacological presentation for pediatric use estimated costs some administration. In period 30 days, 8,245 drug doses were administered, with an average 274.83 day, yearly estimation 98.940. The most used methylprednisolone, vancomycin, furosemide, ranitidine, penicillin, amikacin, midazolam, fentanyl, ceftriaxone, cephalothin,...

To describe the frequency medication error disclosure to team and family in an oncology pediatric patients' intensive care unit.This was a descriptive exploratory study performed between March 1 May 31, 2008. A report form developed implemented, be completed by professionals involved unit's process.The sample consisted of 71 forms collected over 92 collection days. After detection, event not reported 34 (47.9%) cases. In 37 cases, for most them (48.7%) physician professional communicated....

OBJETIVO: Analisar os erros de medicação notificados em um hospital universitário pediátrico no Município São Paulo. MÉTODOS: Estudo descritivo retrospectivo qual foram analisadas 120 ocorrências registradas 115 notificações espontâneas, entre janeiro 2007 e dezembro 2008. RESULTADOS: O índice foi o 1,15 por 1.000 pacientes-dia; 27,5% das envolveram pacientes na faixa etária escolar. A Unidade Terapia Intensiva Pediátrica (UTIP) setor com maior número notificações. Predominou tipo erro...

This prospective study examined the characteristics of children admitted to a pediatric emergency department and factors that influenced successful establishment peripheral intravenous (IV) access. Descriptive correlational analysis was completed using convenience sample 89 patients. Peripheral IV access in 95.7% children, first attempt at insertion 53% procedures. Factors influencing success were patient's gender, skin color, presence difficult-to-see veins, small fever, lack palpable veins.

To evaluate the hemolysis biomarkers of packed red blood cells transfused by two different linear peristaltic infusion pumps at rates.An experimental and randomized study was designed simulating clinical practice transfusion. Two from manufactures were studied in triplicate 100 mL/h 300mL/h rates. The chosen total hemoglobin, free hematocrit, potassium degree hemolysis. They analyzed before after each infusion.Potassium showed statistically significant variations all scenarios experiment...

Estudo quase-experimental que verificou a influência do redesenho de atividades enfermagem para redução erros medicação em três unidades pediatria um hospital universitário. Os tipos e freqüências identificados estudo realizado nas nortearam o exerceram função variáveis dependentes no da intervenção proposta. Foram analisadas 556 prescrições médicas nos prontuários 77 crianças. Verificaram-se 8550 doses, 1498 (17,5%) constataram-se erros, proporção inferior (21,1%) controle. Globalmente...

Background: Considering all sources of errors that may occur during healthcare, medication are the most common and also frequent cause adverse events. Objective: The objective study was to describe reported in a pediatric intensive care unit for oncologic patients. Methods: This is descriptive exploratory study. were by professionals involved system error report form developed Results: sample consisted 110 on 71 forms. omission type (22.7%), followed administration (18.2%). No harm patients...

ABSTRACT Objective: To perform the translation and adaptation of Michigan Appropriateness Guide for Intravenous Catheters in Pediatrics (miniMAGIC) into Brazilian Portuguese. Methods: Methodological study performed five recommended stages: initial translations; synthesis back assessment expert committee assessment. The was composed three registered nurses two doctors who had a Master’s and/or PhD degree, an expertise intravenous therapy pediatric neonatal care. assess semantic, idiomatic,...