Actions to promote safe care in neonatal intensive care units
integrative literature review
DOI:
https://doi.org/10.9789/2175-5361.rpcfo.v17.13615Keywords:
Patient safety, Neonatal nursing, NewbornAbstract
Objective: To identify actions aimed at promoting safe care in neonatal intensive care units. Method: An integrative literature review conducted across four databases. Data tabulation and analysis included: author, publication date, study location, objective, methodology, level of evidence (according to the Joanna Briggs Institute classification), patient safety actions, errors, and adverse events. Results: The final sample included 12 articles. The studies were divided into two periods: 2013 to 2018 and 2019 to 2023, with a predominance of exploratory descriptive analysis and a qualitative approach. Actions to promote safe care included instrumental measures, tests/procedures, neuroprotection, medication safety, and the work environment. Conclusion: It was found that actions to promote safe care are mainly related to service quality assessment tools and the implementation of protocols for conducting tests and procedures.
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Babaie M, Nourian M, Atashzadeh-Shoorideh F, Manoochehri H, Nasiri M. Patient safety culture in neonatal intensive care units: A qualitative content analysis. Front Public Health. [Internet]. 2023 [cited 2024 oct 18];11:1065522. Available from:: https://doi.org/10.3389/fpubh.2023.1065522.
Ministério da Saúde (BR). Agência Nacional de Vigilância Sanitária. Assistência Segura - Uma Reflexão Teórica Aplicada à Prática [Internet]. Brasília: Ministério da Saúde; 2017 [acesso em 18 de outubro 2024]. Disponível em: https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/publicacoes/publicacoes/caderno-1-assistencia-segura-uma-reflexao-teorica-aplicada-a-pratica.pdf/view.
Duarte SDCM, Azevedo SSD, Muinck GDCD, Costa TFD, Cardoso MMVN, Moraes JRMMD. Best Safety Practices in nursing care in Neonatal Intensive Therapy. Rev Bras Enferm. [Internet]. 2020 [cited 2024 oct 18];73(2):e20180482. Available from: https://doi.org/10.1590/0034-7167-2018-0482.
Organização Mundial da Saúde (OMS). Plano de ação global para a segurança do paciente 2021-2030: Em busca da eliminação dos danos evitáveis nos cuidados de saúde. [Internet]. 2021 [acesso em 18 de outubro 2024]. Disponível em: https://www.conass.org.br/wp-content/uploads/2022/11/document.pdf.
Ministério da Saúde (Brasil). Portaria Nº 529, de 1º de Abril de 2013. Institui o Programa Nacional de Segurança do Paciente (PNSP). Diário Oficial da União 1º abr 2013. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0529_01_04_2013.html.
Sousa KDM. Qualidade da atenção obstétrica e neonatal: boas práticas, eventos adversos e efeitos do checklist para parto seguro da OMS. [Pós-Graduação em Saúde Coletiva]. Natal (Brasil): Universidade Federal do Rio Grande do Norte; 2020. [acesso em 17 de outubro 2024]. Disponível em: https://repositorio.ufrn.br/handle/123456789/29054.
Sonaglio BB, Santos MMS, Souza FR, Klock P. Nursing care management in a neonatal unit: good practices in unique living conditions. Rev Pesqui Cuid Fundam (Online). [Internet]. 2022 [cited 2024 oct 17];14. Available from: https://doi.org/10.9789/2175-5361.rpcfo.v14.11420.
Moretto LCA, Perondi ER, Trevisan MG, Teixeira GT, Hoesel TC, Dalla Costa L. Dor no recém-nascido: perspectivas da equipe multiprofissional na unidade de terapia intensiva neonatal. Arq Ciênc Saúde Unipar. [Internet]. 2019 [acesso em 17 de outubro 2024];23(1). Disponível em: https://doi.org/10.25110/arqsaude.v23i1.2019.6580.
Noleto RC, Campos CFA. Strategies developed by nurses to ensure patient safety in the Neonatal Intensive Care Unit. JNT. [Internet]. 2020 [cited 2024 oct 18];2(16). Available from: https://revistas.faculdadefacit.edu.br/index.php/JNT/article/viewFile/605/455.
Araújo GTD, Guimarães EL. Complicações ventilatórias em neonatos na unidade de terapia intensiva neonatal: revisão integrativa. RSD. [Internet]. 2022 [acesso em 18 de outubro];11(11):e255111133553. Disponível em: https://doi.org/10.33448/rsd-v11i11.33553.
Cossul MU, Neiva LECDP, Silveira AO. Notificação de eventos adversos em uma Unidade de Terapia Intensiva Neonatal. Rev. Enferm. UFPE on line. [Internet]. 2021 [acesso em 16 de outubro 2024;15(1). Disponível em: https://doi.org/10.5205/1981-8963.2021.246969.
Spironello RA, Nakamura Cuman RK. Caracterização de eventos adversos em uma unidade de terapia intensiva neonatal. Revista Recien. [Internet]. 2019 [acesso em 16 de outubro 2024];9(28). Disponível em: https://doi.org/10.24276/rrecien2358-3088.2019.9.28.131-136.
Sousa LMM, Marques-Vieira CMA, Severino SSP, Antunes AV. A metodologia de revisão integrativa da literatura em enfermagem. In: Cruz AG, direção geral. Investig Enferm. [Internet]. 2017[acesso em 16 de outubro 2024];21(2). Disponível em: http://www.sinaisvitais.pt/images/stories/Rie/RIE21.pdf#page=17.
Souza MTD, Silva MDD, Carvalho RD. Integrative review: what is it? How to do it? Einstein. [Internet]. 2010 [cited 2024 oct 16];8(1). Available from: https://doi.org/10.1590/S1679-45082010RW1134.
Galvão CM, Sawada NO, Trevizan MA. Revisão sistemática: recurso que proporciona a incorporação das evidências na prática da enfermagem. Rev. Lat.-Am. Enferm. (Online). [Internet]. 2004 [cited 2024 oct 17];12(3). Disponível em: https://doi.org/10.1590/S0104-11692004000300014.
Joanna Briggs Institute. JBI Levels of Evidence. [Internet]. 2013[cited 2024 oct 19]:1-5. Disponível em: https://jbi.global/sites/default/files/2019-05/JBI-Levels-of-evidence_2014_0.pdf.
Page MJ, Mckenzie J, Bossuyt P, Boutron I, Hoffmann T, Mulrow CD. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. [Internet]. 2021[cited 2023 oct 19];372(71). Available from: https://doi.org/10.1136/bmj.n71.
Pinto MMM, Sousa NR de, Maranhão TSV, Rolim KMC, Magalhães FJ, Vasconcelos SP de, et al. Intervenções de enfermagem na prevenção de extubação não programada em recém-nascidos: bundle de boas práticas. Enfermagem em Foco. [Internet]. 2019 [acesso em 18 de outubro 2024];10(7). Disponível em: https://doi.org/10.21675/2357-707X.2019.v10.n7.2423.
Costa JFC, Silva LSG, Cava AML. Qualidade e segurança da assistência em pediatria. REUOL. [Internet]. 2019 [acesso em 18 de outubro 2024];13. Disponível em: https://doi.org/10.5205/1981-8963.2019.239343.
Santos MM, Souza VSD, Almeida RGDS, Wegner W, Figueira MCES, Machado CFT. Pediatric patient safety in the administration of blood components. Texto contexto enferm. (Online). [Internet]. 2023 [cited 2024 oct 18];32:e20220234. Disponível em: https://doi.org/10.1590/1980-265X-TCE-2022-0234en.
Silva LJD, Leite JL, Silva TPD, Silva ÍR, Mourão PP, Gomes TM. Management challenges for best practices of the Kangaroo Method in the Neonatal ICU. Rev. Bras. Enferm. (Online). [Internet]. 2018[cited 2024 oct 18];71(suppl 6). Available from: https://doi.org/10.1590/0034-7167-2018-0428.
Blinder JJ, Thiagarajan R, Williams K, Nathan M, Mayer J, Kulik TJ. Duration of Mechanical Ventilation and Perioperative Care Quality After Neonatal Cardiac Operations. ATS. [Internet]. 2017 [cited 2024 oct 18];103(6). Available from: https://doi.org/10.1016/j.athoracsur.2016.11.077.
Adams M, Hoehre TC, Bucher HU. The swiss neonatal quality cycle, a monitor for clinical performance and tool for quality improvement. BMC pediatr. (Online). [Internet]. 2013[cited 2024 oct 18];13(1). Available from: https://doi.org/10.1186/1471-2431-13-152.
Vizzotto Jr AO, Nicolau SM, Lopes GM, Castelo Filho A. Risk factors for the development of endometrial lesions in breast cancer patients using tamoxyphen: a retrospective cohort study. Rev. Col. Bras. Cir. (Online). [Internet]. 2023[cited 2024 oct 18];50:e20233442. Available from: https://doi.org/10.1590/0100-6991e-20233442-en.
De Boode WP, Singh Y, Gupta S, Austin T, Bohlin K, Dempsey E, et al. Recommendations for neonatologist performed echocardiography in Europe: Consensus Statement endorsed by European Society for Paediatric Research (ESPR) and European Society for Neonatology (ESN). Pediatr Res. [Internet]. 2016 [cited 2024 oct 18];80(4). Available from: https://doi.org/10.1038/pr.2016.126.
Newland JG, Gerber JS, Kronman MP, Meredith G, Lee BR, Thurm C, et al. Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS): A Quality Improvement Collaborative. J. Pediatr. Infect. Dis. Soc. [Internet]. 2018 [cited 2024 oct 18];7(2). Available from: https://doi.org/10.1093/jpids/pix020.
Profit J, Zupancic JAF, Gould JB, Pietz K, Kowalkowski MA, Draper D, et al. Correlation of Neonatal Intensive Care Unit Performance Across Multiple Measures of Quality of Care. JAMA Pediatr. [Internet]. 2013 [cited 2024 oct 18];167(1). Available from: https://doi.org/10.1001/jamapediatrics.2013.418.
Del Vecchio A, Salerno S, Barbagallo M, Chirico G, Campoleoni M, Cannatà V, et al. Italian inter-society expert panel position on radiological exposure in Neonatal Intensive Care Units. Ital. j. pediatr. (Online). [Internet]. 2020 [cited 2024 oct 18];46(1). Available from: https://doi.org/10.1186/s13052-020-00905-5.
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