Managerial tools used for the prevention of adverse events in Intensive Care Units
DOI:
https://doi.org/10.34119/bjhrv7n9-172Keywords:
patient safety, intensive care unit, adverse events, managerial toolsAbstract
Patient safety in Intensive Care Units (ICUs) is a critical priority due to the complexity of care and the high risk of adverse events (AEs). Objective: This study aimed to identify the managerial tools used for the prevention of AEs in ICUs through an integrative literature review. Method: Searches were conducted in the Scielo, Virtual Health Library (VHL), and PubMed databases using descriptors such as "Patient Safety," "Intensive Care Unit," "Near Miss," "Adverse Events," "Reporting," "Nursing," and "Safety Culture." Inclusion criteria considered full-text articles available in English and Portuguese, while duplicate articles and those that did not directly address the prevention of AEs and patient safety in ICUs were excluded. Data analysis was performed using narrative synthesis, assisted by the Rayyan software. Managerial tools identified included the Hospital Survey on Patient Safety Culture (HSOPSC), the Global Trigger Tool (GTT), the Neonatal Trigger Tool, the U.S. Paediatric Trigger Tool, the Nursing Activities Score (NAS), and the Brazilian Nursing Work Index-Revised (B-NWI-R), all adapted for use in Brazil. These tools aim to prevent AEs and promote patient safety in ICUs. Results:The results highlight the need to strengthen the safety culture and invest in the continuous training of healthcare professionals. Conclusion:The implementation of a broad and continuous safety culture with investments in permanent education can reduce the occurrence of AEs and improve the quality of care in ICUs.
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