Incidence of adverse medical events in the neonatal intensive care unit with the help of a global trigger tool
Фастовец, Марина.Н.; Белорус, Андрей.И.; Лысак, Виктор.П.; Зюзина, Лариса.С.; Ковалева, Елена.М.
Wiadomosci Lekarskie 70(3 Pt 1): 483-488
2017
ISSN/ISBN: 0043-5147 PMID: 28711893 Document Number: 691588
Identification and monitoring of the frequency of adverse medical events are important in the organization of the patient's safety system in the intensive care units (ICU). The consistent and accurate identification of adverse events remains a problem for most medical institutions, even in developed countries of the world. To determine the frequency of adverse medical events in the NICU by using Global and Pediatric Trigger Instruments. To achieve the goal, the cross-sectional study was conducted in which in retrospect analyzed 160 newborn development records which were treated in the ICU of the newborn in the perinatal center of the M.V. Sklifosovsky Poltava Regional Clinical Hospital in 2016 to identify in them certain neonatal triggers. In 21.3% of newborns, after detecting the triggers of the "Care" module, the hospital infection was confirmed, which we regarded as medical adverse event. The trigger "Infiltration / extravasation" of the same module was detected in 1.9% medical records. Triggers "Glucose less than 3.0 mmol / L after 48 hours from birth", "Increase in creatinine" and trigger "deviation of electrolytes" of the module "Laboratory" were accordingly found in 21.9%, 6.3% and 11.3% medical records of newborns. Trigger tool is an effective way to identify adverse events that cause to patient harm. Our results can form the basis for the development of a national neonatal trigger instrument that will effectively monitor the frequency of such events in the ICU of newborn.