Patient safety in nursing care during medication administration

Authors

  • Júlian Katrin Albuquerque de Oliveira Hospital de Urgência de Sergipe. Serviço de Controle de Infecção
  • Eliana Ofélia Llapa-Rodriguez University of British Columbia
  • Iza Maria Fraga Lobo Hospital de Urgência de Sergipe. Segurança do Paciente e Infecção Hospitalar. Núcleo de Epidemiologia
  • Luciana de Santana Lôbo Silva Universidade Federal de Sergipe
  • Simone de Godoy Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto
  • Gilvan Gomes da Silva Universidade Federal de Sergipe

DOI:

https://doi.org/10.1590/rlae.v26i0.154234

Keywords:

Central Venous Catheter, Patient Safety, Nursing Care, Infusions, Intravenous, Infection Control, Quality Management

Abstract

Objective: to evaluate the conformity of care practices of the nursing team during the administration of drugs through central vascular catheter. Method: a descriptive, prospective, observational study conducted in an Intensive Care Unit. The non-probabilistic intentional sample consisted of 3402 observations of drug administrations in patients with central vascular catheters. The previously validated collection instrument was constructed based on the Guideline for Prevention of Intravascular catheter-related infections. Data was collected through direct observations of nursing practices performed by the nursing team. The analysis used analytical, descriptive and inferential statistics (Chi-square test and Fisher’s exact test). Results: a total of 3402 procedures of drug administrations were observed. Female nursing technicians performed the highest number of actions. In none of the procedures did the professional perform all necessary actions. 0.2% of drug administrations were preceded by hand hygiene and 1.3% by disinfection of the multidose vial, ampoule or injectors. Conclusion: the practice evaluated was classified as undesirable. Failure to achieve the desired conformity was probably due to the low adherence of professionals to the practice of hand hygiene and disinfection of materials, injectors and connectors.

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Author Biographies

  • Júlian Katrin Albuquerque de Oliveira, Hospital de Urgência de Sergipe. Serviço de Controle de Infecção

    MSc, Enfermeiro, Serviço de Controle de Infecção, Hospital de Urgência de Sergipe

  • Eliana Ofélia Llapa-Rodriguez, University of British Columbia

    Pós-Doutoranda, University of British Columbia, Columbia, Vancouver, Canadá.

    Professor Adjunto, Departamento de Enfermagem, Universidade Federal de Sergipe.

  • Iza Maria Fraga Lobo, Hospital de Urgência de Sergipe. Segurança do Paciente e Infecção Hospitalar. Núcleo de Epidemiologia

    PhD, Médica, Núcleo de Epidemiologia, Segurança do Paciente e Infecção Hospitalar, Hospital de Urgência de Sergipe

  • Luciana de Santana Lôbo Silva, Universidade Federal de Sergipe

    Mestranda, Universidade Federal de Sergipe

    Professor Assistente, Estácio

  • Simone de Godoy, Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto

    PhD, Professor Doutor, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem

  • Gilvan Gomes da Silva, Universidade Federal de Sergipe

    Aluno do curso de graduação em Enfermagem, Universidade Federal de Sergipe

    Bolsista do Programa Institucional de Bolsas de Iniciação Científica, Coordenação de Pesquisa, Universidade Federal de Sergipe (PIBIC-COPES)

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Published

2019-02-01

Issue

Vol. 26 (2018)

Section

Original Articles

License

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Patient safety in nursing care during medication administration. (2019). Revista Latino-Americana De Enfermagem, 26, e3017. https://doi.org/10.1590/rlae.v26i0.154234