Abstract：
OBJECTIVE:To analyze the incidents related to patient safety (IRSP) and their risk factors during in-hospital transfer (IHT) of critical patients after the application of a protocol, and to evaluate safety during transfer using quality indicators. DESIGN:A prospective, observational and non-intervention cohort study was carried out. SETTING:A 10-bed multipurpose Intensive Care Unit (ICU) of a second level university hospital. PATIENTS:All IHTs of critical patients in the ICU for diagnostic tests and to the operating room between March 2011 and March 2017 were included in the study. MAIN MEASUREMENTS:Demographic variables, patient severity, transfer priority, moment of the day, reason and type of transfer team. Pre-transport checklist items and IRSP were collected. A biannual analysis was made of quality indicators designed for IHT. RESULTS:A total of 805 transfers were registered, mostly of an urgent nature (53.7%) and for diagnostic tests (77%). In turn, 112 transfers (13.9%) presented some type of IRSP; 54% related to the equipment and 30% related to team and organization. Adverse events occurred in 19 (2.4%) transfers. Risk factors identified in the multivariate analysis were mechanical ventilation and the transport team. The evolution of the indicators related to transport was significantly favorable. CONCLUSIONS:After the application of an IHT protocol, IRSP are low. The main risk factor is invasive mechanical ventilation. The experience of the team performing IHT influences the detection of a greater number of incidents.
journal_name
Med Intensivajournal_title
Medicina intensivaauthors
Catalán-Ibars RM,Martín-Delgado MC,Puigoriol-Juvanteny E,Zapater-Casanova E,Lopez-Alabern M,Lopera-Caballero JL,González de Velasco JP,Coll-Solà M,Juanola-Codina M,Roger-Casals Ndoi
10.1016/j.medin.2020.05.022subject
Has Abstractpub_date
2020-07-15 00:00:00eissn
0210-5691issn
1578-6749pii
S0210-5691(20)30215-1pub_type
杂志文章abstract：:The diagnosis of influenza A/H1N1 is mainly clinical, particularly during peak or seasonal flu outbreaks. A diagnostic test should be performed in all patients with fever and flu symptoms that require hospitalization. The respiratory sample (nasal or pharyngeal exudate or deeper sample in intubated patients) should be...
journal_title：Medicina intensiva
pub_type： 杂志文章,实务指引
doi：10.1016/j.medin.2011.11.020
更新日期：2012-03-01 00:00:00
abstract：PURPOSE:Streptococcus pneumoniae and Neisseria meningitidis are major causes of severe invasive bacterial infections in some individuals. Apparently the genetic is a major susceptibility determinant to these infectious diseases. We study if the functional polymorphisms within genes of the innate immune system (TLR2-TLR...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2013.08.006
更新日期：2014-08-01 00:00:00
abstract：:Immunosuppression in transplantation has experienced changes in recent years as a result of the introduction of new drugs that act upon the different pathways of the host immune response with the purpose of securing more individualized immune suppression, with fewer side effects. Although following in the steps of oth...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2012.05.011
更新日期：2013-01-01 00:00:00
abstract：OBJECTIVE:A comparison was made of the oxidative stress (OS) levels of patients with either viral or bacterial severe community-acquired pneumonia (sCAP) and of patients without infection (healthy volunteers (HV) and patients with acute myocardial infarction (AMI)). DESIGN:A prospective observational study was made. ...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2013.01.004
更新日期：2014-03-01 00:00:00
abstract：OBJECTIVES:To gather all published information about the stability of drugs commonly used in Intensive Care Units (ICU); evaluate the methodology of published data; and generate a compatibility table. DESIGN:i) A systematic review was conducted searching the following databases: Medline, Stabilis, Handbook of Injectab...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2018.08.004
更新日期：2020-03-01 00:00:00
abstract：:Sepsis is a major public health problem and a leading cause of death in the world, where delay in the beginning of treatment, along with clinical guidelines non-adherence have been proved to be associated with higher mortality. Machine Learning is increasingly being adopted in developing innovative Clinical Decision S...
journal_title：Medicina intensiva
pub_type： 杂志文章,评审
doi：10.1016/j.medin.2020.04.003
更新日期：2020-05-29 00:00:00
abstract：OBJECTIVE:To determine the results of the implementation of a protocol in an intensive care unit (ICU) referred to critically ill patients requiring a prolonged artificial airway. DESIGN:A prospective, observational cohort study was carried out. INTERVENTION:Management strategies were established on the airway by end...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2012.07.003
更新日期：2013-08-01 00:00:00
abstract：:Tuberculosis miliar is a very rare complication of bacillus Calmette-Guérin (BCG) immunotherapy that is associated to high mortality. Thus, early diagnosis and treatment is essential. At present, there is a polymerase chain reaction technique (PCR) which is a rapid diagnostic method with elevated sensitivity. Treatmen...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/s0210-5691(06)74485-0
更新日期：2006-04-01 00:00:00
abstract：:This syndrome was described in 1990. It is characterized by chest pain that simulates an acute coronary syndrome (ACS), with alterations in the ECG, but with normal coronary arteries. We present 16 patients admitted in our ICU, who met the criteria of transient left ventricular dysfunction syndrome (TLVDS). All but 1 ...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2010.09.010
更新日期：2011-06-01 00:00:00
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journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2014.02.006
更新日期：2014-12-01 00:00:00
abstract：OBJECTIVE:Describe the frequency of high degree atrioventricular block (HDAVB) in patients with unstable angina (UA), analyze the variables associated with their appearance and evaluate whether HDAVB is independently associated with increased mortality or increased length of ICU stay. DESIGN:Retrospective descriptive ...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/s0210-5691(06)74566-1
更新日期：2006-12-01 00:00:00
abstract：OBJECTIVE:Multicenter study oriented at establishing the incidence and prognosis of acute kidney failure (AKF) in the ICU of our country. MATERIAL AND METHODS:Prospective study of adult patients admitted over 8 months in 43 Spanish ICUs to detect AKF defined as creatinine>or=2 mg/dl or diuresis<400 ml/24 hours (in chr...
journal_title：Medicina intensiva
pub_type： 杂志文章,多中心研究
doi：10.1016/s0210-5691(06)74522-3
更新日期：2006-08-01 00:00:00
abstract：OBJECTIVES:To assess Southern European intensive care unit nurses' knowledge about evidence-based guidelines for the prevention of ventilator-associated pneumonia and to compare these findings with a pan-European perspective. DESIGN:A sub-analysis from an observational study performed using a 9-questions, multiple-cho...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2010.07.012
更新日期：2011-01-01 00:00:00
abstract：:The benefit of enteral nutrition in critically ill patients has been demonstrated by several studies, especially when it is started early, in the first 24-48h of stay in the Intensive Care Unit, and this practice is currently advised by the main clinical guidelines. The start of enteral nutrition is controversial in p...
journal_title：Medicina intensiva
pub_type： 杂志文章,评审
doi：10.1016/j.medin.2014.04.002
更新日期：2015-01-01 00:00:00
abstract：:Departments of Critical Care Medicine are characterized by high medical assistance costs and great complexity. Published recommendations on determining the needs of medical staff in the DCCM are based on low levels of evidence and attribute excessive significance to the structural/welfare approach (physician-to-beds r...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2017.09.013
更新日期：2018-01-01 00:00:00
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journal_title：Medicina intensiva
pub_type： 杂志文章,评审
doi：10.1016/j.medin.2011.11.010
更新日期：2012-10-01 00:00:00
abstract：OBJECTIVE:To describe the main factors associated with proper recognition and management of patient-ventilator asynchrony (PVA). DESIGN:An analytical cross-sectional study was carried out. SETTING:An international study conducted in 20 countries through an online survey. PARTICIPANTS:Physicians, respiratory therapis...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2019.09.004
更新日期：2019-10-23 00:00:00
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journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2019.10.012
更新日期：2020-04-01 00:00:00
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journal_title：Medicina intensiva
pub_type： 杂志文章,meta分析
doi：10.1016/j.medin.2011.11.014
更新日期：2012-10-01 00:00:00
abstract：:Burned patients may need prolonged admissions in the Intensive Care Service, both for initial care and for the pre and postoperative treatment of the multiple surgeries they require. The initial resuscitation of critically burned patients requires adequate monitoring to calculate the fluid therapy necessary to repleni...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2019.07.005
更新日期：2020-03-01 00:00:00
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journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2012.03.012
更新日期：2012-11-01 00:00:00
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journal_title：Medicina intensiva
pub_type： 杂志文章,评审
doi：10.1016/j.medin.2009.10.003
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journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2013.07.008
更新日期：2013-12-01 00:00:00
abstract：OBJECTIVE:Analyze the utility and safety of MARS therapy applied with the CRRT monitor. DESIGN:Prospective study of cohorts. SCOPE:Polyvalent ICU in tertiary university hospital with hepatic transplantation program. PATIENTS:Thirty one patients: 9 (22.6%) with acute liver failure (ALF) (1 hepatic surgery, 1 primary ...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/s0210-5691(07)74841-6
更新日期：2007-10-01 00:00:00
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journal_title：Medicina intensiva
pub_type： 杂志文章,实务指引
doi：
更新日期：2008-02-01 00:00:00
abstract：:A narrative review is presented on the diagnosis, treatment and management of accidental hypothermia. Although all these processes form a continuum, for descriptive purposes in this manuscript the recommendations are organized into the prehospital and in-hospital settings. At prehospital level, it is advised to: a) pe...
journal_title：Medicina intensiva
pub_type： 杂志文章,评审
doi：10.1016/j.medin.2018.11.008
更新日期：2019-12-01 00:00:00
abstract：:Patients with cardiac disease can develop two types of malnutrition: cardiac cachexia, which appears in chronic congestive heart failure, and malnutrition due to the complications of cardiac surgery or any other type of surgery in patients with heart disease. Early enteral nutrition should be attempted if the oral rou...
journal_title：Medicina intensiva
pub_type： 共识发展会议,杂志文章,实务指引
doi：10.1016/S0210-5691(11)70017-1
更新日期：2011-11-01 00:00:00
abstract：:Coronavirus disease 2019 (COVID-19) is a respiratory tract infection caused by a newly emergent coronavirus, that was first recognized in Wuhan, China, in December 2019. Currently, the World Health Organization (WHO) has defined the infection as a global pandemic and there is a health and social emergency for the mana...
journal_title：Medicina intensiva
pub_type： 共识发展会议,杂志文章,实务指引
doi：10.1016/j.medin.2020.03.005
更新日期：2020-10-01 00:00:00
abstract：:Cerebrovascular accident in young adults is not rare and the most common causes are: cardiac embolism, arterial dissection and migraine. The unknown etiology, in spite of extensive studies, is described in the literature in about one third of patients under 45 years of age. The mitochondrial encephalomyopathy, lactic ...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/s0210-5691(08)70925-2
更新日期：2008-04-01 00:00:00
abstract：OBJECTIVE:Hemodynamic resuscitation is considered a cornerstone of the initial treatment of septic shock. However, there is growing concern about its side effects. Our objective was to assess the relationship between fluid administration and norepinephrine infusion and the development of lung injury. DESIGN:Randomized...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2020.05.011
更新日期：2020-07-24 00:00:00
