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Perceived Versus Observed Patient Safety Measures in a Critical Care Unit from a Teaching Hospital in Southern Colombia


Affiliations
1 South Colombian University, Neiva, Colombia
2 Trauma and Emergency Service, Neiva University Hospital, Neiva, Colombia
 

Introduction: Patient safety is an important topic. The purpose of this study is to evaluate the perceived versus observed patient safety measures (PSM) in critically ill patients in a teaching hospital in Latin America. Materials and Methods: The level of perceived patient safety was evaluated with the patient safety hospital survey. Three months later, a qualitative study was conducted, including video recording of procedures, graded according to adherence to PSM. Levels of adherence were scored during patient mobilization (PM), placement of central catheters (PCC), other invasive procedures (OIP), infection control (IC), and endotracheal intubation (ETI). Results: The perceived adherence of PSM in the prestudy survey was considered fair by 89.1% of the ICU staff. After the survey, 829 ICU procedures were video-recorded. Mean observed adherence for fair patient safety measures was 20.8%. Perceived adherence was higher than the real patient safety protocol measures observed in the videos. Conclusion: Perception of PSM was higher than observed in the management of critically ill patients in a teaching hospital in southern Colombia.
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  • Perceived Versus Observed Patient Safety Measures in a Critical Care Unit from a Teaching Hospital in Southern Colombia

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Authors

Jorge Hernan Montenegro
South Colombian University, Neiva, Colombia
Adriana Fernanda Romero
South Colombian University, Neiva, Colombia
Paola Andrea Tejada
South Colombian University, Neiva, Colombia
Sandra Ximena Olaya
South Colombian University, Neiva, Colombia
Andres Mariano Rubiano
Trauma and Emergency Service, Neiva University Hospital, Neiva, Colombia

Abstract


Introduction: Patient safety is an important topic. The purpose of this study is to evaluate the perceived versus observed patient safety measures (PSM) in critically ill patients in a teaching hospital in Latin America. Materials and Methods: The level of perceived patient safety was evaluated with the patient safety hospital survey. Three months later, a qualitative study was conducted, including video recording of procedures, graded according to adherence to PSM. Levels of adherence were scored during patient mobilization (PM), placement of central catheters (PCC), other invasive procedures (OIP), infection control (IC), and endotracheal intubation (ETI). Results: The perceived adherence of PSM in the prestudy survey was considered fair by 89.1% of the ICU staff. After the survey, 829 ICU procedures were video-recorded. Mean observed adherence for fair patient safety measures was 20.8%. Perceived adherence was higher than the real patient safety protocol measures observed in the videos. Conclusion: Perception of PSM was higher than observed in the management of critically ill patients in a teaching hospital in southern Colombia.