Administration of anti-infectives in critically ill patients: proactive risk management
DOI:
https://doi.org/10.12957/reuerj.2023.75415Keywords:
Intensive Care Units, Patient Safety, Risk Management, Healthcare Failure Mode and Effect Analysis, Anti-Infective AgentsAbstract
Objective: to analyze the proactive risk management of the anti-infective administration process in an Intensive Care Unit. Method: qualitative study, in action research, with participant observation and focus group, from 2019 to 2021. The process was mapped, risks analyzed, improvement actions planned and the process redesigned. Results: the prescription occurred in an electronic system and the administration records in printed form. The anti-infective administration process had 19 activities, two sub-processes, 16 failure modes and 23 potential causes. The failure modes were related to asepsis and dose error in the preparation of anti-infectives and the identified causes were human error in violating techniques and memory lapse. Five specialists redesigned the process resulting in changes in activities and in the system. Conclusion: proactive risk management applied to the anti-infective administration process was effective in identifying risks, their causes and prioritizing improvement actions.
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Copyright (c) 2023 Alaíde Francisca de Castro, Maria Cristina Soares Rodrigues
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