Multiprofessional round with checklist: association with the improvement in patient safety in intensive care

Author:

Maran Edilaine1ORCID,Matsuda Laura Misue2ORCID,Magalhães Ana Maria Muller de3ORCID,Marcon Sonia Silva2ORCID,Oliveira João Lucas Campos de3ORCID,Cavalcanti Alexandre Biasi4ORCID,Haddad Maria do Carmo Fernandez Lourenço5ORCID,Reis Gislene Aparecida Xavier dos2ORCID

Affiliation:

1. Universidade Estadual de Maringá, Brasil; Universidade Estadual do Paraná, Brasil

2. Universidade Estadual de Maringá, Brasil

3. Universidade Federal do Rio Grande do Sul, Brasil

4. Hcor, Instituto de Pesquisa, Brasil; Universidade de São Paulo, Brasil

5. Universidade Estadual de Londrina, Brasil

Abstract

ABSTRACT Objective To verify the association between a multiprofessional round with the use of checklists and patient safety practices by health professionals in an intensive care unit. Method Mixed-method study, delineated by the sequential explanatory approach, conducted in a hospital in southern Brazil. Quantitative data were analyzed using Poisson regression, and qualitative data, using content analysis. The integrated analysis was performed through the explained/connected combination. Results In the post-implementation period of the rounds with systematic use of the checklist, there was a significant improvement in the prophylaxis of venous thromboembolism, light sedation, reduction in the days of use of mechanical ventilation, central venous catheter and indwelling urinary catheter. Conclusion The multiprofessional round with the systematic use of checklist, associated with the improvement in patient safety practices, was considered as a strategy that ensures better care in intensive care and favors job satisfaction.

Publisher

FapUNIFESP (SciELO)

Subject

General Medicine

Reference22 articles.

1. Adverse events after transition from icu to hospital ward: a multicenter cohort study;Sauro KM;Crit Care Med,2020

2. Data omission by physician trainees on ICU rounds;Artis KA;Crit Care Med,2019

3. Use of a standardized care communication checklist during multidisciplinary rounds in pediatric cardiac intensive care: a best practice implementation project;Boydston J;JBI Database System Rev Implement Rep,2018

4. Benefícios do round multidisciplinar na unidade de terapia intensiva;Barbosa RV;Braz J Health Rev,2020

5. Implementación de una lista de cotejo para mejorar la adherencia a prácticas basadas en evidencia en una Unidad de Cuidados Intensivos Pediátricos;Eulmesekian P;Arch Argent Pediatr,2017

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