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Puesta al día en medicina intensiva: seguridad del paciente crítico
Available online 30 May 2024
Prácticas seguras en los servicios de medicina intensiva. ¿Es posible el riesgo Zero?
Safe practices in intensive care medicine, is Zero risk possible?
Xavier Nuvials Casalsa, Marta García Garcíab,
Corresponding author
mgarciagarcia@hotmail.es

Autor para correspondencia.
a Servei de Medicina Intensiva, Hospital Vall d‘Hebron, Sepsis Organ Dysfunction and Resustitation (SODIR), Vall d‘Hebron Institut de Recerca (VHIR), Vall d‘Hebron Barcelona Hospital Campus, Barcelona, España
b Servicio de Medicina Intensiva, Hospital Universitario Río Hortega, Valladolid, España
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Tabla 1. Implantación de prácticas seguras y objetivos específicos para su desarrollo
Resumen

Los incidentes relacionados con la seguridad del paciente suponen un problema de gran impacto en los servicios de medicina intensiva (SMI). Se han desarrollado múltiples estrategias a nivel internacional, nacional y local para identificarlos, analizarlos y desarrollar políticas encaminadas a disminuir su incidencia, y a minimizar sus efectos y sus consecuencias. El desarrollo de la cultura de seguridad, un adecuado diseño organizativo y estructural de los SMI, que contemple la implantación de prácticas seguras efectivas, con una dotación de recursos humanos ajustada a la actividad asistencial desarrollada y el análisis periódico de los distintos eventos y sus factores, nos permitirán aproximar el riesgo de los cuidados del paciente crítico al cero, como sería deseable.

Palabras clave:
Seguridad
Incidentes
Riesgo
Medicina intensiva
Abstract

Incidents related to patient safety are a problem of great impact in intensive care medicine (ICM). Multiple strategies have been developed to identify them, analyze, and develop policies aim at reducing their incidence and minimizing their effects and consequences. The development of a safety culture, an adequate organizational and structural design of the ICM, which contemplates the implementation of effective safe practices, with a provision of human resources adjusted to the care activity carried out and the periodic analysis of the different events and their factors, will allow us to bring the risk of critical patient care closer to zero, as would be desirable.

Keywords:
Safety
Incidents
Risk
Intensive medicine

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