Handan BOZTEPE, Sevil ÇINAR, Bahise COŞKUN AYDIN

Pediatri Servislerinde Tıbbi Setlerin Yarattığı Riskler ve İlişkili Olan Faktörlerin Belirlenmesi

DOI:10.17681/hsp.469396Amaç: Bu çalışma, pediatri servislerinde hastaların güvenlikleri açısından tıbbi setlerin yarattığı riskler ve ilişkili olan faktörlerin belirlenmesi amacıyla tanımlayıcı olarak yapılmıştır. Gereç ve Yöntem: Tanımlayıcı özellikteki araştırma Hacettepe Üniversitesi İhsan Doğramacı Çocuk Hastanesi’nin kliniklerinde 15 Mayıs -15 Aralık 2016 tarihleri arasında yapılmıştır. Araştırmada toplam 400 hastada 812 tıbbi set değerlendirilmiştir.Bulgular: Tıbbi setlerin dolaşıklık durumu %40,5 olarak belirlenmiştir. Çocukların aktivite düzeyine ve set sayısına göre tıbbi setlerin karışık olma durumu arasında istatistiksel olarak anlamlı ilişki bulunmuştur. Hemşirelerin %72,6’sı tıbbı setlerle ilgili sorun yaşadıklarını ifade etmişlerdir. Yaşadıkları sorunlar sırasıyla, tıbbi setlerin birbirine dolaşması (%60,7), setlerin bir vücut bölümünün altında kalması (%42,9), setlerin bir ekstremitenin etrafına dolaşması (%38,1), çok fazla set olmasından dolayı ilaç uygulamalarında karışıklık olmasıdır (%34,5). Sonuç: Medikal setlerin sayısının artması ve çocukların aktivite düzeyi, set dolaşıklıklarından kaynaklanan hasta güvenliği ihlallerine maruz kalma riskini arttırmaktadır. Bu araştırmanın bulguları pediatrik hastalarda tıbbi setlerin dolaşıklığını önlemek için uygulanabilir çözümlerin geliştirilmesinin gerekliliğini ortaya koymuştur.

Anahtar Kelimeler:

Hemşireler, medikal setlerin dolaşması, medikal setlerin güvenliği

Determination of The Risks of Medical Sets in Pediatric Services and Associated Factors

DOI:10.17681/hsp.469396Purpose: This descriptive study was conducted to determine the risks of medical sets on patient safety and associated factors in pediatric services. Materials and Methods: This descriptive study was conducted between May 15 and December 15 2016 in the clinics of Hacettepe University İhsan Doğramacı Children’s Hospital. In the study, 812 medical sets were evaluated in a total of 400 patients. Results: The entrainment state of the medical devices was determined as 40,5%. A statistically significant correlation was found between the complexity of the medical sets and the activity level of the children and the number of sets. 72,6% of the nurses stated that they had problems with medical sets. The problems that they have experienced were as follows: entanglement of medical sets (60,7%), the sets are left under a body part (42,9%), the entanglement of sets around an extremity (38,1%), and confusion in medications due to the presence of numerous sets (34,5%). Conclusion: The increase in the number of medical sets and the activity level of the children increases the risk of being exposed to patient safety violations caused by the set entanglements of the children. The findings of the study indicate the need of developing applicable solutions to prevent the entanglement of medical sets in pediatric patients.

Keywords:

Nurses, medical line entanglement, medical line safety,

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