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Överflyttning mellan intensivvårdsavdelningar på grund av resursbrist 2009 och 2010: En jämförande pilotstudie av eventuella skador
The Swedish Red Cross University College.
The Swedish Red Cross University College.
2012 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Transfers between intensive care units due to lack of resources 2009 and 2010 : A comparative pilot study of possible adverse events (English)
Abstract [sv]

Bakgrund: Svenska intensivvårdsregistret (SIR) sammanställer varje år fastställda kvalitetsmått där en av dem är ”Överflyttning till annan intensivvårdsavdelning på grund av egen resursbrist.” Flera studier har visat att de patienter som flyttas mellan intensivvårdsavdelningar har en högre mortalitet och längre vårdtid än de som inte flyttas. Enligt patientsäkerhetslagen ska vårdgivaren förebygga och utreda vårdskador. Ett sätt att mäta vårdrelaterade skador är Global Trigger Tool (GTT).

Syfte: Att undersöka frekvensen av skador hos de patienter som överflyttats till annan intensivvårdsavdelning på grund av resursbrist jämfört med en matchad kontrollgrupp.

Metod: En retrospektiv, deskriptiv och jämförande pilotstudie. Journaler från patienter som flyttats till annan intensivvårdsavdelning på grund av resursbristscannades efter skador med hjälp av GTT och jämfördes sedan med en kontrollgrupp som inte flyttats mellan intensivvårdsavdelningar.

Resultat: I undersökningsgruppen (n=20) återfanns 67 skador med ett genomsnitt på 3,4 skador per patient. I kontrollgruppen (n=40) hittades 80 skador med ett genomsnitt på 2,0 skador per patient. Det fanns en stark tendens (p=0,05) till att undersökningsgruppen hade fler antal skador jämfört med kontrollgruppen. Av de patienter som hade sammanlagt sju skador återfanns 15 % i undersökningsgruppen jämfört med 2,5 % i kontrollgruppen.

Slutsats: Tendenser ses till att patienter som flyttas på grund av resursbrist har en högre frekvens av skador jämfört med de som inte flyttas.

Klinisk betydelse: Om inte överflyttningar på grund av resursbrist kan undvikas, bör i alla fall fler hänsyn tas när beslut om överflyttning sker, såsom exempelvis mått på sjuklighetoch etiska överväganden.

Abstract [en]

Background: The Swedish Intensive Care Register (SIR) on a yearly basis puts together appointed quality measurements; one of them is entitled ”Transfer to Another Intensive Care Unit Due to Own Lack of Resources.” Several studies have shown that patients that are being transferred between intensive care units have higher mortality rates and longer stay at hospital, compared to those who do not transfer. According to the Swedish Law for Patient Safety the provider of care shall prevent and investigate adverse events. One way of measuring healthcare related adverse events is the Global Trigger Tool method (GTT).

Objectives: To investigate the frequency of adverse events in patients who transfer to another intensive care unit due to lack of resources compared to a matched control group.

Methods: A retrospective, descriptive and comparative pilot study was conducted. Medical records from patients who were moved to another intensive care unit due to lack of recourses were scanned for adverse events with GTT and then compared with a control group who had not been transferred between intensive care units.

Results: In the experimental group (n=20), 67 adverse events were detected with an average of 3, 4 adverse events per patient. In the control group (n=40), 80 adverse events were detected with an average of 2, 0 adverse events per patient. There was a strong possibility (p=0, 05) that the experi-mental group had a higher incidence of adverse events compared to the control group. As much as 15 percent of the patients in the experimental group had been subjected to, in all, seven adverse events, compared to 2, 5 percent in the control group

Conclusion: There is a possibility that patients who transfer due to lack of resources have a higher frequency of adverse events than those who do not transfer.

Clinical relevance: If transfers due to lack of resources cannot be eliminated when decision about transfers are being made, more consideration should be given to such things as morbidity and ethics.

Place, publisher, year, edition, pages
2012. , 30 p.
Keyword [en]
Intensive care, transfer due to lack of resources, Global Trigger Tool, patient safety, adverse events
Keyword [sv]
Intensivvård, utskrivning på grund av resursbrist, Global Trigger Tool, patientsäkerhet, vårdrelaterade skador
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-267OAI: oai:DiVA.org:rkh-267DiVA: diva2:539075
Subject / course
Magisterprogrammet i omvårdnad
Uppsok
Medicine
Available from: 2012-07-03 Created: 2012-07-03 Last updated: 2015-07-15Bibliographically approved

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