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Improving patient safety: how and why incidences occur in nursing care*

Overview of attention for article published in Revista da Escola de Enfermagem da USP, October 2013
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Title
Improving patient safety: how and why incidences occur in nursing care*
Published in
Revista da Escola de Enfermagem da USP, October 2013
DOI 10.1590/s0080-623420130000500013
Pubmed ID
Authors

María Cecilia Toffoletto, Ximena Ramirez Ruiz

Abstract

The present investigation was a cross-sectional, quantitative research study analyzing incidents associated with nursing care using a root-cause methodological analysis. The study was conducted in a public hospital intensive care unit (ICU) in Santiago de Chile and investigated 18 incidents related to nursing care that occurred from January to March of 2012. The sample was composed of six cases involving medications and the self-removal of therapeutic devices. The contributing factors were related to the tasks and technology, the professional work team, the patients, and the environment. The analysis confirmed that the cases presented with similar contributing factors, thereby indicating that the vulnerable aspects of the system are primarily responsible for the incidence occurrence. We conclude that root-cause analysis facilitates the identification of these vulnerable points. Proactive management in system-error prevention is made possible by recommendations.

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The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 81 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 1 1%
Unknown 80 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 15 19%
Student > Bachelor 15 19%
Student > Ph. D. Student 10 12%
Researcher 6 7%
Student > Doctoral Student 5 6%
Other 10 12%
Unknown 20 25%
Readers by discipline Count As %
Nursing and Health Professions 32 40%
Medicine and Dentistry 16 20%
Business, Management and Accounting 2 2%
Arts and Humanities 2 2%
Engineering 2 2%
Other 5 6%
Unknown 22 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 January 2014.
All research outputs
#20,655,488
of 25,373,627 outputs
Outputs from Revista da Escola de Enfermagem da USP
#566
of 772 outputs
Outputs of similar age
#166,050
of 219,840 outputs
Outputs of similar age from Revista da Escola de Enfermagem da USP
#5
of 8 outputs
Altmetric has tracked 25,373,627 research outputs across all sources so far. This one is in the 10th percentile – i.e., 10% of other outputs scored the same or lower than it.
So far Altmetric has tracked 772 research outputs from this source. They receive a mean Attention Score of 2.0. This one is in the 14th percentile – i.e., 14% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 219,840 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 11th percentile – i.e., 11% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 8 others from the same source and published within six weeks on either side of this one. This one has scored higher than 3 of them.