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

Yıl 2019, Cilt: 6 Sayı: 2, 321 - 328, 01.06.2019

Handan Boztepe , Sevil Çınar Bahise Coşkun Aydın

Öz

DOI:10.17681/hsp.469396

Purpose: 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.

Anahtar Kelimeler

Nurses, medical line entanglement, medical line safety

Pediatri Servislerinde Tıbbi Setlerin Yarattığı Riskler ve İlişkili Olan Faktörlerin Belirlenmesi

Öz

DOI:10.17681/hsp.469396

Amaç:
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

Kaynakça

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