Iatrogenias relacionadas à assistência de enfermagem em unidades de terapia intensiva adulto

Abstract

The Intensive Care Unit is considered to be the tensest, aggressive and traumatizing of the hospital, just to bring together, in one space, the critical patients with the possibility of death. The growth of technology enhances the chance of either recovery or cure of those serious patients but, on the other hand, favors the iatrogenic factors. Assuming that the intensive care medicine provides grants that improve morbimortality, but it is also associated to significant risks of adverse events, this study tried to identify in the literature the iatrogenic factors related to nursing care that are more frequent in Adult Intensive Care Units. This is a study of integrative review through the insertion of eight articles, including national and international publications, in which it was analyzed the incidence in each event it was cited by the study. It was identified that the error related to the medication was quoted by 100% of the studies, followed by accidental loss of catheter and probe (87.5%), monitoring problems (62.5%), problems with tracheostomy and endotracheal tube (62.5%), pressure ulcer (37.5%), fall (37.5%) and incorrect nursing notes (25%). The data presented in the research bring up ethical issues by putting patient safety at risk during the process of care. In spite of the few studies on the subject, it is observed the relevance of studying this phenomenon, since the quality of care also depends on non-occurrence of erroneous or harmful actions to patients.