<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902020000300009</article-id>
<article-id pub-id-type="doi">10.29193/rmu.36.3.1</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estudio de incidencia de riesgos y eventos vinculados a la seguridad en una unidad de cuidados intensivos]]></article-title>
<article-title xml:lang="en"><![CDATA[Study of the impact of safety issues and adverse events in the intensive care unit]]></article-title>
<article-title xml:lang="pt"><![CDATA[Estudo de incidência de riscos e eventos relacionados à segurança em unidade de terapia intensiva]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leyes]]></surname>
<given-names><![CDATA[Laureano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Porcires]]></surname>
<given-names><![CDATA[Fausto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Godino]]></surname>
<given-names><![CDATA[Mario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barbato]]></surname>
<given-names><![CDATA[Marcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Maciel Unidad de Cuidados Intensivos ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Maciel Unidad de Cuidados Intensivos ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>36</volume>
<numero>3</numero>
<fpage>9</fpage>
<lpage>30</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902020000300009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902020000300009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902020000300009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  los pacientes críticos son muy vulnerables a la iatrogenia. Los eventos vinculados a la seguridad (EVS) contribuyen en la morbilidad y mortalidad de los pacientes ingresados. Por esto, su detección y prevención son importantes.  Objetivos:  estudiar la incidencia de EVS seleccionados en una unidad de cuidados intensivos (UCI) y el daño que generan. Sentar las bases para un sistema de notificación de EVS.  Metodología:  estudio prospectivo de incidencia mediante dos metodologías: reporte voluntario y auditoría de historias clínicas.  Resultados:  incluyó 174 pacientes. Se detectaron 107 EVS en el 35% de los pacientes. Los más prevalentes fueron la salida de sondas y catéteres (42%) y los relacionados a medicación de alto riesgo (12,8%). La edad (p=0,046), tiempo de estancia en UCI (p=0,001) y requerimiento de sedoanalgesia (p=0,039) se asociaron en forma independiente a la presencia de EVS. El 76,6% de los eventos generó daño, pero no se asoció a mayor mortalidad (p=0,96).  Conclusiones:  los EVS son altamente frecuentes en UCI. La salida de sondas y catéteres son los más prevalentes. Se asocia con el requerimiento de asistencia ventilatoria, la sedoanalgesia y la estancia en UCI. El reporte voluntario es una herramienta útil para su detección.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  critically ill patients are extremely vulnerable to iatrogenia. Adverse events (AEs) contribute to the morbidity and mortality of hospitalized patients and therefore detection and prevention are of the essence.  Objectives:  to study the impact of AEs selected from an intensive care unit and the resulting harm. To set the bases to create a system for the notification of adverse events.  Method:  prospective study of impact using two methods: voluntary report and auditing of medical records.  Results:  174 patients were included in the study. 107 adverse events were identified in 35% of patients. The most prevalent issues were probe and catheter exit-site (42%) and those related to high-risk drugs (12.8%). Age (p=0.046), length of stay in the ICU (p=0.001) and need of sedoanalgesia (p=0.039) were independently associated to the presence of adverse events. 76.6% of the events resulted in harm, although they were not associated to higher mortality (p=0.96).  Conclusions:  AEs are highly frequent in the intensive care unit. Probe and catheter exit-sites are the most prevalent source. Also, adverse events are related to the need for mechanical ventilation, sedoanalgesia and length of stay in the intensive care unit. Voluntary reporting is a useful tool to identify adverse events.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução: os pacientes em estado crítico são muito vulneráveis à iatrogenia. Os Eventos Vinculados à Segurança (EVS) contribuem para a morbimortalidade dos pacientes internados. Por essa razão sua detecção e prevenção são importantes.  Objetivos: estudar a incidência de EVS selecionados em uma unidade de terapia intensiva (UTI) e os danos que causam. Estabelecer as bases para um sistema de notificação de EVS.  Metodologia: estudo prospectivo de incidência aplicando duas metodologias: relato voluntario e auditoria de prontuários de pacientes.  Resultados: foram incluídos 174 pacientes. Foram detectados 107 EVS em 35% dos pacientes. Os mais prevalentes foram a saída de sondas e cateteres (42%) e os relacionados à medicação de alto risco (12,8%). A idade (p=0,046), tempo de permanência na UTI (p=0,001) e requerimento de sedoanalgesia (p=0,039) estão associados independentemente à presença de EVS. 76,6% dos eventos causou danos, mas não estavam associados a uma maior mortalidade (p=0,96).  Conclusões: os EVS são muito frequentes na UTI. A saída de sondas e cateteres são os mais prevalentes. Estão associadas ao requerimento de assistência ventilatória, a sedoanalgesia e a permanência na UTI. O relato voluntario é uma ferramenta útil para sua detecção.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Seguridad del paciente]]></kwd>
<kwd lng="es"><![CDATA[Unidades de cuidados intensivos]]></kwd>
<kwd lng="es"><![CDATA[Evento adverso]]></kwd>
<kwd lng="es"><![CDATA[Daño del paciente]]></kwd>
<kwd lng="en"><![CDATA[Patient safety]]></kwd>
<kwd lng="en"><![CDATA[Intensive care units]]></kwd>
<kwd lng="en"><![CDATA[Adverse event]]></kwd>
<kwd lng="en"><![CDATA[Patient harm]]></kwd>
<kwd lng="pt"><![CDATA[Segurança do paciente]]></kwd>
<kwd lng="pt"><![CDATA[Unidades de terapia intensiva]]></kwd>
<kwd lng="pt"><![CDATA[Evento adverso]]></kwd>
<kwd lng="pt"><![CDATA[Dano ao paciente]]></kwd>
</kwd-group>
</article-meta>
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