Multiple Trauma Patient Safety in the Emergency Care: Scoping Review

Authors

  • Andréa Tayse de Lima Gomes Federal University of Rio Grande do Norte
  • Flávia Barreto Tavares Chiavone Federal University of Rio Grande do Norte
  • Manacés dos Santos Bezerril Federal University of Rio Grande do Norte
  • Larissa de Lima Ferreira Federal University of Rio Grande do Norte
  • Micheline da Fonseca Silva Federal University of Rio Grande do Norte
  • Alcides Viana de Lima Neto Federal University of Rio Grande do Norte
  • Viviane Euzébia Pereira Santos Federal University of Rio Grande do Norte

DOI:

https://doi.org/10.3823/2132

Keywords:

Multiple Trauma; Nursing; Patient Safety; Emergencies, Trauma, Patient Safety, Nursing, Emergency

Abstract

Background: To summarize the scientific evidence on the influence of safe nursing care to multiple trauma patients in the emergency care. Methods: Scoping review using the strategy P (Population) C (Concept) C (Context) and performed in PubMed, Cumulative Index to Nursing and Allied Health Literature, Scopus and Web of Science in June 2016. Results: The sample was composed of 43 articles, with most of them being descriptive (n=35; 81.4%), quantitative approach (n=32; 74.4%), level of evidence 4 (n=35; 81.4%) and recommendation grade A (n=40; 93.0%). The structure pointed to the availability of equipment for performing imaging and laboratory functioning (n=18; 41.9%). The process highlighted the completion of the screening in the emergency department (n=20; 46.5%). The result showed the great waiting time of patients to treatment (n=4; 9.3%) and dissatisfaction of professionals regarding the care provided and the working conditions (n=4; 9.3%). Conclusions: The triad structure-process-result of the emergency services have problems able to compromise the security of critically ill patients.

Author Biographies

Andréa Tayse de Lima Gomes, Federal University of Rio Grande do Norte

Nurse, Master degree student by the Graduate Program in Nursing of the Federal University of Rio Grande do Norte. Scholarship CAPES/DS. Natal, Rio Grande do Norte, Brazil.

Flávia Barreto Tavares Chiavone, Federal University of Rio Grande do Norte

Nursing Student at the Federal University of Rio Grande do Norte. Scholarship CNPq. Natal, Rio Grande do Norte, Brazil.

Manacés dos Santos Bezerril, Federal University of Rio Grande do Norte

Nursing Student at the Federal University of Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil.

Larissa de Lima Ferreira, Federal University of Rio Grande do Norte

Nursing Student at the Federal University of Rio Grande do Norte. Scholarship CNPq. Natal, Rio Grande do Norte, Brazil.

Micheline da Fonseca Silva, Federal University of Rio Grande do Norte

Nurse, Master degree student by the Graduate Program in Nursing of the Federal University of Rio Grande do Norte. Scholarship CAPES/DS. Natal, Rio Grande do Norte, Brazil.

Alcides Viana de Lima Neto, Federal University of Rio Grande do Norte

Nurse, Master degree student by the Graduate Program of the Federal University of Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil.

Viviane Euzébia Pereira Santos, Federal University of Rio Grande do Norte

Nurse. Ph.D. in Nursing. Graduate and Post-Graduate Professor in Nursing at the Federal University of Rio Grande do Norte. Scholarship of Research Productivity CNPq (PQ2 2016-2019). Natal, Rio Grande do Norte, Brazil.

References

Lendrum RA, Lockey DJ. Trauma system development. Anaesthesia. 2013 Jan; 68(3):30–9. doi: http://dx.doi.org/10.1111/anae.12049

World Health Statistics [Internet]. 2011 [cited 2016 Jun 21] Available from: http://www.who.int/whosis/whostat/2011/en/indext.html

Sakran JV, Greer SE, Werlin E, McCunn M. Care of the injured worldwide: trauma still the neglected disease of modern society. Scand J Trauma Resusc Emerg Med. 2012 Sep; 20(64):1-6. doi: http://dx.doi.org/10.1186/1757-7241-20-64

Groenestege-Kreb TD, van Maarseveen O, Leenen L. Trauma team. Br J Anaesth. 2014 Jun; 113(2):258-65. doi: http://dx.doi.org/10.1093/bja/aeu236

Burke TF, Hines R, Ahn R, Walters M, Young D, Anderson RE, et al. Emergency and urgent care capacity in a resource-limited setting: an assessment of health facilities in western Kenya. BMJ Open. 2014;4(9):e006132. doi: http://dx.doi.org/10.1136/bmjopen-2014-006132

Ajeigbe D, McNeese-Smith D, Leach LS, Phillips LR. Nurse-physician teamwork in the emergency department: impact on perceptions of job environment, autonomy, and control over practice. J Nurs Adm. 2013 Sep;43(3):142–8. doi: http://dx.doi.org/10.1097/NNA.0b013e318283dc23

Zohar D. Safety climate in industrial organizations: theoretical and applied implications. J Appl Psychol. 1980 Mar; 65(1):96–102. doi: http://dx.doi.org/10.1037/0021-9010.65.1.96

El Sayed MJ. Measuring quality in emergency medical services: a review of clinical performance indicators. Emerg Med Int. 2012 Feb;2012:1-7. doi: http://dx.doi.org/10.1155/2012/161630

Donabedian, A. Evaluating the Quality of Medical Care. Milbank Mem. Fund Quart, Part 2, 1966 Oct;44(3):166-206. doi: http://dx.doi.org/10.1111/j.1468-0009.2005.00397.x

Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005 Feb;8(1):19-32. doi: http://dx.doi.org/10.1080/1364557032000119616

The Joanna Briggs Institute. Joanna Briggs Institute Reviewers’ Manual: 2015 edition / Supplement. South Austrália: The University of Adelaide; 2015.

The Joanna Briggs Institute [Internet]. Levels of Evidence. South Austrália: The University of Adelaide; 2013 [cited 2016 Jul 02]. Available from: http://joannabriggs.org/jbi-approach.html#tabbed-nav=Levels-of-Evidence

The Joanna Briggs Institute [Internet]. Grades of Recommendation. South Austrália: The University of Adelaide; 2013 [cited 2016 Jul 02]. Available from: http://joannabriggs.org/jbi-approach.html#tabbed-nav=Grades-of-Recommendation

Ministério da Saúde (Br). Política nacional de atenção às urgências. 3. ed. Brasília: Editora do Ministério da Saúde; 2006.

Ministério da Saúde (Br). Agência Nacional de Vigilância Sanitária. Resolução – RDC nº 50, de 21 de fevereiro de 2002. Dispõe sobre o Regulamento Técnico para planejamento, programação, elaboração e avaliação de projetos físicos de estabelecimentos assistenciais de saúde. Brasília; 2002

Ministério da Saúde (Br). Ministério da Saúde. Agência Nacional de Vigilância Sanitária. Resolução – RDC nº 36, de 25 de julho de 2013. Institui ações para a segurança do paciente em serviços de saúde e dá outras providências. Brasília; 2013.

Lambrou P, Papastavrou E, Merkouris A, Middleton N. Professional environment and patient safety in emergency departments. Int Emerg Nurs. 2015 Apr;23(2):150–5. doi: 10.1016/j.ienj.2014.07.009

Tsang B, McKee J, Engels PT, Paton-Gay D, Widder SL. Compliance to advanced trauma life support protocols in adult trauma patients in the acute setting. World J Emerg Surg. 2013 Jan;8(1):1-7. doi: 10.1186/1749-7922-8-39.

Khademian Z, Sharif F, Tabei SZ, Bolandparvaz S, Abbaszadeh A, Abbasi HR. Teamwork improvement in emergency trauma departments. Iran J Nurs Midwifery Res [Internet]. 2013 Jul [cited 2016 Jul 09];18(4):333–9. Available from: http://www.ncbi.nlm.nih.gov.ez18.periodicos.capes.gov.br/pmc/articles/PMC3872871/

Hsia R, Mbembati N, Macfarlane S, Kruk ME. Access to emergency and surgical care in sub- Saharan Africa: the infrastructure gap. Health Policy Plann [Internet]. 2012 May;27(3):234-44. doi: http://dx.doi.org/10.1093/heapol/czr023

Riviello ED, Letchford S, Achieng L, Newton MW. Critical care in resourcepoor settings: lessons learned and future directions. Crit Care Med. 2011 Apr;39(4):860–7. doi: http://dx.doi.org/10.1097/CCM.0b013e318206d6d5

Kocher KEK, Meurer WJW, Desmond JSJ, Nallamothu BKB. Effect of testing and treatment on emergency department length of stay using a national database. Acad Emerg Med. 2012 May;19(5):525–34. doi: http://dx.doi.org/10.1111/j.1553-2712.2012.01353.x

Pitts, S.R., Pines, J.M., Handrigan, M.T., Kellermann, A.L. National trends in emergency department occupancy, 2001 to 2008: effect of inpatient admissions versus emergency department practice intensity. Ann Emerg Med. 2012 Dec; 60:(6)679–86. doi: http://dx.doi.org/10.1016/j.annemergmed.2012.05.014

Travaglia JF, Spigelman AD, Braithwaite J. Clinical governance: a review of key concepts in the literature. Clin Gov. 2011;16(1):62-77. doi: http://dx.doi.org/10.1108/14777271111104592

Donabedian A. The quality of care: how can it be assessed? J Am Med Assoc. 1988 Sep; 260(12):1743-8.

Sunyoto T, Van den Bergh R, Valles P, Gutierrez R, Ayada L, Zachariah R, et al. Providing emergency care and assessing a patient triage system in a referral hospital in Somaliland: a cross-sectional study. BMC Health Services Research. 2014;14:531-7. doi: http://dx.doi.org/10.1186/s12913-014-0531-3

Brown JB, Stassen NA, Bankey PE, Sangosanya AT, Cheng JD, Gestring ML. Mechanism of injury and special consideration criteria still matter: an evaluation of the National Trauma Triage Protocol. J Trauma. 2011 Jan;70(1):38-44. doi: http://dx.doi.org/10.1097/TA.0b013e3182077ea8

Sasser SM, Hunt RC, Faul M, Sugerman D, Pearson WS, Dulski T, et al. Centers for Disease Control and Prevention (CDC). Guidelines for field triage of injured patients: recommendations of the National Expert Panel on Field Triage, 2011. MMWR Recomm Rep [Internet]. 2012 [cited 2016 Jul 30]; 61(RR-1): 1-20. Available from: http://web.a-ebscohost-com.ez18.periodicos.capes.gov.br/ehost/pdfviewer/pdfviewer?sid=d1cf2267-2090-4ba9-adf9-b49410fcd46b%40sessionmgr4009&vid=1&hid=4204

Alexander D, Kinsley TL, Waszinski C. Journey to a safe environment: fall prevention in an emergency department at a level I trauma center. J Emerg Nurs. 2013 Jan; 39(4):346-52. doi: http://dx.doi.org/10.1016/j.jen.2012.11.003

Conselho Regional de Enfermagem de São Paulo. Rede Brasileira de Enfermagem e Segurança do Paciente. 10 passos para a segurança do paciente. São Paulo: COREN – SP; 2010.

Adib-Hajbaghery M, Maghaminejad F, Rajabi M. Efficacy of prehospital spine and limb immobilization in multiple trauma patients. Trauma Mon. 2014 Aug; 19(3): e16610. doi: http://dx.doi.org/10.5812/traumamon.16610

Rosen MA, Pronovost PJ. Advancing the use of checklists for evaluating performance in health care. Acad Med. 2014 Jul; 89(7):963–5. doi: http://dx.doi.org/10.1097/ACM.0000000000000285

di Martino P, Leoli F, Cinotti F, Virga A, Gatta L, Kleefield S, et al. Improving vital sign documentation at triage: an emergency department quality improvement project. J Patient Saf. 2011 Mar; 7(1):26–9. doi: http://dx.doi.org/10.1097/PTS.0b013e31820c9895

Jönsson K, Fridlund B. A comparison of adherence to correctly documented triage level of critically ill patients between emergency department and the ambulance service nurses. Int Emerg Nurs. 2013 Jul; 21(3):204–9. doi: http://dx.doi.org/10.1016/j.ienj.2012.07.002

Silva JA, Grossi ACM, Haddad MCL, Marcon SS. Avaliação da qualidade das anotações de enfermagem em unidade semi-intensiva. Esc Anna Nery Rev Enferm. 2012 Jul;16(3):576-81. doi: http://dx.doi.org/10.1590/S1414-81452012000300021

Kobayashi RM, Silva ABV, Ayoub AC. Gerenciando dificuldades para acreditação hospitalar em hospital cardiovascular. Rev Rene [Internet]. 2010 Oct [cited 2016 Jul 30];11(4):19-28. Available from: http://www.revistarene.ufc.br/vol11n4_pdf/a02v11n4.pdf

Murphy MM, Edwards CM, Seggie JZJ, Curtis K. Emergency department trauma redesign in a level 1 trauma centre. Australas Emerg Nurs J. 2011 Feb;14(1):50-8. doi: http://dx.doi.org/10.1016/j.aenj.2010.10.003

Mazzocato P, Forsberg H, Schwartz U. Team behaviors in emergency care: a qualitative study using behavior analysis of what makes teams work. Scand J Trauma Resusc Emerg Med. 2011 Nov; 19(1):70-76. doi: http://dx.doi.org/10.1186/1757-7241-19-70

Martin HA, Ciurzynski SM. Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department. J Emerg Nurs. 2015 Nov; 41(6):484-8. doi: http://dx.doi.org/10.1016/j.jen.2015.05.017

Leonard M, Frankel A. Role of effective teamwork and communication in delivering safe, high-quality care. Mt Sinai J Med. 2011 Nov; 78(6):820-826. doi: http://dx.doi.org/10.1002/msj.20295

Jones F, Podila P, Powers C. Creating a culture of safety in the emergency department: the value of team working training. J Nurs Adm. 2013 Apr; 43(4):194–200. doi: http://dx.doi.org/10.1097/NNA.0b013e31828958cd

Crandall M, Sharp D, Unger E, Straus D, Brasel K, Hsia R, et al. Trauma deserts: distance from a trauma center, transport times, and mortality from gunshot wounds in Chicago. Am J Public Health. 2013 Jun; 103(6):1103–9. doi: http://dx.doi.org/10.2105/AJPH.2013.301223

McCoy CE, Menchine M, Sampson S, Anderson C, Kahn C. Emergency medical services out-of-hospital scene and transport times and their association with mortality in trauma patients presenting to an urban Level I trauma center. Ann Emerg Med. 2013 Feb; 61(2):167–74. doi: http://dx.doi.org/10.1016/j.annemergmed.2012.08.026

Calvello EJB, Broccoli M, Risko N, Theodosis C, Totten VY, Radeos MS, et al. Emergency care and health systems: consensus-based recommendations and future research priorities. Acad Emerg Med. 2013 Dec; 20(12):1278–88. doi: http://dx.doi.org/10.1111/acem.12266

Lima L, Pires DEP, Forte ECN, Medeiros F. Satisfação e insatisfação no trabalho de profissionais de saúde da atenção básica. Esc Anna Nery Rev Enferm. 2014 Jan; 18(1):17-24. doi: http://dx.doi.org/10.5935/1414-8145.20140003

Bowie P, Halley L, McKay J. Laboratory test ordering and results management systems: a qualitative study of safety risks identified by administrators in general practice. BMJ Open. 2014 Feb; 4(2): e004245. doi: http://dx.doi.org/0.1136/bmjopen-2013-004245

Souza FT, Garcia MC, Rangel PPS, Rocha PK. Percepção da enfermagem sobre os fatores de risco que envolvem a segurança do paciente pediátrico. Rev Enferm UFSM. 2014 Jan; 4(1):152-62. doi: http://dx.doi.org/10.5902/217976928781

Figure 1 - Flowchart concerning the selection studies of the databases, 2016.

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Published

2016-10-12

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Section

Traumatology and Orthopedics

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