Abstract

OROZCO-ARBELAEZ, Ariel; FLOREZ, Daniela M; MOLINA-RUA, Giouliana  and  MENESES-ARANGO, Jonnatha A. Non quality issues related to ventilator-associated pneumonia in an Intensive Care Unit of Medellin, 2012. Rev. Fac. Nac. Salud Pública [online]. 2016, vol.34, n.1, pp.70-79. ISSN 0120-386X.  https://doi.org/10.17533/udea.rfnsp.v34n1a09.

Objective: to explore non quality issues in the clinical care of patients with VAP in an adult ICU in Medellin, Colombia. Methodology: a qualitative study using the case study strategy. Reason’s Organizational Model of Causality and Adverse Events was used as the source for analytical categories and the hospital operating conditions were not controllable by the research team. Results: during the analytical phase, through open coding, 441 codes were identified from interviews and 25 from medical records. They were reorganized by axial coding into 14 subcategories and 4 analytical categories. It was found that a management decision (limiting the hiring of qualified staff to take care of patients’ airways with MV and replacing it with support staff) was perceived as a determining factor leading to the incidence of VAP, even in presence of a relevant approach and solid safety barriers.

Keywords : quality of health care; patient safety; respiration; Artificial; pneumonia.

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