Instruments for measuring incidents related to patient safety in the context of paediatric intensive care-protocol
Helga Catarina Santos Alves de Oliveira1,2, Ricardo Rafael Marques3, Maria Alice Dos Santos Curado3,4
1Escola Superior de Enfermagem de Lisboa, Universidade de Lisboa, Av. D. João II, Lote 4.69.01, 1990-096, Lisbon, Portugal. helgacatarina@hotmail.com.
Insights
This review identifies patient safety measurement tools for pediatric intensive care units. It maps available instruments to help researchers select appropriate methods for assessing harm and improving safety in this vulnerable population.
Area of Science:
- Healthcare Quality and Safety
- Pediatric Critical Care Medicine
- Health Services Research
Background:
- Patient safety is a critical healthcare challenge, with adverse events causing significant morbidity and mortality globally.
- Pediatric Intensive Care Units (PICUs) present unique safety complexities due to the vulnerability of children and the intensive care environment.
- Measuring harm is essential for identifying high-risk areas and prioritizing patient safety (PS) initiatives in healthcare settings.
Purpose of the Study:
- To systematically identify and map measurement instruments for patient safety incidents within the pediatric intensive care context.
- To provide a comprehensive overview of available tools for assessing harm in PICUs.
- To guide researchers in selecting validated and reliable instruments for their specific research needs.
Main Methods:
- A comprehensive literature review including published studies (quantitative, qualitative, mixed-methods) and grey literature from the last 5 years.
- Searches conducted across major databases (MEDLINE, CINAHL, Cochrane Library, JBI Databases) and relevant grey literature sources.
- Independent screening by two reviewers, data extraction, and descriptive mapping of identified measurement instruments.
Main Results:
- The review will summarize the most frequently used patient safety measurement instruments in PICUs.
- Specificities and limitations of various tools will be detailed.
- A clear mapping of instruments will be presented to aid in tool selection.
Conclusions:
- Mapping patient safety measurement tools in PICUs enhances understanding of available resources.
- This facilitates informed selection of appropriate instruments for research and clinical practice.
- Ultimately, this supports efforts to improve patient safety and reduce harm in pediatric intensive care settings.
Background:
Patient safety is a fundamental principle of health care but is one of the biggest challenges currently faced and a serious public health problem, since the occurrence of adverse events is probably one of the main causes of morbidity and mortality worldwide. The vulnerability of the paediatric population, combined with the potentially dangerous context of intensive care, makes Paediatric Intensive Care Units services of particular complexity in matters of safety, where there is a greater likelihood of incidents with serious consequences. It is agreed that research on the topic of PS should start with the measuring of different types of harm that exist in the contexts, to identify high-risk areas and define priorities. For this, it is necessary to resort to a multiplicity of valid, reliable and specific measurement instruments and to learn their advantages and limitations. The objective of this review will be to identify and map in scientific literature the instruments for measuring incidents related to patient safety applicable in the context of paediatric intensive care.
Methods:
This review will cover studies and documents that refer to all measurement instruments used in the field of patient safety in a context of paediatric intensive care. Quantitative, qualitative, or mixed nature published studies, as well as grey literature, produced in the last 5 years and relevant to the topic will be included, in Portuguese, English or Spanish languages. The sources of information include several databases (such as MEDLINE, CINAHL, Cochrane Library, JBI Databases) and sources relevant to grey literature. Two reviewers will independently screen all citations, full-text articles and abstract data. The extracted data, after being organised in the extraction table, will be mapped in a descriptive and logical way, taking into account the defined review questions.
Discussion:
The mapping of the tools in these protocols will allow to summarise the most widely used instruments, to know their specificities and to guide researchers to use the most appropriate measurement tools for their context, specifically, in paediatric intensive care.
Systematic Review Registration:
Open Science Framework ( osf.io/b5m7j ).
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