Hospital admission and the occurrence of delirium in older adults with physical frailty: cross-sectional study.

Objective: To analyze the relationship between hospitalization and the occurrence of delirium in older adults with physical frailty.

Method: Cross-sectional study carried out in a public hospital in southern Brazil. Hospitalized older adults aged ≥ 60 years participated.

Team-based learning in the internal medicine clerkship didactics.

Background: Active-learning approaches, such as team-based learning, are infrequently used in internal medicine clerkship didactics even though there is increasing evidence to suggest medical students prefer it over traditional lecture-based learning. In this study, five team-based learning sessions were incorporated into three blocks of a 12-week internal medicine clerkship.

Methods: The goal of this quasi-experimental study was to compare learner engagement, satisfaction and preference between team-based learning and lecture-based learning in the internal medicine clerkship didactics.

Impact of surgical checklists on the time of surgical processes: a cross-sectional study.

Objectives: to analyze the impact of the use of checklists on the mean time of the operative processes of patients undergoing hip and knee arthroplasties.

Method: cross-sectional and analytical research conducted between November/2020 and March/2022 with retrospective consultation in a simple random sample of 291 medical records, distributed in three periods (2010/2013/2016). Descriptive and inferential statistics were used for data analysis; p=0.

Translation, cross-cultural adaptation and content validation of the Global Trigger Tool surgical module.

Objective: to translate, cross-culturally adapt and validate the Global Trigger Tool surgical module content for Brazil.

Method: this is methodological research, carried out between March/2018 and February/2019, following the steps of translation, synthesis, back-translation, validation by the Delphi technique, pre-test and presentation to developers. Two translators, two back-translators, six professionals participated in the expert committee.

Novel duplex RT-qPCR for animal rabies surveillance.

Rabies is a lethal zoonosis affecting mammals worldwide. Diagnosis of rabies follows international standard protocols, primarily relying on direct immunofluorescence (DI) followed by mouse inoculation test (MIT). WHO recommends molecular biology techniques such as RT-qPCR for replacing MIT to diagnose rabies in animal samples.

Effect of a guide for clinical reasoning on Nursing students' diagnostic accuracy: A clinical trial.

Objective: to evaluate the effect of the Self-Instructional Guide for Clinical Reasoning on the diagnostic accuracy of undergraduate Nursing students.

Method: a randomized, parallel and double-blind (researchers and outcome evaluators) clinical trial, carried out with undergraduate Nursing students. Validated case studies were applied in two phases to identify the patient's Nursing diagnosis/problem, etiology and clues, using the Guide with the intervention group in the second phase.

The Healthcare Failure Mode and Effect Analysis as a tool to evaluate care protocols.

Objectives: to identify, classify, and analyze modes of failure in the medication process.

Methods: evaluative research that used the Healthcare Failure Mode and Effect Analysis (HFMEA) in a service of bone marrow transplant from June to September 2018, with the participation of 35 health workers.

Results: 207 modes of failure were identified and classified as mistakes in verification (14%), scheduling (25.

Association between professional qualification and adverse events in neonatal and pediatric intensive treatment units.

Objective: to verify the association between the qualification of nursing professionals and the occurrence of adverse events in neonatal and pediatric intensive care units.

Method: Cross-sectional and evaluation study conducted in six intensive care units of five public hospitals in the state of Paraná, Brazil. Data was collected from April/2017 to January/2018 through the use of a questionnaire to be completed by 143 nursing professionals and retrospective analysis of 79 medical records using the Neonatal Trigger Tool and Pediatric Trigger Tool instruments.

Risk of pressure injury among users of emergency care units.

Objective: To identify the risk of pressure injury in patients of emergency care units.

Method: Descriptive, cross-sectional, and quantitative by applying the Braden scale to 377 patients from eight units in Paraná, between April and September 2016. Descriptive statistics and Spearman's correlation were used, with a significance of 0.

Multimodal strategy for hand hygiene in field hospitals of COVID-19.

Objective: Reflect and propose adaptations to the Multimodal Hand Hygiene Strategy for field hospitals, in the context of the COVID-19 pandemic.

Method: Reflective study, carried out in April 2020, based on the recommendations of the World Health Organization and the guide for the implementation of the five components of the Multimodal Strategy: system change related to infrastructure; training/education; evaluation and feedback; reminders in the workplace; and institutional security climate.

Results: The Multimodal Strategy, proposed for hospitals in general, can be adapted for field hospitals in order to reduce the transmission of the SARS-CoV-2 virus.

Association between nursing work conditions and adverse events in neonatal and pediatric Intensive Care Units.

Objective: To investigate the association between intensive nursing staff's work conditions and the occurrence of adverse events in patients.

Method: Evaluative documentary study conducted in six public neonatal and pediatric Intensive Care Units from hospitals in Paraná state, from April 2017 to January 2018. The predictive variables concerning staff sizing and work environment were measured through the instruments Nursing Activities Score and Brazilian Nursing Work Index-Revised.

Effects of Clinical Reasoning Prompts on Nursing Students' Clinical Judgment for a Patient Experiencing Respiratory Distress.

Purpose: To test the effects of clinical reasoning prompts on students' clinical judgment of a written case study.

Methods: An experimental pre- and posttest study with second semester nursing students (N = 163).

Findings: The intervention was insufficient to significantly improve clinical judgment.

Indicators of effectiveness of nursing care in the dimension of patient safety.

Objectives: to validate nursing care effectiveness indicators of patient safety dimension.

Methods: quantitative survey, using the electronic Delphi sampli, with 52 participants selected by the Snowball sampling. Eight indicators were evaluated regarding the attributes: availability, reliability, simplicity, representativeness, sensitivity, comprehensiveness, objectivity, cost, utility, stability and timeliness.

Financial cost of whole blood and blood component disposals in a Brazilian coordinating blood center.

Objective: To describe the reasons for the disposal of blood in the coordinating blood center of the State of Paraná and to estimate the financial costs resulting from potentially avoidable discards.

Method: A descriptive, retrospective and documentary analysis, with data related to the period from 2010 to 2015 of a Brazilian coordinating blood center collected from a governmental database and analyzed by descriptive statistics. This study was approved by the Ethics Research Committee (CAEE 63074916.

Predictors of prolonged hospital stay in a Comprehensive Stroke Unit.

Objective: to analyze the in-hospital complications of prolonged hospital stay in patients with ischemic stroke or transient ischemic attack, admitted to the stroke unit of a tertiary hospital.

Method: this is an evaluative correlational study. All first-ever ischemic stroke or transient ischemic attack patients admitted were retrospectively analyzed.

Prevalence and avoidability of surgical adverse events in a teaching hospital in Brazil.

Objective: to estimate the prevalence and avoidability of surgical adverse events in a teaching hospital and to classify the events according to the type of incident and degree of damage.

Method: cross-sectional retrospective study carried out in two phases. In phase I, nurses performed a retrospective review on a simple randomized sample of 192 records of adult patients using the Canadian Adverse Events Study form for case tracking.

Safety culture and communication about surgical errors from the perspective of the health team.

Objective: To analyze the safety culture related to the communication dimensions and event notification from the perception of the health team.

Method: Survey carried out in a teaching hospital of Paraná through the application of the Survey on Patient Safety Culture questionnaire to 158 professionals working in surgical units from May to September 2017.The analysis of the data was done by descriptive and analytical statistics; dimensions with positive responses ≥75% represent strong areas for patient safety.

Adhesion to patient safety protocols in emergency care units.

Objective: To investigate compliance of national patient safety protocols in Emergency Care Units (UPA) of the Paraná State.

Method: From April until September 2016, the exploratory stage of the action research was conducted on stratified sampling with 377 patients of eight units, with use of verification instrument of basic safety actions.

Results: The absence of systematic identification of patients, fall risk assessment and signaling and development of pressure injuries were evidenced.

Medication incidents in an outpatient emergency service: documental analysis.

Objective: To characterize medication incidents occurred in an outpatient emergency service.

Method: Descriptive, documental, retrospective and quantitative research. The International Classification for Patient Safety was the theoretical reference for the construction of the instrument used to collect and analyze the data from 119 notification and investigation forms of incidents occurred in 2014 in a teaching hospital.

Profile of Brazilian workers victims of occupational accidents with biological fluids.

Objective:: To characterize the Brazilian workers victims of occupational accidents with biological fluids.

Method:: Epidemiological and descriptive research, in which 284,877 notifications of the Notifiable Diseases Information System were analyzed between 2007 and 2014. We used Stata 13 for data analysis.

Safe surgery: validation of pre and postoperative checklists.

Objective: to develop, evaluate and validate a surgical safety checklist for patients in the pre and postoperative periods in surgical hospitalization units.

Method: methodological research carried out in a large public teaching hospital in the South of Brazil, with application of the principles of the Safe Surgery Saves Lives Programme of the World Health Organization. The checklist was applied to 16 nurses of 8 surgical units and submitted for validation by a group of eight experts using the Delphi method online.

Construction and content validation of checklist for patient safety in emergency care.

Objective: To construct and validate a checklist for patient safety in emergency care.

Method: This is methodological research conducted in Curitiba, in 2015, with construction and validation stages. The checklist was based on the guidelines of the Brazilian patient safety programme and validated online using the Delphi method, with a questionnaire, and with the participation of 23 Brazilian specialists in the first round and 20 in the second round.

[The nurse in the management of materials in teaching hospitals].

Objective: To present the nurse's integration within materials management of six teaching hospitals of Paraná - Brazil, and to describe the activities performed by nurses within this process.

Method: A study of a qualitative approach and descriptive nature, conducted in teaching hospitals in Paraná, between June and August of 2013. The data collection was conducted through semi-structured interviews with eight nurses who worked in materials management; data were analyzed using content analysis.

[Infrastructure and adherence to hand hygiene: challenges to patient safety].

Considering the importance of hands in the chain of transmission of microorganisms, this observational research investigated the material infrastructure and compliance of hand hygiene in an intensive care unit in the south of Brazil in 2010. The data was collected by direct non-participant observation and through the use of self-administered questionnaires to be completed by the 39 participants, which was analyzed with the assistance of the chi2 Test, descriptive statistics and quantitative discourse analysis. Although health professionals overestimate compliance rates, recognize the practice as relevant to the prevention of infection and refer there are no impeding factors, of the 1,277 opportunities observed, compliance was 26% and significantly lower before patient contact and the use of aseptic procedures than after patient contact: infrastructure was shown to be deficient.