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.

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.

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.

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.

Cross-cultural adaptation for Brazil and validity of a guide to assist nursing students' clinical reasoning.

Purpose: To assess the validity of a Written Clinical Reasoning Prompt (WCRP) to help nursing students' clinical reasoning (CR).

Method: This is a methodological study of translation and cross-cultural adaptation into Brazilian Portuguese of instruments that aim to promote CR improvement, composed of (1) WCRP; (2) two case studies; (3) a questionnaire about students' perceptions during decision-making in case studies; (4) a scoring rubric for correcting case studies. For translation and cross-cultural adaptation, stages 1-8 of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Consortium Network were adopted.

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.

Characterization of hip and knee arthroplasties and factors associated with infection.

Objective: To characterize arthroplasty procedures, calculate the surgical infection rate and identify related risk factors.

Methods: This was a retrospective cohort study. Data on operations performed between 2010 and 2012 were gathered from documental sources and were analyzed with the aid of statistical software, using Fisher's exact test, Student's t test and the nonparametric Mann-Whitney and Wilcoxon tests.

[Adherence to the use of the surgical checklist for patient safety].

Objective: Evaluate adherence to the checklist of the Programa Cirurgias Seguras (safe surgery programme) at a teaching hospital.

Methods: Evaluative study conducted at a teaching hospital in the south of Brazil in 2012. Data were collected by means of non-participant observation in 20 hip and knee replacement surgeries and an instrument that was created for research based on the checklist and used by the institution.

[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.

[Characteristics of victims and fatal accidents at the workplace].

This is a quantitative, descriptive, retrospective documental study on fatal accidents occurred during the period from o2006 to 2010, in which workers were treated at Hospital do Trabalhador, located in Curitiba/Parand. We selected 25 notifications for the outcome death. This study aimed to characterize victims and fatal occupational accidents.

Lessons to learn with the methicillin-resistant Staphylococcus aureus control in Norway.

The prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in Norway is low, compared to other European and American countries. The health system includes mandatory case reporting and has written guidelines for prevention and control. This communication describes the national public policies related to MRSA obtained from documents and academic experience gained during a doctoral fellowship in Oslo, Norway.