Publications by authors named "Fernanda R E Gimenes"

Background: An adverse event (AE) is any undesirable medical manifestation in an individual who has received pharmacological treatment. To be considered serious (SAE), it needs to meet minimally one of the severity criteria by Health Canada. The most recent data (2006) suggested that AEs were underreported (<6%) to health authorities.

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Background: Bedside ultrasonography, also known as point-of-care ultrasound (PoCUS), is a promising technological tool that enhances clinical assessment, enriching diagnostic capabilities and clinical reasoning. Its use in nursing spans various patient populations and health care settings, providing nurses with a valuable health assessment tool to improve care quality and patient safety. Despite its growing integration into clinical practice, PoCUS training has mainly focused on physicians, leaving a gap for trained nurses who demonstrate similar proficiency in conducting scans and interpreting images.

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Aim: To analyze the accuracy and costs of bedside methods for confirming the position of a nasoenteral feeding tube newly inserted blindly by nurses.

Design: Diagnostic accuracy study of three clinical methods (ultrasound, epigastric auscultation, and pH measurement) compared to radiography. The direct costs of each method used to confirm the positioning of the nasoenteral tube were also measured.

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Objectives: to assess patient safety culture during the COVID-19 pandemic and identify the dimensions that need to be improved in hospital settings and which sector, open or closed, direct or indirect care, exhibits a higher level of safety culture.

Methods: a descriptive and cross-sectional study. The validated version for Brazil of the Hospital Survey on Patient Safety Culture instrument was applied to assess patient safety culture.

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Article Synopsis
  • * The research utilizes a mixed methods approach within a design thinking framework, involving stages such as empathizing with users, generating ideas, prototyping solutions, testing feedback, and planning for implementation.
  • * As of June 2024, the study has received ethical approval and has begun the first stage of qualitative data collection to inform the development of these automated triggers.
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Article Synopsis
  • - A study examined the prescription patterns of medications for patients with nasally placed feeding tubes (NPFT) and found that 92% were on polypharmacy (multiple medications) upon admission, decreasing slightly to 84.7% at discharge.
  • - High-alert medications (those that pose a significant risk if used inappropriately) made up over 17% of all prescriptions, with no significant change in their usage between admission and discharge.
  • - The study highlights the need for coordinated care strategies to manage the medication risks associated with NPFT patients, particularly given their complex health conditions.
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Aim: This study aimed to evaluate the agreement between epigastric auscultation and pH measurement in the confirmation of nasoenteral tube placement.

Method: A cross-sectional study carried out in a medium-sized private hospital in the interior of the state of São Paulo. Forty-nine patients who were submitted to ninety insertion procedures and confirmation of tube placement.

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Aims: Evaluate the impact of a quality improvement programme on the reduction of feeding tube obstruction frequencies, analyse the predictive variables of this safety incident, and estimate the economic costs related to the quality improvement programme during the period from 2014 to 2019.

Methods: Plan-Do-Study-Act cycles were performed to test the changes in drug preparation and administration processes via a nasoenteral feeding tube and to evaluate the outcome, process and balance measures. Statistical control charts were elaborated, and the bottom-up direct costing methodology was used to estimate the costs of the improvement programme.

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  • The study aimed to assess how effective different interventions are in preventing corneal injuries in critically ill patients who are sedated and on mechanical ventilation.
  • A systematic review of 15 studies revealed that lubricants significantly reduced the risk of corneal injury compared to eye tape and ointments, with the lowest risk found in using polyethylene chambers.
  • The findings suggest that ocular lubrication (preferably gel or ointment) and the use of polyethylene chambers are the best methods for protecting the eyes of these vulnerable patients in clinical settings.
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  • Key challenges included reorganizing service flow for COVID-19 cases, implementing structural changes in the hospital, and ensuring proper equipment and supply availability for quality patient care.
  • The study emphasized the importance of staff training, managing stress and absenteeism, and maintaining the health of both patients and healthcare professionals for effective service resilience during the pandemic.
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Objectives: to determine the prevalence of bronchopulmonary aspiration in the Brazilian scenario, the factors associated with the incident and the variables associated with death.

Methods: a cross-sectional and analytical study, carried out from analysis of notifications of incidents related to bronchopulmonary aspiration of the Health Surveillance Notification System, from January 2014 to December 2018.

Results: of the 264,590 notifications, 553 referred to aspiration, whose prevalence rate was 0.

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Objective: to analyze the perception of patients about health professionals' adherence to safety barriers in medication administration.

Method: cross-sectional and correlational study carried out in a hospital in the countryside of São Paulo, with a total of 249 adult patients admitted to the medical clinic. An electronic form developed by the researcher was used.

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Background: Patients with chronic or acute/postoperative pain frequently use opioids. However, opioids may cause considerable adverse reactions (ARs), such as respiratory depression, which could be lethal. Unfortunately, only 5% of drug-related ARs (including those to opioids) are reported to health authorities.

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Article Synopsis
  • The study aimed to identify risk factors for death in individuals severely affected by COVID-19, using data from a cohort of adults in Acre, Brazil, between March and September 2020.
  • Analyzing over 57,700 individuals, the findings showed a significant incidence and mortality rate of COVID-19, with several key risk factors identified, including male gender, age over 60, dyspnea, and underlying health conditions like heart disease and diabetes.
  • The conclusion emphasizes that male sex, older age, and specific health issues greatly increase the risk of death from COVID-19 in affected individuals.
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  • The study focuses on assessing the patient safety climate in Intensive Care Units (ICUs) at a Brazilian Teaching Hospital using the Safety Attitudes Questionnaire to understand influencing factors.
  • Data from 84 healthcare providers revealed a mean Safety Attitudes Questionnaire score of 59.5, indicating a negative safety climate influenced by factors such as professional background, training, and workload.
  • The findings underline the need for improvements in communication, teamwork, and management strategies to enhance patient safety and foster a more positive safety climate in the ICUs.
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Objective: to evaluate the contribution of an instructional module identifying the number and characteristics of lymph nodes by undergraduate nursing students.

Method: an experimental, randomized, controlled and masked study using an instructional module for intervention. The 68 students who made up the control group or the experimental group performed the prototype lymph node palpation in the initial and final phases, following the free registration of the characteristics and number of these structures.

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  • The study aimed to analyze factors that influence the length of stay (LOS) and mortality rates in patients who were fed using nasogastric or nasoenteric tubes at multiple hospitals in Brazil.
  • Data was collected from 365 patients between October 2017 and April 2019, focusing on various demographic and clinical factors to assess correlations with LOS and death.
  • Key findings showed that older age, nursing care dependency, and complexity of care increased both LOS and risk of death, underlining the importance of identifying these factors for better nursing care planning.
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Objective: to analyze in the scientific literature the evidence on nasogastric/nasoenteric tube related adverse events in adult patients.

Method: integrative literature review through the search of publications in journals indexed in PubMed/MEDLINE, CINAHL, LILACS, EMBASE and Scopus, and hand searching, was undertaken up to April 2017.

Results: the sample consisted of 69 primary studies, mainly in English and published in the USA and UK.

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Aims: To identify the types of nasogastric/nasoenteric tube (NGT/NET)-related adverse events and to analyze the degree of harm and the factors associated with mechanical device-related complications.

Materials And Methods: A prospective cohort study was conducted from October 2017 to April 2019 in seven Brazilian hospitals. Data from 447 adult patients with NGT/NET were collected through electronic forms.

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Introduction: Patients using a nasogastric tube (NGT) are vulnerable to adverse events, therefore proper assessment of these patients, verification of the correct tube placement and constant monitoring by the nursing staff are strategies that can reduce adverse events and risks associated with the care. The aim of this study will be to assess the accuracy of the combined method (auscultation and pH measurement) and ultrasonography for confirmation of gastric tube placement compared with the X-ray method. A further aim will be to measure and provide evidence for the direct costs of each method of confirming NGT placement and to evaluate the impact of each method on the mean direct cost of the patient.

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Introduction: Post-marketing studies involve the detection and interpretation of potential problems associated with the use of a given drug. Post-marketing spontaneous pharmacovigilance systems, such as the Canada Vigilance program, may constitute a gold mine of free data for drug safety research. However, the quantity and the quality of data remain to be demonstrated.

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Objective: to analyze the immunization errors reported in an online Information System.

Method: retrospective study conducted with data from the Adverse Event Following Immunization Surveillance Information System. Immunization errors were analyzed with respect to demographic characteristics and the vaccination process.

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Article Synopsis
  • The study aimed to explore how the socio-demographic and job characteristics of nursing professionals affect the patient safety climate in a public emergency hospital.
  • It involved 177 nursing staff members and utilized the Safety Attitudes Questionnaire to collect data, followed by statistical analyses to examine various influencing factors.
  • Findings indicated that working in certain departments, night shifts, and plans to leave the profession negatively impacted safety perceptions, while having a hired work contract positively influenced workplace satisfaction and safety climate.
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Background: Patients with nasogastric/nasoenteric tube (NGT/NET) are at increased risk of adverse outcomes due to errors occurring during oral medication preparation and administration.

Aim: To implement a quality improvement programme to reduce the proportion of errors in oral medication preparation and administration through NGT/NET in adult patients.

Methods: An observational study was carried out, comparing outcome measures before and after implementation of the integrated quality programme to improve oral medication preparation and administration through NGT/NET.

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