Incidents related to critical patient safety during in-hospital transfer.

Objective: To analyze the incidents related to patient safety (IRSP) and their risk factors during in-hospital transfer (IHT) of critical patients after the application of a protocol, and to evaluate safety during transfer using quality indicators.

Design: A prospective, observational and non-intervention cohort study was carried out.

Setting: A 10-bed multipurpose Intensive Care Unit (ICU) of a second level university hospital.

[Implementation of simplified diagnostic method Apnealink™Air® to diagnose sleep apnea by general practioners of primary care].

Objectives: To assess diagnosis and therapeutic decisions-making by General Practitioners (GP) using ApnealinkTM® (AL) in patients with high suspicion of obstructive sleep apnea (OSA), in comparison with conclusions of Hospital Sleep Unit (HSU) specialists based on home respiratory polygraphy (PGR) results.

Methods: This study involved patients previously selected by HSU for sleep testing by PGR. After it, patients were offered to complete AL test.

Incidents related to critical patient safety during in-hospital transfer.

Objective: To analyze the incidents related to patient safety (IRSP) and their risk factors during in-hospital transfer (IHT) of critical patients after the application of a protocol, and to evaluate safety during transfer using quality indicators.

Design: A prospective, observational and non-intervention cohort study was carried out.

Setting: A 10-bed multipurpose Intensive Care Unit (ICU) of a second level university hospital.

Effectiveness of an educational intervention and physical exercise on the functional capacity of patients on haemodialysis.

Objective: To describe the impact of a standard hospital educational intervention including active physical exercises on personal well-being, functional capacity and knowledge of the benefits of prescribed physical activity for patients undergoing haemodialysis.

Method: An uncontrolled, quasi-experimental, before-and-after study with repeated measures of response variables at 4, 8 and 12 weeks after participating in an educational and physical exercise hospital intervention. It was performed at the Nephrology Unit at the Hospital Complex in Vic within september and december 2014.

[The optimal blood glucose target in critically ill patient: comparison of two intensive insulin therapy protocols].

Background And Objective: Recent studies in critically ill patients receiving insulin intravenous therapy (IIT) have shown an increased incidence of severe hypoglycemia, while intermittent subcutaneous insulin «sliding scales» (conventional insulin therapy [CIT]) is associated with hyperglycemia. The objective of this study is to assess whether glycemic control range IIT can affect glucose levels and their variability and to compare it with CIT.

Patients And Method: Prospective comparative cohort study in intensive care unit, with 2 study periods: Period 1, IIT with glycemic target range 110-140 mg/dL, and Period 2, IIT of 140-180 mg/dL.

[Descriptive study of the results of nursing interventions applied to surgical patients].

Objectives: Knowing the evolution of health outcomes of surgical patients during their hospital stay, evaluating NOC outcome criteria at admission and discharge.

Material And Methods: Prospective observational study conducted in the surgical hospital wards of the Hospital General de Vic, with patients who required surgical intervention of any specialty, of 18 or more years old and anesthetic risk levels I, II or III. The main outcome variables were indicators associates with each NOC of a standard of care based on the "patient type" concept.

[A study on surgical dressings and the uses associated to them].

Objective: To identify the variability in the surgical dressing practices and to assess the factors of their use.

Method: A prospective study on surgical dressings was carried out. Data was collected on some post surgery patients who, once outside the operating room in a general hospital, they were still wearing a surgical dressing.

Methylphenidate in depersonalization disorder: a case report.

The symptom of depersonalization is frequently associated with other mental disorders, physiological effects of substances or medical diseases. However, it is rare that, as in the case presented, the experiences of depersonalization form an isolated entity, a primary depersonalization disorder. Among the many psychoactive drugs studied, none of them has been shown to be the treatment of choice.

[Impact of nursing care on the incidence of invasive mechanical ventilation associated pneumonia].

Introduction: Training health care professionals on preventive measures of ventilator-associated pneumonia (VAP) reduces the incidence of this serious adverse effect.

Objectives: To evaluate the effectiveness of the non-pharmacological, VAP preventive program by comparing the incidence of VAP in two periods: pre- and post- training of the nursing staff of the intensive care unit (ICU).

Material And Methods: A comparative, observational study on the incidence of VAP and related-risk factors.

[Personal health folder].

Personal Health Records shared between patients and their health team can improve the capacity of the patients to become active partners in the care of their own health. PHR can offer the patients access to their medical information, services, such as resources programming, or communication between the members of the health team and the patient. They could also allow patients themselves to directly register certain data, be picked up from home monitoring devices, thus becoming a very useful tool in the management of chronic disease and for the prevention and promotion of health.

[The concept of "patient type": utility for the care of surgical patients].

Objective: To describe a model of surgical "patient type" by identifying the needs and characteristics of surgical patients.

Method: We performed a cross-sectional study of surgical patients with one or more diseases and similar needs and/or characteristics admitted to the surgical wards of a general hospital over a 10-month period. The variables analyzed were sociodemographic and clinical data, degree of autonomy, and Virginia Henderson's needs, which were identified through an interview performed in the postoperative period.