SEGURANÇA DO PACIENTE: CONTRIBUIÇÕES PARA UMA PRÁTICA SEGURA EM ENFERMAGEM

• DOI: 10.22533/at.ed.88323190911

• Palavras-chave: Segurança do Paciente; Flebite; Enfermagem

• Keywords: Patient Safety; Phebitis; Nursing.

• Abstract: Intravenous therapy by peripheral devices are tecnologies used in the care of patients admitted to Hospital Units; the vulnerability of the hospitalized individual’s health conditons linked to the need to institute drug therapy, contributes to the appearance of adverse events related to the installaton of the peripheral intravenous catheter, namely in the literature the authours describe the adverse events related to the use of the intravenous devide: the extravasation, infiltration, accidental loss and phlebilis. The recognition of risk factors in the development of adverse events during the installation of intravenous devices, maintenance of teh device during intravenous therapy, contributes to effective measures in relation to prevention Free of damage and health problems during hospitalization. To analyze the risk factors present in the development of phlebitis related to the use of a peripheral venous cateter in the adult population admitted to a Hospital Unit. Narrative Literature Review, electronic databases Pubmed, LILACS and gray literature were consulted through Google Scholar and Catalog of Theses & Dissertations - CAPES until Jullt 2023; only primary studies were selected. The study included 3 primary studies: (1) quantitative, exploratory - descriptive, retrospective and documentary research; (2) radomized clinical trial and (3) cohort study. Studies have identified risk factors for the development of phlebitis in hospitalized patients using a peripheral venous catheter; in the first quantitative research studies, the data revealed the appearance of phlebitis in device with a time of less than 24 hours, regarding teh classificaton in grade 2 (45,8%), related to the infusion of antibiotics (46,7%); in the second study; the randomized clinical trial, the risk factors were identified: hospitalization period between 10 -19 days and 20 to 29 days, use of antimicrobials and solutions and serum plan. The third study included in this study by the authors describes the risk factors for the developmed of post-transfusion phebitis: length of stay longer than 72 hours, puncture in teh forearm and use of antibiotic therapy. Conclusion: Intravenous therapy through a peripheral device is considered an alternative drug administration, widely implemented in hospital units, therefore, it is essential to krow the risk factors that favor the appearance of adverse events, regarding teh use of peripheral venous catheters, phlebitis is considered an adverse event.