Care management in critically ill patient safety: integrative review

Abstract

Introduction: Care management in the ICU is carried out by the nurse, who must organize her team to provide assistance to critical patients in all their therapeutic complexity, using technology, science and humanization. Objective: To evaluate care management in critically ill patient safety. Methodology: Integrative literature review research, guided by the following steps: construction of the research question; delimitation of inclusion and exclusion criteria; choice of databases; search and selection of studies; analysis and presentation of results. Results and Discussion: 1,500 studies were identified, after applying the language inclusion criteria, remaining 50 studies, and then reading the titles, in which 1,450 articles were excluded, as they were not related to the objective of this article. The summaries of the 50 articles selected based on the analysis of the titles were read. 10 articles were included in the work. Conclusion: Therefore, we can conclude the objective of the work was concluded by identifying that occurrences of errors and adverse events within the ICU, for the most part, are the responsibility of the nursing team due to the direct and constant provision of patient care and are linked to medications, failure in communication between the nursing team, lack of training and professional overload, in addition to carrying out procedures.