title: [Development of communication tool for patient safety ("Briefing"). Experience in a trauma and emergency intensive care unit].
abstract: OBJECTIVE
  To validate a safety tool used in high-risk sectors (safety briefing) in intensive care medicine.
  
  
  METHODS
  A prospective, observational and analytical study was carried out.
  
  
  METHODS
  Trauma and emergency intensive care unit in a tertiary hospital.
  
  
  METHODS
  Patients with severe trauma (Injury Severity Score ISS≥16).
  
  
  METHODS
  Documentation of incidents related to patient safety (PS).
  
  
  METHODS
  Patients characteristics, state of the Unit, patient safety incidents, aspects of the tool (SP) and safety culture impact.
  
  
  RESULTS
  We included 441 patients (75.15% males, mean age 39.9±17.5 years), with blunt trauma in 89% and a 10.5% mortality rate. The tool was applied in 586 out of 798 possible shifts (73.4%), and documented 942 events (2.20 incidents per patient). The incidents were more frequently associated with medication (20.7%), devices (placement 4.03%, and maintenance 17.8%) and airway and mechanical ventilation (MV) (17.09%). A correlation was established between the occurrence of incidents and the characteristics of the patient (higher Injury Severity Score, presence of MV, and continuous renal replacement therapies) and the status of the Unit (more than 6 patients per shift out of 8 possible, and holiday period). The tool significantly influenced different aspects of the safety culture of the unit (communication frequency, number of events, punitive loss and active work in PS).
  
  
  CONCLUSIONS
  Safety briefing is a tool for the documentation of incidents that is simple and easy to use, and is useful for implementing improvements and in influencing safety culture.
authors.affiliation: UCI de Trauma y Emergencias, Servicio de Medicina Intensiva, Hospital Universitario 12 de Octubre, Madrid, España. murgchico@yahoo.es
authors.forename: M
authors.initials: M
authors.lastname: Chico Fernández
authors.forename: C
authors.initials: C
authors.lastname: García Fuentes
authors.forename: M A
authors.initials: MA
authors.lastname: Alonso Fernández
authors.forename: D
authors.initials: D
authors.lastname: Toral Vázquez
authors.forename: S
authors.initials: S
authors.lastname: Bermejo Aznárez
authors.forename: J A
authors.initials: JA
authors.lastname: Sánchez-Izquierdo Riera
authors.forename: E
authors.initials: E
authors.lastname: Alted López
mesh_terms: D000328:Adult; D057189:Checklist; D003142:Communication; D005260:Female; D006801:Humans; D007362:Intensive Care Units / Q000592:standards*; D008297:Male; D061214:Patient Safety; D011446:Prospective Studies; D014193:Trauma Centers