UCI: Seguridad del paciente


In evaluating the quality of each hospital center, patient security in UCI is considered one of the central criteria, as indicated by the SNS Law 16/2003 of Cohesion and Quality. In this sense, the UCI in a hospital has evolved over a long period of time and, today, some security practices are in phases of implementation as cutting edge practices in innovation and development. This indicates the importance of security as a means to significantly improve the quality of stay for patients and their relatives.

There are also a series of mandatory characteristics that each hospital center has to consider in their installations of UCI. These features can vary in function with the autonomous community or hospital center in question. However, the availability of digital clinical history or electronic prescriptions is a standard which every hospital center must meet to enforce current legislation.

According to a study conducted by the Spanish Society of Intensive Medicine Care, Criticism and Coronary Units (SEMICYUC) and the AC-SNS, with a sample of 79 hospital centers with a UCI, of which included around 1,000 patients, almost 60% of patients presented some type of incident. This is an extremely high percentage, especially considering 90% of these incidents were qualified as preventable; we can improve upon this figure through implementation of a series of standardized security measures.

The NQF published a list of exercises considered secure to improve medical assistance and, therefore, enhance the patient’s quality of stay and guarantee standards of quality as a manner of prevention and reduction of incidents. This list consists of 34 security measures which every hospital center with UCI must meet. For this reason, the intention of these studies and further measures of performance is to reduce the number of incidents related to patient security in order to create a future in which the number of preventable incidents is as small as possible.