PEDIATRIC PATIENT SAFETY IN THE ADMINISTRATION OF BLOOD COMPONENTS

• Published in: Texto & contexto enfermagem 2023, Vol.32
• Main Authors: Santos, Mayane Magalhães, Souza, Verusca Soares de, Almeida, Rodrigo Guimarães dos Santos, Wegner, Wiliam, Figueira, Maura Cristiane e Silva, Machado, Cynthia Fernanda Teles
• Format: Article
• Language: English
• Subjects: NURSING
• ISSN: 0104-0707; 1980-265X; 1980-265X
• DOI: 10.1590/1980-265x-tce-2022-0234en

ABSTRACT Objective: to analyze pediatric patient safety in the administration of blood components. Method: a documentary and retrospective study, developed at a hospital in the Brazilian Midwest region. Data collection took place through medical records and 234 transfusions were identified, performed in 90 patients aged from zero to twelve years old, hospitalized between July and December 2020. An instrument based on good practice guidelines about blood components was used. Descriptive and inferential statistics were used for data analysis. Results: the transfusions were predominantly performed in breastfeeding infants (71.1%). Blood transfusions in critical sectors stood out (86.3%), as well as with indication of a clinical order (87.2%) and prescription of packed red blood cells (75.3%). The Nursing reports identified adverse events (n=05) and incidents (n=13) that were associated with inadequacies between the prescribed and infused volumes and the request and administration time (p