| Title: Adverse events associated with nursing practices (EAAPE) |
1.00 |
1.00 |
1.00 |
na |
1.00 |
| Instructions: Consider service/work unit the service or department of the hospital where you usually work. Read the statements carefully and for each one, mark only one point on the scale by filling in the circle. Thank you very much for your collaboration. |
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na |
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| Item 1: Patients are adequately monitored. |
1.00 |
1.00 |
1.00 |
1.00 |
1.00 |
| Item 2: Changes in clinical status are detected in a timely manner. |
0.60 |
1.00 |
1.00 |
1.00 |
0.90 |
| Item 3: There is a risk of worsening/complications of the patient’s condition due to surveillance deficits. |
0.80 |
1.00 |
1.00 |
1.00 |
1.00 |
| Item 4: There is a risk of worsening/complications of the patient’s condition due to inadequate clinical judgment. |
0.60 |
0.90 |
0.90 |
1.00 |
0.85 |
| Item 5: Nurses assume the role of true defenders of the interests of the patient and family. |
1.00 |
1.00 |
1.00 |
1.00 |
1.00 |
| Item 6: Nurses question the practice of other professionals when it involves the patient’s interest. |
0.70 |
0.90 |
1.00 |
1.00 |
0.90 |
| Item 7: Nurses respect patient privacy. |
0.90 |
0.90 |
0.90 |
1.00 |
0.92 |
| Item 8: Nurses respect patient confidentiality. |
0.80 |
0.80 |
0.90 |
1.00 |
0.97 |
| Item 9: Nurses delegate their nursing tasks to other less prepared professionals. |
0.60 |
0.80 |
0.70 |
1.00 |
0.77 |
| Item 10: There is a risk of worsening/complications in the patient’s condition due to failures to defend their interests. |
0.80 |
0.90 |
0.90 |
1.00 |
0.90 |
| Item 11: There is a risk of worsening/complications in the patient’s condition due to delegation of nursing tasks to less prepared personnel. |
0.60 |
0.70 |
0.80 |
1.00 |
0.77 |
| Item 12: The risk of falls is assessed for all patients according to the institutional protocol. |
0.80 |
0.90 |
0.90 |
1.00 |
0.90 |
| Item 13: Fall prevention procedures are adjusted based on the risk assessment. |
0.90 |
1.00 |
0.90 |
1.00 |
0.95 |
| Item 14: Patient surveillance is adjusted to the assessed risk. |
0.70 |
0.80 |
0.80 |
1.00 |
0.82 |
| Item 15: There is a risk of patient falls. |
0.80 |
0.80 |
0.80 |
1.00 |
0.85 |
| Item 16: Patient falls occur. |
0.70 |
1.00 |
0.90 |
1.00 |
0.90 |
| Item 17: An overall clinical assessment is conducted at the beginning of the hospitalization (degree of mobility, urinary/fecal incontinence, changes in consciousness, vascular disease, nutritional status) |
0.90 |
1.00 |
1.00 |
1.00 |
1.00 |
| Item 18: Periodic skin inspection is conducted in areas at risk or with previous injuries. |
0.80 |
1.00 |
1.00 |
1.00 |
0.95 |
| Item 19: Risk stratification scales (Braden and/or Norton scales) are used. |
1.00 |
1.00 |
1.00 |
1.00 |
1.00 |
| Item 20: Preventive measures adjusted to risk factors are implemented. |
0.60 |
1.00 |
0.90 |
1.00 |
0.87 |
| Item 21: General skin care is appropriate to identified needs. |
0.60 |
1.00 |
1.00 |
1.00 |
0.90 |
| Item 22: Nutritional support is adjusted to needs. |
0.60 |
1.00 |
1.00 |
1.00 |
0.90 |
| Item 23: Changes in decubitus/positions are adjusted to the patient needs. |
1.00 |
1.00 |
1.00 |
1.00 |
1.00 |
| Item 24: There is a risk of pressure injuries |
0.80 |
0.80 |
0.80 |
1.00 |
0.85 |
| Item 25: Pressure injuries occur. |
0.80 |
0.90 |
0.90 |
1.00 |
0.90 |
| Item 26: There is a risk of medication errors occurring. |
0.70 |
1.00 |
1.00 |
1.00 |
0.92 |
| Item 27: Medication errors occur. |
0.70 |
0.90 |
0.90 |
1.00 |
0.87 |
| Item 28: There are medicines with similar labels and packaging. |
0.80 |
1.00 |
1.00 |
1.00 |
0.95 |
| Item 29: There are many medications at the same scheduling time. |
0.70 |
1.00 |
1.00 |
1.00 |
0.92 |
| Item 30: The pharmacy sends the wrong medication. |
0.90 |
1.00 |
1.00 |
1.00 |
0.97 |
| Item 31: The medication is not available in a timely manner. |
1.00 |
1.00 |
1.00 |
1.00 |
1.00 |
| Item 32: Nurses are interrupted during their tasks. |
0.60 |
0.80 |
0.80 |
1.00 |
0.80 |
| Item 33: Nurse distraction. |
0.80 |
0.60 |
0.70 |
1.00 |
0.77 |
| Item 34: Failures in communicating changes in patient accommodation (bed transfer). |
1.00 |
0.90 |
1.00 |
1.00 |
0.97 |
| Item 35: Failures in physician/nurse communication regarding changes in medical prescriptions. |
1.00 |
1.00 |
1.00 |
1.00 |
1.00 |
| Item 36: Communication failures (oral or telephone medical prescription). |
1.00 |
1.00 |
1.00 |
1.00 |
1.00 |
| Item 37: Communication failures (lack of previous administration record). |
1.00 |
1.00 |
1.00 |
1.00 |
0.92 |
| Item 38: Incorrect identification of the prepared medication. |
0.90 |
1.00 |
1.00 |
1.00 |
0.97 |
| Item 39: Failure to comply with patient identification procedures. |
1.00 |
1.00 |
1.00 |
1.00 |
1.00 |
| Item 40: Failures in the execution of the administration technique. |
1.00 |
1.00 |
1.00 |
1.00 |
1.00 |
| Item 41: Failures in monitoring infusion rates. |
1.00 |
0.90 |
1.00 |
1.00 |
1.00 |
| Item 42: Failures in monitoring the effects of medication. |
0.80 |
1.00 |
1.00 |
1.00 |
0.95 |
| Item 43: here is a risk of infections (HAIs). |
0.80 |
0.90 |
0.90 |
1.00 |
0.90 |
| Item 44: Infections occur (HAIs). |
0.80 |
0.90 |
0.90 |
1.00 |
0.90 |
| Item 45: Hand hygiene is performed: Before and after contact with patient. |
1.00 |
1.00 |
1.00 |
1.00 |
1.00 |
| Item 46: Hand hygiene is performed: Before procedures that require antisepsis. |
1.00 |
1.00 |
1.00 |
1.00 |
1.00 |
| Item 47: Hand hygiene is performed: After contact with blood and body fluids. |
1.00 |
1.00 |
1.00 |
1.00 |
1.00 |
| Item 48: Personal protective equipment (PPE) is selected and adjusted for the procedures to be performed. |
0.70 |
1.00 |
1.00 |
1.00 |
0.92 |
| Item 49: When handling sharp material, inappropriate procedures such as bending or recapping needles after use are avoided. |
0.90 |
1.00 |
1.00 |
1.00 |
0.97 |
| Item 50: Sharp objects (needles, scalpel blades, etc.) are stored in rigid containers, located near to the procedure. |
0.70 |
1.00 |
1.00 |
1.00 |
0.92 |
| Item 51: Patient accommodation is based according to the patient's immunological susceptibility and clinical condition (e.g., isolation according to needs). |
0.70 |
0.90 |
0.90 |
1.00 |
0.90 |
| Item 52: Hospital waste is appropriately treated, according to the group to which it belongs. |
1.00 |
0.90 |
1.00 |
1.00 |
0.97 |
| Item 53: Dirty laundry is separated according to its place of origin, packed in a special bag, and transported to the laundry in a closed vehicle. |
0.90 |
0.90 |
0.90 |
1.00 |
0.92 |
| Item 54: The occurrence of adverse events associated with nursing practices compromises patient safety. |
0.70 |
0.70 |
0.90 |
1.00 |
0.82 |
| Item 55: Adverse events associated with nursing practices could have been avoided. |
0.90 |
1.00 |
1.00 |
1.00 |
0.97 |
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Source: Adapted 
Source: Adapted from the original instrument Adverse Events Associated with nursing practices, by the authors, 2022.