2026-04-14T07:38:06Zhttps://recercat.cat/oai/request

oai:recercat.cat:2445/2246402026-04-07T22:35:56Zcom_2072_1057col_2072_478916col_2072_478917

00925njm 22002777a 4500 dc Suclupe, Stefanie author Pantoja Bustillos, Percy Efrain author Bracchiglione, Javier author Requeijo, Carolina author Salas Gama, Karla author Solà, Ivan author Merchán Galvis, Angela author Uya Muntaña, Jaume author Robleda, Gemma author Martínez Zapata, María José author 2025-12-03T16:06:37Z 2025-12-03T16:06:37Z 2022-12-24 2025-12-03T15:01:57Z Background: Different types of interventions have been assessed for the prevention of adverse events. However, determining which patient-safety practice is most effective can be challenging when there is no systematised evidence synthesis. An overview following the best methodological standards can provide the best reliable integrative evidence.Objectives: The objective of this study was to provide an overview of effectiveness nonpharmacological interventions aimed at preventing adverse events in the intensive care unit.Methods: A review of systematic reviews (SRs) was conducted according to the Cochrane Handbook and PRISMA recommendations. PubMed, CINAHL, and Cochrane Library were searched for SRs published until March 2022. Two reviewers independently assessed the study's quality, using AMSTAR-2, and extracted data on intervention characteristics and effect on prevention of adverse events. Results: Thirty-seven SRs were included, and 27 nonpharmacological interventions were identified to prevent 11 adverse events. Most of the reviews had critically low methodological quality. Among all the identified interventions, subglottic secretion drainage, semirecumbent position, and kinetic bed therapy were effective in preventing ventilator-associated pneumonia; the use of earplugs, early mobilisation, family participation, and music in reducing delirium; physical rehabilitation in improving muscle strength; use of respiratory support in preventing reintubation; the use of a computerised physician order entry system in reducing risk of medication errors; and the use of heated water humidifier was effective in reducing artificial airway occlusion.Conclusions: Some nonpharmacological interventions reduced adverse events in the intensive care setting. These findings should be interpreted carefully due to the low methodological quality. SRs on preventing adverse events in the intensive care unit should adhere to quality assessment tools so that best evidence can be used in decision-making. Seguretat dels pacients Unitats de cures intensives Teràpia respiratòria Patients safety Intensive care units Respiratory therapy Effectiveness of nonpharmacological interventions to prevent adverse events in the intensive care unit: A review of systematic reviews