• E Alted López, M Chico Fernández, C García Fuentes, M A Alonso Fernández, D Toral Vázquez, S Bermejo Aznárez, and J A Sánchez-Izquierdo Riera.
• UCI de Trauma y Emergencias, Servicio de Medicina Intensiva, Hospital Universitario 12 de Octubre, Madrid, España. murgchico@yahoo.es
• Med Intensiva. 2012 Oct 1;36(7):481-7.

ObjectiveTo validate a safety tool used in high-risk sectors (safety briefing) in intensive care medicine.DesignA prospective, observational and analytical study was carried out.SettingTrauma and emergency intensive care unit in a tertiary hospital.PatientsPatients with severe trauma (Injury Severity Score ISS≥16).InterventionDocumentation of incidents related to patient safety (PS).VariablesPatients characteristics, state of the Unit, patient safety incidents, aspects of the tool (SP) and safety culture impact.ResultsWe 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).ConclusionsSafety 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.Copyright © 2011 Elsevier España, S.L. y SEMICYUC. All rights reserved.

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