Enfermería de Cuidados Críticos: Bundles Inteligentes, Vigilancia Clínica Aumentada y Reducción de Eventos Adversos en UCI
DOI:
https://doi.org/10.69639/arandu.v13i1.2040Palabras clave:
cuidados críticos, bundles clínicos, vigilancia clínica aumentada, seguridad del paciente, eventos adversosResumen
La reducción de eventos adversos en la unidad de cuidados intensivos (UCI) continúa siendo un desafío prioritario en seguridad del paciente. En los últimos dos años, la implementación de bundles inteligentes y sistemas de vigilancia clínica aumentada ha demostrado impacto significativo en la disminución de infecciones asociadas a la atención sanitaria, delirium, eventos relacionados con ventilación mecánica y complicaciones derivadas del uso de dispositivos invasivos. El presente artículo realiza una revisión bibliográfica actualizada sobre la integración de bundles basados en evidencia, herramientas de monitoreo continuo, analítica predictiva e inteligencia clínica aplicada al cuidado de enfermería en pacientes críticos. Se analizaron publicaciones recientes indexadas en bases de datos internacionales, priorizando estudios sistemáticos, metaanálisis y guías de práctica clínica publicadas entre 2023 y 2025. La evidencia muestra que la combinación de protocolos estructurados, evaluación dinámica del riesgo y sistemas de alerta temprana optimiza la toma de decisiones, fortalece la adherencia a prácticas seguras y mejora indicadores clínicos y operativos. Asimismo, el liderazgo de enfermería resulta determinante en la implementación efectiva de estrategias multimodales orientadas a calidad asistencial. La revisión concluye que la transición hacia modelos de vigilancia clínica aumentada, apoyados en tecnología y en una cultura de seguridad, constituye un eje estratégico para la transformación de la enfermería en cuidados críticos.
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Derechos de autor 2026 Bryan Xavier Torres Peñafiel, Joselyn Idalides Filian Berruz, Andrea Lisbeth Troya Morante, Cristhian Jair López Alvarado
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