Hospital deaths and adverse events in Brazil

Detalhes bibliográficos
Autor(a) principal: Martins, Mônica Silva
Data de Publicação: 2011
Outros Autores: Travassos, Claudia Maria de Rezende, Mendes, Walter, Pavão, Ana Luiza Braz
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/3864
Resumo: Faperj
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spelling Martins, Mônica SilvaTravassos, Claudia Maria de RezendeMendes, WalterPavão, Ana Luiza Braz2012-04-26T13:53:51Z2012-04-26T13:53:51Z2011MARTINS, Mônica et al. Hospital deaths and adverse events in Brazil. BMC Health Services Research, v. 223, n. 11, p. 2-8, set. 2011.1472-6963https://www.arca.fiocruz.br/handle/icict/386410.1186/1472-6963-11-223FaperjFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Administração e Planejamento em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Laboratório de Informações em Saúde. Rio de Janeiro,RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Administração e Planejamento em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Laboratório de Informações em Saúde. Rio de Janeiro,RJ, Brasil.Background: Adverse events are considered a major international problem related to the performance of health systems. Evaluating the occurrence of adverse events involves, as any other outcome measure, determining the extent to which the observed differences can be attributed to the patient’s risk factors or to variations in the treatment process, and this in turn highlights the importance of measuring differences in the severity of the cases. The current study aims to evaluate the association between deaths and adverse events, adjusted according to patient risk factors. Methods: The study is based on a random sample of 1103 patient charts from hospitalizations in the year 2003 in 3 teaching hospitals in the state of Rio de Janeiro, Brazil. The methodology involved a retrospective review of patient charts in two stages - screening phase and evaluation phase. Logistic regression was used to evaluate the relationship between hospital deaths and adverse events. Results: The overall mortality rate was 8.5%, while the rate related to the occurrence of an adverse event was 2.9% (32/1103) and that related to preventable adverse events was 2.3% (25/1103). Among the 94 deaths analyzed, 34% were related to cases involving adverse events, and 26.6% of deaths occurred in cases whose adverse events were considered preventable. The models tested showed good discriminatory capacity. The unadjusted odds ratio (OR 11.43) and the odds ratio adjusted for patient risk factors (OR 8.23) between death and preventable adverse event were high. Conclusions: Despite discussions in the literature regarding the limitations of evaluating preventable adverse events based on peer review, the results presented here emphasize that adverse events are not only prevalent, but are associated with serious harm and even death. These results also highlight the importance of risk adjustment and multivariate models in the study of adverse events.engBioMed CentralEventos AdversosMortalidade HospitalarBrasilSistemas de SaúdePacientesFatores de RiscoHospital deaths and adverse events in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALHospital_deaths_adverse_events_Brazil.pdfHospital_deaths_adverse_events_Brazil.pdfapplication/pdf216076https://www.arca.fiocruz.br/bitstream/icict/3864/1/Hospital_deaths_adverse_events_Brazil.pdf1373c919bfe9cf52708425aba83a4168MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81648https://www.arca.fiocruz.br/bitstream/icict/3864/2/license.txte095249ac7cacefbfe39684dfe45e706MD52TEXTHospital_deaths_adverse_events_Brazil.pdf.txtHospital_deaths_adverse_events_Brazil.pdf.txtExtracted texttext/plain36278https://www.arca.fiocruz.br/bitstream/icict/3864/5/Hospital_deaths_adverse_events_Brazil.pdf.txt7e6a282a37fbd8e89ef9998fbca7ec02MD55THUMBNAILHospital_deaths_adverse_events_Brazil.pdf.jpgHospital_deaths_adverse_events_Brazil.pdf.jpgGenerated Thumbnailimage/jpeg2172https://www.arca.fiocruz.br/bitstream/icict/3864/4/Hospital_deaths_adverse_events_Brazil.pdf.jpg52ae9f1e0cc4e696cad17f8a345c5921MD54icict/38642023-01-10 11:09:37.339oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-01-10T14:09:37Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Hospital deaths and adverse events in Brazil
title Hospital deaths and adverse events in Brazil
spellingShingle Hospital deaths and adverse events in Brazil
Martins, Mônica Silva
Eventos Adversos
Mortalidade Hospitalar
Brasil
Sistemas de Saúde
Pacientes
Fatores de Risco
title_short Hospital deaths and adverse events in Brazil
title_full Hospital deaths and adverse events in Brazil
title_fullStr Hospital deaths and adverse events in Brazil
title_full_unstemmed Hospital deaths and adverse events in Brazil
title_sort Hospital deaths and adverse events in Brazil
author Martins, Mônica Silva
author_facet Martins, Mônica Silva
Travassos, Claudia Maria de Rezende
Mendes, Walter
Pavão, Ana Luiza Braz
author_role author
author2 Travassos, Claudia Maria de Rezende
Mendes, Walter
Pavão, Ana Luiza Braz
author2_role author
author
author
dc.contributor.author.fl_str_mv Martins, Mônica Silva
Travassos, Claudia Maria de Rezende
Mendes, Walter
Pavão, Ana Luiza Braz
dc.subject.other.none.fl_str_mv Eventos Adversos
topic Eventos Adversos
Mortalidade Hospitalar
Brasil
Sistemas de Saúde
Pacientes
Fatores de Risco
dc.subject.decs.pt_BR.fl_str_mv Mortalidade Hospitalar
Brasil
dc.subject.decs.none.fl_str_mv Sistemas de Saúde
Pacientes
Fatores de Risco
description Faperj
publishDate 2011
dc.date.issued.fl_str_mv 2011
dc.date.accessioned.fl_str_mv 2012-04-26T13:53:51Z
dc.date.available.fl_str_mv 2012-04-26T13:53:51Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv MARTINS, Mônica et al. Hospital deaths and adverse events in Brazil. BMC Health Services Research, v. 223, n. 11, p. 2-8, set. 2011.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/3864
dc.identifier.issn.pt_BR.fl_str_mv 1472-6963
dc.identifier.doi.none.fl_str_mv 10.1186/1472-6963-11-223
identifier_str_mv MARTINS, Mônica et al. Hospital deaths and adverse events in Brazil. BMC Health Services Research, v. 223, n. 11, p. 2-8, set. 2011.
1472-6963
10.1186/1472-6963-11-223
url https://www.arca.fiocruz.br/handle/icict/3864
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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