Incidents and adverse events notified at hospital level

Detalhes bibliográficos
Autor(a) principal: Mascarello, Andreia
Data de Publicação: 2021
Outros Autores: Massaroli, Aline, Pitilin, Erica de Brito, Araújo, Jeferson Santos, Rodrigues, Maria Eduarda, Souza, Jeane Barros de
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Rev Rene (Online)
Texto Completo: http://periodicos.ufc.br/rene/article/view/60001
Resumo: Objective: to identify the incidents and adverse events notified in a large size hospital. Methods: a retrospective study was carried out based on data extracted from handwritten notifications sheets, made available by the Patient Safety Nucleus of a large size hospital. The following variables were analyzed: type of incident, according to international safety goals; severity of the incidents with damage; and measures proposed to minimize the effects of the notified incident. Results: among the 1167 notifications, 653 (66.8%) of the incidents were related to pharmacovigilance, 563 (48.6%) presented as potential harm, 355 (28.7%) caused harm to the patient and of these, 228 (68.0%) were of mild intensity. Proposed actions were described in 705 (60.4%) of the notifications. Conclusion: the notifications allowed identifying a high number of incidents with potential to cause harm, denoting failures that could be minimized with the implementation of institutional protocols and professional training.
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spelling Incidents and adverse events notified at hospital levelIncidentes e eventos adversos notificados em âmbito hospitalarPatient Safety; Notification; Delivery of Health Care.Segurança do Paciente; Notificação; Assistência à SaúdeObjective: to identify the incidents and adverse events notified in a large size hospital. Methods: a retrospective study was carried out based on data extracted from handwritten notifications sheets, made available by the Patient Safety Nucleus of a large size hospital. The following variables were analyzed: type of incident, according to international safety goals; severity of the incidents with damage; and measures proposed to minimize the effects of the notified incident. Results: among the 1167 notifications, 653 (66.8%) of the incidents were related to pharmacovigilance, 563 (48.6%) presented as potential harm, 355 (28.7%) caused harm to the patient and of these, 228 (68.0%) were of mild intensity. Proposed actions were described in 705 (60.4%) of the notifications. Conclusion: the notifications allowed identifying a high number of incidents with potential to cause harm, denoting failures that could be minimized with the implementation of institutional protocols and professional training.Objetivo: identificar os incidentes e eventos adversos notificados em um hospital de grande porte. Métodos: estudo retrospectivo, realizado com base em dados extraídos das fichas de notificações manuscritas, disponibilizados pelo Núcleo de Segurança do paciente de um hospital de grande porte. Analisaram-se as seguintes variáveis: tipo de incidente, conforme as metas internacionais de segurança; gravidade dos incidentes com dano; e medidas propostas para minimizar os efeitos do incidente notificado. Resultados: entre as 1167 notificações, 653 (66,8%) dos incidentes estavam relacionados com farmacovigilância, 563 (48,6%) apresentavam-se como potencial dano, 355 (28,7%) ocasionaram dano ao paciente e destes, 228 (68,0%) foram de intensidade leve. Ações propostas estavam descritas em 705 (60,4%) das notificações. Conclusão: as notificações permitiram identificar um elevado número de incidentes com potencial para causar dano, denotando falhas passíveis de serem minimizadas com a implantação de protocolos institucionais e capacitação profissional.Universidade Federal do Ceará2021-01-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://periodicos.ufc.br/rene/article/view/6000110.15253/2175-6783.20212260001Rev Rene; Vol 22 (2021): Rev Rene; e60001Rev Rene; v. 22 (2021): Rev Rene; e600012175-67831517-3852reponame:Rev Rene (Online)instname:Universidade Federal do Ceará (UFC)instacron:UFCporenghttp://periodicos.ufc.br/rene/article/view/60001/162815http://periodicos.ufc.br/rene/article/view/60001/162816Copyright (c) 2021 Rev Renehttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMascarello, AndreiaMassaroli, AlinePitilin, Erica de BritoAraújo, Jeferson SantosRodrigues, Maria EduardaSouza, Jeane Barros de2021-01-14T13:40:27Zoai:periodicos.ufc:article/60001Revistahttp://periodicos.ufc.br/renePUBhttp://periodicos.ufc.br/rene/oairene@ufc.br||2175-67831517-3852opendoar:2021-01-14T13:40:27Rev Rene (Online) - Universidade Federal do Ceará (UFC)false
dc.title.none.fl_str_mv Incidents and adverse events notified at hospital level
Incidentes e eventos adversos notificados em âmbito hospitalar
title Incidents and adverse events notified at hospital level
spellingShingle Incidents and adverse events notified at hospital level
Mascarello, Andreia
Patient Safety; Notification; Delivery of Health Care.
Segurança do Paciente; Notificação; Assistência à Saúde
title_short Incidents and adverse events notified at hospital level
title_full Incidents and adverse events notified at hospital level
title_fullStr Incidents and adverse events notified at hospital level
title_full_unstemmed Incidents and adverse events notified at hospital level
title_sort Incidents and adverse events notified at hospital level
author Mascarello, Andreia
author_facet Mascarello, Andreia
Massaroli, Aline
Pitilin, Erica de Brito
Araújo, Jeferson Santos
Rodrigues, Maria Eduarda
Souza, Jeane Barros de
author_role author
author2 Massaroli, Aline
Pitilin, Erica de Brito
Araújo, Jeferson Santos
Rodrigues, Maria Eduarda
Souza, Jeane Barros de
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Mascarello, Andreia
Massaroli, Aline
Pitilin, Erica de Brito
Araújo, Jeferson Santos
Rodrigues, Maria Eduarda
Souza, Jeane Barros de
dc.subject.por.fl_str_mv Patient Safety; Notification; Delivery of Health Care.
Segurança do Paciente; Notificação; Assistência à Saúde
topic Patient Safety; Notification; Delivery of Health Care.
Segurança do Paciente; Notificação; Assistência à Saúde
description Objective: to identify the incidents and adverse events notified in a large size hospital. Methods: a retrospective study was carried out based on data extracted from handwritten notifications sheets, made available by the Patient Safety Nucleus of a large size hospital. The following variables were analyzed: type of incident, according to international safety goals; severity of the incidents with damage; and measures proposed to minimize the effects of the notified incident. Results: among the 1167 notifications, 653 (66.8%) of the incidents were related to pharmacovigilance, 563 (48.6%) presented as potential harm, 355 (28.7%) caused harm to the patient and of these, 228 (68.0%) were of mild intensity. Proposed actions were described in 705 (60.4%) of the notifications. Conclusion: the notifications allowed identifying a high number of incidents with potential to cause harm, denoting failures that could be minimized with the implementation of institutional protocols and professional training.
publishDate 2021
dc.date.none.fl_str_mv 2021-01-14
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://periodicos.ufc.br/rene/article/view/60001
10.15253/2175-6783.20212260001
url http://periodicos.ufc.br/rene/article/view/60001
identifier_str_mv 10.15253/2175-6783.20212260001
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv http://periodicos.ufc.br/rene/article/view/60001/162815
http://periodicos.ufc.br/rene/article/view/60001/162816
dc.rights.driver.fl_str_mv Copyright (c) 2021 Rev Rene
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Rev Rene
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal do Ceará
publisher.none.fl_str_mv Universidade Federal do Ceará
dc.source.none.fl_str_mv Rev Rene; Vol 22 (2021): Rev Rene; e60001
Rev Rene; v. 22 (2021): Rev Rene; e60001
2175-6783
1517-3852
reponame:Rev Rene (Online)
instname:Universidade Federal do Ceará (UFC)
instacron:UFC
instname_str Universidade Federal do Ceará (UFC)
instacron_str UFC
institution UFC
reponame_str Rev Rene (Online)
collection Rev Rene (Online)
repository.name.fl_str_mv Rev Rene (Online) - Universidade Federal do Ceará (UFC)
repository.mail.fl_str_mv rene@ufc.br||
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