Patient safety incidents occurred during nursing care

Detalhes bibliográficos
Autor(a) principal: Hoefel, Heloisa Helena Karnas
Data de Publicação: 2017
Outros Autores: Echer, Isabel, Lucena, Amália de Fátima, Mantovani, Vanessa Monteiro
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Epidemiologia e Controle de Infecção
Texto Completo: https://online.unisc.br/seer/index.php/epidemiologia/article/view/8558
Resumo: Background and Objectives: Patient safety is a worldwide concern that has been highlighted in recent years and its study subsidizes preventive actions. The objective was to analyze patient safety incidents that occurred during nursing care. Methods: This was a retrospective, descriptive-exploratory documentary study carried out at a university hospital in southern Brazil. The documents related to patient safety incidents occurred during nursing care at the institution were classified and analyzed. Results: A total of 82 incidents were analyzed, of which 43 (52%) were classified as adverse events and 39 (48%) as incidents without harmful consequences. In 53 (64%) cases, the causes of the incidents occurred due to errors, 14 (17%) due to violations and 15 (18%) due to system failure. Incidents related to technical procedures were responsible for 67 (82%) occurrences, and adverse events occurred in 38 (57%) of them. Conclusion: Incidents causing both adverse events and those with no harmful consequences during care were identified, mostly caused by errors, followed by violations or system failures.
id UNISC-4_79a0714ff55870b868c58eab1ac1c348
oai_identifier_str oai:ojs.online.unisc.br:article/8558
network_acronym_str UNISC-4
network_name_str Revista de Epidemiologia e Controle de Infecção
repository_id_str
spelling Patient safety incidents occurred during nursing careIncidentes de seguridad ocurridos con pacientes durante el cuidado de enfermeiraIncidentes de segurança ocorridos com pacientes durante o cuidado de enfermagemBackground and Objectives: Patient safety is a worldwide concern that has been highlighted in recent years and its study subsidizes preventive actions. The objective was to analyze patient safety incidents that occurred during nursing care. Methods: This was a retrospective, descriptive-exploratory documentary study carried out at a university hospital in southern Brazil. The documents related to patient safety incidents occurred during nursing care at the institution were classified and analyzed. Results: A total of 82 incidents were analyzed, of which 43 (52%) were classified as adverse events and 39 (48%) as incidents without harmful consequences. In 53 (64%) cases, the causes of the incidents occurred due to errors, 14 (17%) due to violations and 15 (18%) due to system failure. Incidents related to technical procedures were responsible for 67 (82%) occurrences, and adverse events occurred in 38 (57%) of them. Conclusion: Incidents causing both adverse events and those with no harmful consequences during care were identified, mostly caused by errors, followed by violations or system failures.Justificación y objetivos: La seguridad del paciente es preocupación mundial destacada en los últimos años y su estudio subsidia acciones preventivas. El objetivo fue analizar los incidentes de seguridad ocurridos con los pacientes durante el cuidado de enfermería. Métodos: investigación documental descriptiva-exploratoria retrospectiva realizada en un hospital universitario del sur de Brasil. Se clasificaron y analizaron los documentos relacionados con los incidentes de seguridad durante el cuidado de enfermería en la institución. Resultados: se analizaron 82 incidentes, de los cuales 43 (52%) fueron clasificados como eventos adversos y 39 (48%) como incidentes sin daño. En 53 (64%) casos las causas de los incidentes ocurrieron por errores, en 14 (17%) por violaciones y en 15 (18%) por falla en el sistema. Los incidentes relacionados con procedimientos técnicos contribuyeron con 67 (82%) ocurrencias, siendo que en 38 (57%) ocurrieron eventos adversos. Conclusión: identificados incidentes tanto con daño como sin daño durante el cuidado, causados en su mayoría por errores seguidos de violaciones o fallas en el sistema.Introdução: a segurança do paciente é preocupação mundial destacada nos últimos anos e seu estudo subsidia ações preventivas. Objetivo: analisar os incidentes de segurança ocorridos com os pacientes durante o cuidado de enfermagem. Método: pesquisa documental descritivo-exploratória retrospectiva realizada em um hospital universitário do sul do Brasil. Foram classificados e analisados os documentos relacionados a incidentes de segurança durante o cuidado de enfermagem na instituição. Resultados: foram analisados 82 incidentes, dos quais 43(52,5%) foram classificados como eventos adversos e 37(45,5%) como incidentes sem dano e 2% quase evento. Em 53(64%) casos as causas dos incidentes ocorreram por erros, em 14(17%) por violações e em 15(18%) por falha no sistema. Os incidentes relacionados a procedimentos técnicos contribuíram com 67(82%) das ocorrências, sendo que em 38(57%) ocorreram eventos adversos. Conclusão: identificados incidentes tanto com dano quanto sem dano durante os cuidados, causados em sua maioria por erros seguidos de violações ou falhas no sistema.Unisc2017-08-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/855810.17058/reci.v7i3.8558Revista de Epidemiologia e Controle de Infecção; Vol. 7 No. 3 (2017); 174-180Revista de Epidemiologia e Controle de Infecção; v. 7 n. 3 (2017); 174-1802238-3360reponame:Revista de Epidemiologia e Controle de Infecçãoinstname:Universidade de Santa Cruz do Sul (UNISC)instacron:UNISCporhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/8558/6221Copyright (c) 2017 Revista de Epidemiologia e Controle de Infecçãoinfo:eu-repo/semantics/openAccessHoefel, Heloisa Helena KarnasEcher, IsabelLucena, Amália de FátimaMantovani, Vanessa Monteiro2019-03-06T13:07:16Zoai:ojs.online.unisc.br:article/8558Revistahttps://online.unisc.br/seer/index.php/epidemiologia/indexONGhttp://online.unisc.br/seer/index.php/epidemiologia/oai||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com2238-33602238-3360opendoar:2019-03-06T13:07:16Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false
dc.title.none.fl_str_mv Patient safety incidents occurred during nursing care
Incidentes de seguridad ocurridos con pacientes durante el cuidado de enfermeira
Incidentes de segurança ocorridos com pacientes durante o cuidado de enfermagem
title Patient safety incidents occurred during nursing care
spellingShingle Patient safety incidents occurred during nursing care
Hoefel, Heloisa Helena Karnas
title_short Patient safety incidents occurred during nursing care
title_full Patient safety incidents occurred during nursing care
title_fullStr Patient safety incidents occurred during nursing care
title_full_unstemmed Patient safety incidents occurred during nursing care
title_sort Patient safety incidents occurred during nursing care
author Hoefel, Heloisa Helena Karnas
author_facet Hoefel, Heloisa Helena Karnas
Echer, Isabel
Lucena, Amália de Fátima
Mantovani, Vanessa Monteiro
author_role author
author2 Echer, Isabel
Lucena, Amália de Fátima
Mantovani, Vanessa Monteiro
author2_role author
author
author
dc.contributor.author.fl_str_mv Hoefel, Heloisa Helena Karnas
Echer, Isabel
Lucena, Amália de Fátima
Mantovani, Vanessa Monteiro
description Background and Objectives: Patient safety is a worldwide concern that has been highlighted in recent years and its study subsidizes preventive actions. The objective was to analyze patient safety incidents that occurred during nursing care. Methods: This was a retrospective, descriptive-exploratory documentary study carried out at a university hospital in southern Brazil. The documents related to patient safety incidents occurred during nursing care at the institution were classified and analyzed. Results: A total of 82 incidents were analyzed, of which 43 (52%) were classified as adverse events and 39 (48%) as incidents without harmful consequences. In 53 (64%) cases, the causes of the incidents occurred due to errors, 14 (17%) due to violations and 15 (18%) due to system failure. Incidents related to technical procedures were responsible for 67 (82%) occurrences, and adverse events occurred in 38 (57%) of them. Conclusion: Incidents causing both adverse events and those with no harmful consequences during care were identified, mostly caused by errors, followed by violations or system failures.
publishDate 2017
dc.date.none.fl_str_mv 2017-08-17
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 https://online.unisc.br/seer/index.php/epidemiologia/article/view/8558
10.17058/reci.v7i3.8558
url https://online.unisc.br/seer/index.php/epidemiologia/article/view/8558
identifier_str_mv 10.17058/reci.v7i3.8558
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://online.unisc.br/seer/index.php/epidemiologia/article/view/8558/6221
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Epidemiologia e Controle de Infecção
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Epidemiologia e Controle de Infecção
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Unisc
publisher.none.fl_str_mv Unisc
dc.source.none.fl_str_mv Revista de Epidemiologia e Controle de Infecção; Vol. 7 No. 3 (2017); 174-180
Revista de Epidemiologia e Controle de Infecção; v. 7 n. 3 (2017); 174-180
2238-3360
reponame:Revista de Epidemiologia e Controle de Infecção
instname:Universidade de Santa Cruz do Sul (UNISC)
instacron:UNISC
instname_str Universidade de Santa Cruz do Sul (UNISC)
instacron_str UNISC
institution UNISC
reponame_str Revista de Epidemiologia e Controle de Infecção
collection Revista de Epidemiologia e Controle de Infecção
repository.name.fl_str_mv Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)
repository.mail.fl_str_mv ||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com
_version_ 1800218810665402368

Registros relacionados