Tools for the investigation of adverse events: scoping review

• Autor(a) principal: Mello,Lucas Rodrigo Garcia de
• Data de Publicação: 2022
• Outros Autores: Christovam,Barbara Pompeu, Moreira,Ana Paula Amorim, Moraes,Erica Brandão de, Paes,Graciele Oroski, Prates,Cassiana Gil
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista da Escola de Enfermagem da USP (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342022000100802
• topic: Patient Safety; Risk Management; Patient Harm; Health Quality Management; Safety Management

ABSTRACT Objective: To map, in the literature, the risk management tools aimed at investigating health adverse events. Method: Scoping review according to the Joanna Brigss Institute, with acronym PCC (Population: hospitalized patients, Concept: tools for the investigation of adverse events, and Context: health institutions) carried out in MEDLINE (OVID), EMBASE, LILACS, Scopus, CINAHL, and gray literature. Results: The search totaled 825 scientific productions, 31 of which met the objective of the study, which consisted of 27 scientific articles and 4 expert consensus. It was possible to carry out a synthesis of the necessary steps for the investigation of adverse events and use of the tools according to the extent of damage. Conclusion: The practice of investigating adverse events should be guided by a thorough understanding of contributing factors, a fair culture, and the involvement of senior leadership.