Occurrence and preventability of adverse events in hospitals: a retrospective study

Autor: Antônio José de Lima Júnior, Ariane Cristina Barboza Zanetti, Bruna Moreno Dias, Andrea Bernardes, Francielly Marques Gastaldi, Carmen Silvia Gabriel
Jazyk: English<br />Spanish; Castilian<br />Portuguese
Rok vydání: 2023
Předmět:
Zdroj: Revista Brasileira de Enfermagem, Vol 76, Iss 3 (2023)
Druh dokumentu: article
ISSN: 1984-0446
0034-7167
DOI: 10.1590/0034-7167-2022-0025
Popis: ABSTRACT Objectives: to analyze the incidence of preventable adverse events related to health care in adult patients admitted to public hospitals in Brazil. Methods: observational, analytical, retrospective study based on medical records review. Results: medical records from 370 patients were evaluated, 58 of whom had at least one adverse event. The incidence of adverse events corresponded to 15.7%. Adverse events were predominantly related to healthcare-related infection (47.1%) and procedures (24.5%). Regarding the adverse event severity, 13.7% were considered mild, 51.0% moderate, and 35.3% severe. 99% of adverse events were classified as preventable. Patients admitted to the emergency room had a 3.73 times higher risk for adverse events. Conclusions: this study’s results indicate a high incidence of avoidable adverse events and highlight the need for interventions in care practice.
Databáze: Directory of Open Access Journals