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

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 eva...

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Main Authors: Antônio José de Lima Júnior, Ariane Cristina Barboza Zanetti, Bruna Moreno Dias, Andrea Bernardes, Francielly Marques Gastaldi, Carmen Silvia Gabriel
Format: Article
Language:English
Published: Associação Brasileira de Enfermagem 2023-07-01
Series:Revista Brasileira de Enfermagem
Subjects:
Online Access:http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672023000700202&lng=en&tlng=en
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author Antônio José de Lima Júnior
Ariane Cristina Barboza Zanetti
Bruna Moreno Dias
Andrea Bernardes
Francielly Marques Gastaldi
Carmen Silvia Gabriel
author_facet Antônio José de Lima Júnior
Ariane Cristina Barboza Zanetti
Bruna Moreno Dias
Andrea Bernardes
Francielly Marques Gastaldi
Carmen Silvia Gabriel
author_sort Antônio José de Lima Júnior
collection DOAJ
description 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.
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spelling doaj.art-06c433a1700743849e8052917346899a2023-07-11T07:36:51ZengAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem1984-04462023-07-0176310.1590/0034-7167-2022-0025Occurrence and preventability of adverse events in hospitals: a retrospective studyAntônio José de Lima Júniorhttps://orcid.org/0000-0003-2459-9719Ariane Cristina Barboza Zanettihttps://orcid.org/0000-0002-4458-3274Bruna Moreno Diashttps://orcid.org/0000-0002-7346-4848Andrea Bernardeshttps://orcid.org/0000-0002-9861-2050Francielly Marques Gastaldihttps://orcid.org/0000-0002-5307-4156Carmen Silvia Gabrielhttps://orcid.org/0000-0003-2666-2849ABSTRACT 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.http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672023000700202&lng=en&tlng=enPatient SafetyMedical ErrorsHospitalsPatient CareRetrospective Studies
spellingShingle Antônio José de Lima Júnior
Ariane Cristina Barboza Zanetti
Bruna Moreno Dias
Andrea Bernardes
Francielly Marques Gastaldi
Carmen Silvia Gabriel
Occurrence and preventability of adverse events in hospitals: a retrospective study
Revista Brasileira de Enfermagem
Patient Safety
Medical Errors
Hospitals
Patient Care
Retrospective Studies
title Occurrence and preventability of adverse events in hospitals: a retrospective study
title_full Occurrence and preventability of adverse events in hospitals: a retrospective study
title_fullStr Occurrence and preventability of adverse events in hospitals: a retrospective study
title_full_unstemmed Occurrence and preventability of adverse events in hospitals: a retrospective study
title_short Occurrence and preventability of adverse events in hospitals: a retrospective study
title_sort occurrence and preventability of adverse events in hospitals a retrospective study
topic Patient Safety
Medical Errors
Hospitals
Patient Care
Retrospective Studies
url http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672023000700202&lng=en&tlng=en
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