Notificações de incidentes relacionados à segurança do paciente em hospital universitário sentinela

Izabela Melo Garcia; Rafael Rodrigo da Silva  Pimentel; Patrícia  Aroni; Alexsandro de Oliveira  Dias; Larissa Gutierrez de Carvalho  Silva; Maria do Carmo Fernandez Lourenço  Haddad

doi:10.4025/ciencuidsaude.v21i0.56674

Izabela Melo Garcia Universidade Estadual de Londrina
Rafael Rodrigo da Silva Pimentel Universidade de São Paulo
Patrícia Aroni Universidade Estadual de Londrina
Alexsandro de Oliveira Dias Universidade Estadual de Londrina https://orcid.org/0000-0001-9945-3832
Larissa Gutierrez de Carvalho Silva Universidade Estadual de Londrina
Maria do Carmo Fernandez Lourenço Haddad Universidade Estadual de Londrina https://orcid.org/0000-0001-7564-8563

DOI: https://doi.org/10.4025/ciencuidsaude.v21i0.56674

Keywords: Patient safety, Quality of health care, Health services research, Patient harm, Risk management.

Abstract

Objective: to analyze the notifications of incidents related to patient safety in a sentinel public university hospital. Method: retrospective, quantitative research conducted in a university hospital located in southern Brazil. It analyzed 760 notifications of incidents that occurred in the years 2015 to 2017 forwarded to the risk management sector of the institution. Data was collected from May to August 2018. Descriptive statistical analysis was performed using the Statistical Package for the Social Sciences version 20.0. Results: the incidents reported were pressure ulcers (64.0%), followed by falls (25.0%), medication errors (9.7%), incorrect patient identification (1.0%) and incidents in surgical procedures (0.3%). The morning period, nursing professionals and adult intensive care unit were the ones that made the most notifications. The most reported adverse event was related to medication error (50.7%) followed by falls (26.8%). Conclusion: the results of this study contribute to increasing interest in the analysis of incident and adverse event data, and to defining or refining strategies to improve patient safety.

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Author Biographies

Izabela Melo Garcia, Universidade Estadual de Londrina

Enfermeira, Mestre em Enfermagem pela Universidade Estadual de Londrina (UEL). Londrina, PR - Brasil.

Rafael Rodrigo da Silva Pimentel, Universidade de São Paulo

Enfermeiro. Doutorando em Gerenciamento em Enfermagem pela Escola de Enfermagem da Universidade de São Paulo. São Paulo, SP – Brasil.

Patrícia Aroni, Universidade Estadual de Londrina

Enfermeira. Doutora em Enfermagem pela Escola de Enfermagem de Ribeirão Preto (EERP). Docente de Enfermagem da Universidade Estadual de Londrina. Londrina – PR, Brasil

Alexsandro de Oliveira Dias, Universidade Estadual de Londrina

Enfermeiro. Doutor em Ciências da Saúde pela EERP. Enfermeiro do Hospital Universitário da Universidade Estadual de Londrina. Londrina – PR, Brasil.

Larissa Gutierrez de Carvalho Silva, Universidade Estadual de Londrina

Enfermeira. Doutora em Ciências da Saúde pela EERP. Docente de Enfermagem da Universidade Estadual de Londrina. Londrina – PR, Brasil.

Maria do Carmo Fernandez Lourenço Haddad, Universidade Estadual de Londrina

Enfermeira. Doutora em Enfermagem Fundamental pela EERP. Docente de Enfermagem da Universidade Estadual de Londrina. Londrina – PR, Brasil.

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Notifications of incidents related to patient safety in a sentinel university hospital

Abstract

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Author Biographies

References