Incidents and adverse events notified at hospital level
Objective: to identify the incidents and adverse events notified in a large size hospital. Methods: a retrospective study was carried out based on data extracted from handwritten notifications sheets, made available by the Patient Safety Nucleus of a large size hospital. The following variables wer...
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| Format: | Article |
| Language: | English |
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Universidade Federal do Ceará
2021-01-01
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| Series: | Rev Rene |
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| Online Access: | https://periodicos.ufc.br/rene/article/view/60001 |
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| _version_ | 1849233171797770240 |
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| author | Andréia Mascarello Aline Massaroli Erica de Brito Pitilin Jeferson Santos Araújo Maria Eduarda Rodrigues Jeane Barros de Souza |
| author_facet | Andréia Mascarello Aline Massaroli Erica de Brito Pitilin Jeferson Santos Araújo Maria Eduarda Rodrigues Jeane Barros de Souza |
| author_sort | Andréia Mascarello |
| collection | DOAJ |
| description |
Objective: to identify the incidents and adverse events notified in a large size hospital. Methods: a retrospective study was carried out based on data extracted from handwritten notifications sheets, made available by the Patient Safety Nucleus of a large size hospital. The following variables were analyzed: type of incident, according to international safety goals; severity of the incidents with damage; and measures proposed to minimize the effects of the notified incident. Results: among the 1167 notifications, 653 (66.8%) of the incidents were related to pharmacovigilance, 563 (48.6%) presented as potential harm, 355 (28.7%) caused harm to the patient and of these, 228 (68.0%) were of mild intensity. Proposed actions were described in 705 (60.4%) of the notifications. Conclusion: the notifications allowed identifying a high number of incidents with potential to cause harm, denoting failures that could be minimized with the implementation of institutional protocols and professional training.
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| format | Article |
| id | doaj-art-34a13f3f919a4035a38a5bc55f0be5d1 |
| institution | Kabale University |
| issn | 1517-3852 2175-6783 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Universidade Federal do Ceará |
| record_format | Article |
| series | Rev Rene |
| spelling | doaj-art-34a13f3f919a4035a38a5bc55f0be5d12025-08-20T12:49:04ZengUniversidade Federal do CearáRev Rene1517-38522175-67832021-01-0122Incidents and adverse events notified at hospital levelAndréia Mascarello0https://orcid.org/0000-0003-1268-6241Aline Massarolihttps://orcid.org/0000-0003-4779-5579Erica de Brito Pitilinhttps://orcid.org/0000-0003-3950-2633Jeferson Santos Araújohttps://orcid.org/0000-0003-3311-8446Maria Eduarda Rodrigueshttps://orcid.org/0000-0002-0770-0670Jeane Barros de Souzahttps://orcid.org/0000-0002-0512-9765Universidade Federal da Fronteira Sul Objective: to identify the incidents and adverse events notified in a large size hospital. Methods: a retrospective study was carried out based on data extracted from handwritten notifications sheets, made available by the Patient Safety Nucleus of a large size hospital. The following variables were analyzed: type of incident, according to international safety goals; severity of the incidents with damage; and measures proposed to minimize the effects of the notified incident. Results: among the 1167 notifications, 653 (66.8%) of the incidents were related to pharmacovigilance, 563 (48.6%) presented as potential harm, 355 (28.7%) caused harm to the patient and of these, 228 (68.0%) were of mild intensity. Proposed actions were described in 705 (60.4%) of the notifications. Conclusion: the notifications allowed identifying a high number of incidents with potential to cause harm, denoting failures that could be minimized with the implementation of institutional protocols and professional training. https://periodicos.ufc.br/rene/article/view/60001Patient Safety; Notification; Delivery of Health Care. |
| spellingShingle | Andréia Mascarello Aline Massaroli Erica de Brito Pitilin Jeferson Santos Araújo Maria Eduarda Rodrigues Jeane Barros de Souza Incidents and adverse events notified at hospital level Rev Rene Patient Safety; Notification; Delivery of Health Care. |
| title | Incidents and adverse events notified at hospital level |
| title_full | Incidents and adverse events notified at hospital level |
| title_fullStr | Incidents and adverse events notified at hospital level |
| title_full_unstemmed | Incidents and adverse events notified at hospital level |
| title_short | Incidents and adverse events notified at hospital level |
| title_sort | incidents and adverse events notified at hospital level |
| topic | Patient Safety; Notification; Delivery of Health Care. |
| url | https://periodicos.ufc.br/rene/article/view/60001 |
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