Characterization of incidents in a Federal Public Hospital between the years 2014 and 2019
Keywords:Patient safety; Adverse events; Medical errors; Health goals.
Introduction: the occurrence of incidents in health services can cause serious repercussions for the patient. The fraction of attributable mortality (FAP) of serious adverse events that are preventable was 30.5% in the Unified Health System and 36.1% in the Supplementary Health System. Objective: to characterize the incidents of a reference public federal general hospital in the city of Rio de Janeiro in the period between January 2014 and December 2019. Method: cross-sectional, retrospective and documentary study, carried out from the analysis of notifications. Data collection was carried out between February 10 and 19, 2020. Results: 10.832 were reported in the period between 2014 and 2019. The characterization of the incidents was classified according to the International Patient Safety Goals, adverse events, incidents without damage, almost failure, notifiable circumstances and the item “not applicable”. Final considerations: ensuring identification, prevention and creating solutions to reduce adverse events by establishing procedures for notification, communication and centralized patient involvement, are strategies to improve the quality of care and a step towards a safety culture.
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