Characterize the main adverse events with harm reported in a Teaching Hospital in Minas Gerais

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DOI:

https://doi.org/10.17058/reci.v11i2.15324

Keywords:

efeitos adversos, gestão de Riscos, qualidade da assistência à saúde, segurança do paciente

Abstract

Background and Objectives: adverse events are a major public health problem. The purpose of the study was to characterize the main adverse events with harm reported in a teaching hospital in Minas Gerais. Methods: this is a retrospective cross-sectional descriptive study with quantitative approach, which assessed the reports on adverse events, carried out between January 2015 and December 2018. Pearson’s chi-square test was applied in order to verify the association between categorical variables. Cramer’s measure V was calculated to assess the degree of association between the respective variables. In the observation of statistically significant results, the Z test was applied to compare proportions with adjustments by the Bonferroni method. Results: a total of 445 adverse events were reported, being the highest number in 2018 (61.8%) involving “Abrasion and friction” process (44.7%), which correspond to grades 3 and 4 pressure injuries. Most adverse events were reported by the Emergency Unit (29.2%), and serious harm (7.6%) and deaths (1.3%) were more prevalent in this place. There was a statistically significant association between types of harm and types of incidents (p<0.001), types of harm (p<0.001) and years of occurrence, and also between the harm and the hospital sectors (p=0.003). Conclusion: adverse event reports back institutional risk management by strengthening the patient safety culture.

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Published

2021-08-18

How to Cite

Senne, E. C. V. de, Paiva, L., Peixoto, P. B., Barros, J. A., Zullo, S. A., & Oliveira, C. da C. H. B. de. (2021). Characterize the main adverse events with harm reported in a Teaching Hospital in Minas Gerais. Revista De Epidemiologia E Controle De Infecção, 11(2). https://doi.org/10.17058/reci.v11i2.15324

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ORIGINAL ARTICLE