Patient safety incidents occurred during nursing care

Authors

DOI:

https://doi.org/10.17058/reci.v7i3.8558

Abstract

Background and Objectives: Patient safety is a worldwide concern that has been highlighted in recent years and its study subsidizes preventive actions. The objective was to analyze patient safety incidents that occurred during nursing care. Methods: This was a retrospective, descriptive-exploratory documentary study carried out at a university hospital in southern Brazil. The documents related to patient safety incidents occurred during nursing care at the institution were classified and analyzed. Results: A total of 82 incidents were analyzed, of which 43 (52%) were classified as adverse events and 39 (48%) as incidents without harmful consequences. In 53 (64%) cases, the causes of the incidents occurred due to errors, 14 (17%) due to violations and 15 (18%) due to system failure. Incidents related to technical procedures were responsible for 67 (82%) occurrences, and adverse events occurred in 38 (57%) of them. Conclusion: Incidents causing both adverse events and those with no harmful consequences during care were identified, mostly caused by errors, followed by violations or system failures.

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Author Biographies

Heloisa Helena Karnas Hoefel, PhD, Universidade Federal do Rio Grande do Sul, RS

Professora da Universidade Federal do Rio Grande do Sul Departamento de Enfermagem Médico Cirúrgica Mestre e doutora em Enfermagem pela UFRGS Professora Assessora do Serviço de Enfermagem Cirúrgica do Hospital de Clínicas de Porto Alegre

Isabel Echer, PhD, Universidade Federal do Rio Grande do Sul, RS

Professora do Departamento de Orientação Profissional da Escola de Enfermagem da Universidade Federal do Rio Grande do Sul. Chefe do Serviço de Enfermagem Cirúrgica do Hospital de Clínicas de Porto Alegre. Mestre e Doutora em Administração pela UFRGS

Amália de Fátima Lucena, PhD, Universidade Federal do Rio Grande do Sul, RS

Professora do Departamento de Enfermagem Médico Cirúrgica da Escola de Enfermagem da Universidade Federal do Rio Grande do Sul. Coordenadora da Comissão do Processo de Enfermagem do Hospital de Clínicas de Porto Alegre. Mestre e Doutora pela USP

Vanessa Monteiro Mantovani, MN, Hospital São Lucas

Enfermeira da Unidade Clínica Cirúrgica do Hospital São Lucas da Pontifíca Universidade Católica do Rio Grande do Sul. Mestre em Enfermagem pela UFRGS

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Published

2017-08-17

How to Cite

Hoefel, H. H. K., Echer, I., Lucena, A. de F., & Mantovani, V. M. (2017). Patient safety incidents occurred during nursing care. Revista De Epidemiologia E Controle De Infecção, 7(3), 174-180. https://doi.org/10.17058/reci.v7i3.8558

Issue

Vol. 7 No. 3 (2017)

Section

ORIGINAL ARTICLE

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