Occurrence and preventability of adverse events in hospitals: a retrospective study

Abstract

Objectives: to analyze the incidence of preventable adverse events related to health care in adult patients admitted to public hospitals in Brazil. Methods: observational, analytical, retrospective study based on medical records review. Results: medical records from 370 patients were evaluated, 58 of whom had at least one adverse event. The incidence of adverse events corresponded to 15.7%. Adverse events were predominantly related to healthcare-related infection (47.1%) and procedures (24.5%). Regarding the adverse event severity, 13.7% were considered mild, 51.0% moderate, and 35.3% severe. 99% of adverse events were classified as preventable. Patients admitted to the emergency room had a 3.73 times higher risk for adverse events. Conclusions: this study’s results indicate a high incidence of avoidable adverse events and highlight the need for interventions in care practice.

Phlebitis in Medical-Surgical Units

“…A study that 40% of the conduct related to notifications was not recorded in the records. 7 The National Health Agency encourages reporting of due to the importance of assessments data analysis for decision-making. 3 Regarding the characteristics of this sample (Table 2), another São Paulo study showed that patients who phlebitis were mostly males (53.1%).…”

“…Furthermore, it allows the reduction of the financial impact that AEs generate for health services. 7 A study performed in the city of São Paulo that sought to identify the causes and direct cost of phlebitis in medical hospitalization units pointed to the importance of this topic in contributing to decision-making to tackle this problem. 8 In this study, it was found that grade 2 phlebitis was more prevalent and presented a higher average direct cost compared to grade 1 phlebitis, and the management of phlebitis could involve the application of compresses and application of chamomile gel until the establishment of a new PIVC.…”