Rastreamento de resultados adversos nas internações do Sistema Único de Saúde

Abstract

OBJECTIVE:To assess the frequency of screening for potential adverse outcomes in hospitalizations of the Brazilian Unifi ed Health System. METHODS:A retrospective study, including all hospital admissions of adults in medical clinics (n = 3,565,811) and surgical clinics (n = 2,614,048) in Brazil in 2007. The Hospital Information System was used as a source of information. The measurement of adverse events was based on screening for eleven clinical conditions, as defi ned by previous international studies, recorded in the secondary diagnosis fi eld. We performed bivariate and multivariate analysis to investigate associations between adverse events, death (dependent variable) and other variables such as age, use of the intensive care unit and performance of surgery.

Analysis of incidents notified in a general hospital

“…Potential adverse outcome scanners presented high chances of death, even with the introduction of variables such as intensive care and surgery. Thus, the high frequency of adverse outcomes in hospitalizations signals the need to develop monitoring strategies and improvements aimed at patient safety (9) . Another study analyzed the characteristics of avoidable adverse events among inpatients based on the medical records sampled at three teaching hospitals in the state of Rio de Janeiro.…”

“…Periodic re-evaluations of information systems are also necessary in order to be effective mechanisms for measuring the performance and quality of the services offered. Such measures impact the restructuring of health services, with a particular focus on the quality of care, and not only on reimbursement for services rendered (9) . Tracking incident-related factors is difficult, as recent studies point to flaws in record keeping, making it impossible to investigate further into causes and consequences.…”

Plataforma Moodle na construção do conhecimento em Terapia Intensiva: estudo experimental

“…(20,21) The care actions shaped in unsafe practices are the main causes of adverse events. Thus, it is the institutional graduation that promotes a safety culture.…”

Fatores associados à chance para a mortalidade hospitalar no Distrito Federal

“…Para cada dia a mais de internação no hospital e na UTI, o modelo final estimou incrementos na chance de morte hospitalar de 1,0 e de 4,0%, respectivamente. Diversos autores, entre eles Noronha e colaboradores, 6 Evangelista e colaboradores, 13 Gomes e colaboradores 4 e Dias e colaboradores, 14 também encontraram associação positiva entre TMH e uso de UTI. Trata-se de resultados esperados, uma vez que pacientes mais graves necessitam de tecnologias mais complexas, demandando maior tempo de internação hospitalar e uso mais prolongado de UTI, além do que, por sua condição de base (anterior), possuem maior probabilidade de morte durante o período de internação.…”