Artigo
Analysis of incidents notified in a general hospital
Fecha
2018Registro en:
Revista Brasileira De Enfermagem. Brasilia Df, v. 71, n. 1, p. 111-119, 2018.
0034-7167
WOS000429060300016.pdf
10.1590/0034-7167-2016-0574
WOS:000429060300016
Autor
de Figueiredo, Mirela Lopes [UNIFESP]
de Oliveira e Silva, Carla Silvana [UNIFESP
Santos Figueiredo Brito, Maria Fernanda
D'Innocenzo, Maria
Institución
Resumen
Objective: To evaluate the incidents spontaneously notified in a general hospital in Minas Gerais. Method: Retrospective, descriptive, quantitative study performed at a general hospital in Montes Claros - Minas Gerais State. The sample comprised 1,316 incidents reported from 2011 to 2014. The data were submitted to descriptive statistical analysis using Statistical Package for the Social Sciences version 18.0. Results: The prevalence of incidents was 33.8 per 1,000 hospitalizations, with an increase during the investigation period and higher frequency in hospitalization units, emergency room and surgical center. These occurred mostly with adult clients and relative to the medication supply chain. The main causes were noncompliance with routines/protocols, necessitating changes in routines and training. Conclusion: There was a considerable prevalence of incidents and increase in notifications during the period investigated, which requires the attention of managers and hospital staff. Nevertheless, we observed development of the patient safety culture.