National Patient Safety Program in Brazil: Incidents Reported Between 2014 and 2017.

Journal of Patient Safety
Tássia Nery FaustinoMarta Maria Melleiro

Abstract

The aim of the study was to analyze the patient safety incidents reported to the Brazilian National Health Surveillance System from March 2014 to March 2017. A documentary study that used the records of the incidents published in the Reports of Adverse Events (AE) in Brazil. The following variables were selected: number of incidents by type, type of health service, hospital unit, and degree of harm. To find whether there was a significant difference across the Brazilian regions by notifications related to general incidents, AE, and deaths, the analysis of variance and the Tukey tests were used. A total of 109,082 incidents were reported, of which 75,088 were AE, with 649 deaths. In relation to the types of incidents reported, there was a higher frequency in the categories other (30.04%) and failures during health care (26.72%). A total of 93.90% of the incidents occurred in hospitals, with 54,950 cases registered in hospitalization units and 30,141 cases in intensive care units. Statistically significant differences across the Brazilian regions were observed in the number of incidents (P = 0.004), AE (P = 0.004), and deaths (P = 0.024). A significant underreporting of incidents was found in Brazil, demonstrating only the tip of...Continue Reading

References

Dec 18, 2015·BMJ Quality & Safety·Urmimala Sarkar
Dec 17, 2016·Revista da Escola de Enfermagem da U S P·Taise Rocha MacedoKarri Davis

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Citations

Aug 31, 2020·Therapeutic Advances in Drug Safety·Paulo Henrique Santos AndradeWellington Barros da Silva
Mar 9, 2021·Revista brasileira de enfermagem·Maria de Jesus Castro Sousa HaradaAdriane Cristina Bernat Kolankiewicz

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