PMID- 24035207
OWN - NLM
STAT- MEDLINE
DCOM- 20140507
LR  - 20220318
IS  - 1806-9282 (Electronic)
IS  - 0104-4230 (Linking)
VI  - 59
IP  - 5
DP  - 2013 Sep-Oct
TI  - The feature of preventable adverse events in hospitals in the State of Rio de 
      Janeiro, Brazil.
PG  - 421-8
LID - 10.1016/j.ramb.2013.03.002 [doi]
AB  - OBJECTIVE: To analyze the features of preventable adverse events (AEs) in 
      hospitals inpatient in the State of Rio de Janeiro, in Brazil, in order to 
      identify elements that serve as a substrate for priority actions aimed at 
      improving patient safety. METHODS: Analysis of data from a baseline retrospective 
      cohort study to assess the incidence of AEs in a sample of records in three 
      teaching hospitals in the State of Rio de Janeiro to describe the features of 
      preventable AEs. RESULTS: In a sample of 1,103 patients, were identified 65 
      preventable AEs of 56 patients who suffered preventable AEs. The healthcare 
      associated infections (HAI) accounted for 24.6% of preventable AEs; surgical 
      complications and/or anesthetic, 20.0%; damages arising from delay or failure in 
      diagnosis and/or treatment, 18.4%, pressure ulcers, 18.4%; damage from 
      complications of venipuncture, 7.7%; damage due to falls, 6.2%; damage as a 
      result of the use of drugs, 4.6%. The preventable AEs were responsible for 
      additional 373 days of hospital stay. CONCLUSION: The HAI is the major 
      preventable AEs, as observed in other developing countries. Despite the 
      limitations of the study, the characterization of preventable AEs indicates that 
      known and effective actions available to reduce HAI, such as hand hygiene, to 
      prevent pressure ulcers, to encourage adherence to protocol and clinical 
      guidelines and to create continuing education programs for health professionals, 
      should compose the list of priorities of hospital managers and health 
      professionals involved in the care of hospitalized patients.
CI  - Copyright (c) 2013 Elsevier Editora Ltda. All rights reserved.
FAU - Mendes, Walter
AU  - Mendes W
AD  - Departamento de Administracao e Planejamento em Saude, Escola Nacional de Saude 
      Publica Sergio Arouca, Fundacao Oswaldo Cruz, Rio de Janeiro, RJ, Brasil. 
      Electronic address: wmendes@ensp.fiocruz.br.
FAU - Pavao, Ana Luiza B
AU  - Pavao AL
FAU - Martins, Monica
AU  - Martins M
FAU - Moura, Maria de Lourdes de Oliveira
AU  - Moura Mde L
FAU - Travassos, Claudia
AU  - Travassos C
LA  - eng
LA  - por
PT  - Journal Article
DEP - 20130912
PL  - Brazil
TA  - Rev Assoc Med Bras (1992)
JT  - Revista da Associacao Medica Brasileira (1992)
JID - 9308586
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Brazil
MH  - Cohort Studies
MH  - Delayed Diagnosis/statistics & numerical data
MH  - Female
MH  - *Hospitals, Teaching
MH  - Humans
MH  - Length of Stay
MH  - Male
MH  - Medical Errors/*statistics & numerical data
MH  - Medication Errors/statistics & numerical data
MH  - Middle Aged
MH  - Quality Indicators, Health Care
MH  - Retrospective Studies
MH  - Risk Management
MH  - Young Adult
OTO - NOTNLM
OT  - Evento adverso evitavel
OT  - Health care quality
OT  - Hospitais
OT  - Hospitals
OT  - Patient safety
OT  - Preventable adverse event
OT  - Qualidade da assistencia a saude
OT  - Seguranca do paciente
EDAT- 2013/09/17 06:00
MHDA- 2014/05/08 06:00
CRDT- 2013/09/17 06:00
PHST- 2013/01/16 00:00 [received]
PHST- 2013/02/26 00:00 [revised]
PHST- 2013/03/23 00:00 [accepted]
PHST- 2013/09/17 06:00 [entrez]
PHST- 2013/09/17 06:00 [pubmed]
PHST- 2014/05/08 06:00 [medline]
AID - S0104-42302013000500006 [pii]
AID - 10.1016/j.ramb.2013.03.002 [doi]
PST - ppublish
SO  - Rev Assoc Med Bras (1992). 2013 Sep-Oct;59(5):421-8. doi: 
      10.1016/j.ramb.2013.03.002. Epub 2013 Sep 12.