PMID- 25760133
OWN - NLM
STAT- MEDLINE
DCOM- 20170119
LR  - 20181202
IS  - 1678-4561 (Electronic)
IS  - 1413-8123 (Linking)
VI  - 20
IP  - 3
DP  - 2015 Mar
TI  - Adverse events and other incidents in neonatal intensive care units.
PG  - 937-46
LID - S1413-81232015000300937 [pii]
LID - 10.1590/1413-81232015203.16912013 [doi]
AB  - The occurrence of avoidable adverse events (AEs) represents a problem of quality 
      of care that is responsible for the increase in monetary and social costs, 
      causing suffering to the patient, their family members and the professional 
      involved. This situation is aggravated when it involves newborns (NBs) with very 
      low birth weights and shorter gestational ages, admitted to neonatal intensive 
      care units (NICU). The scope of this study is to understand more about these 
      incidents and adverse events in NICUs. The article aims to identify the 
      occurrence of incidents, with and without injury that have occurred in NICUs in 
      the literature and correlate this with the gestational age group of the NBs most 
      affected. This is a systematic review of the available literature on incidents, 
      particularly AEs as witnessed in NICUs. This study reveals that the types of 
      incidents that occur in NICUs, with or without injury to the patient, are related 
      to errors or failures in medication use, healthcare-associated infections (HAIs), 
      skin injuries, mechanical ventilation and intravascular catheters. The cause of 
      incidents and adverse events in NICUs are associated with human factors and the 
      outcomes that are most damaging are due to HAIs. Furthermore, the study points 
      out ways to mitigate these occurrences.
FAU - Lanzillotti, Luciana da Silva
AU  - Lanzillotti Lda S
AD  - Escola Nacional de Saude Publica Sergio Arouca, Fundacao Oswaldo Cruz, Rio de 
      Janeiro, RJ, Brasil, lucianasl@iff.fiocruz.br.
FAU - De Seta, Marismary Horsth
AU  - De Seta MH
AD  - Departamento de Administracao e Planejamento em Saude, Escola Nacional de Saude 
      Publica Sergio Arouca, Fundacao Oswaldo Cruz.
FAU - de Andrade, Carla Lourenco Tavares
AU  - de Andrade CL
AD  - Departamento de Administracao e Planejamento em Saude, Escola Nacional de Saude 
      Publica Sergio Arouca, Fundacao Oswaldo Cruz.
FAU - Mendes Junior, Walter Vieira
AU  - Mendes Junior WV
AD  - Departamento de Administracao e Planejamento em Saude, Escola Nacional de Saude 
      Publica Sergio Arouca, Fundacao Oswaldo Cruz.
LA  - eng
LA  - por
PT  - Journal Article
PT  - Review
PT  - Systematic Review
PL  - Brazil
TA  - Cien Saude Colet
JT  - Ciencia & saude coletiva
JID - 9713483
SB  - IM
MH  - *Cross Infection/prevention & control
MH  - Humans
MH  - *Iatrogenic Disease/prevention & control
MH  - Infant, Newborn
MH  - *Intensive Care Units, Neonatal
MH  - *Medical Errors/prevention & control
EDAT- 2015/03/12 06:00
MHDA- 2017/01/20 06:00
CRDT- 2015/03/12 06:00
PHST- 2013/09/12 00:00 [received]
PHST- 2013/11/20 00:00 [accepted]
PHST- 2015/03/12 06:00 [entrez]
PHST- 2015/03/12 06:00 [pubmed]
PHST- 2017/01/20 06:00 [medline]
AID - S1413-81232015000300937 [pii]
AID - 10.1590/1413-81232015203.16912013 [doi]
PST - ppublish
SO  - Cien Saude Colet. 2015 Mar;20(3):937-46. doi: 10.1590/1413-81232015203.16912013.