Indicators of healthcare results: analysis of adverse events during hospital stays

Authors

  • Camila Cristina Pires Nascimento Hospital Alemão Oswaldo Cruz image/svg+xml
  • Maria Cecília Toffoletto University of São Paulo; School of Nursing
  • Leilane Andrade Gonçalves University of São Paulo; School of Nursing
  • Walkíria das Graças Freitas Hospital 9 de Julho
  • Katia Grillo Padilha School of Nursing; University São Paulo

DOI:

https://doi.org/10.1590/S0104-11692008000400015

Keywords:

sentinel surveillance, nursing, indicators

Abstract

This quantitative, retrospective study aimed to characterize adverse events (AE) in Intensive Care Units (ICU), Semi-Intensive Care Units (SCU) and Inpatient Units (IU), regarding nature, type, day of the week and nursing professionals / patient ratio at the moment of occurrence; as well as to identify nursing interventions after the event and AE rates. The study was performed at a private hospital in the city of São Paulo, Brazil. Two hundred twenty-nine AE were notified. The predominant events were related to nasogastric tubes (NGT) (57.6%), followed by patient fall (16.6%) and medication errors (14.8%). The nursing professionals /patient ratio at the moment of the event was 1:2 for the ICU, 1:3 for the SCU and 1:4 for the IU. A similar distribution was observed for the other days of the week. The nursing interventions were: repositioning the NGT (83.2%) and communication of the occurrence to the physician in case of medication errors (47.6%) and falls (55.2%). The highest AE rate was related to NGT.

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Published

2008-08-01

Issue

Vol. 16 No. 4 (2008)

Section

Original Articles

License

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How to Cite

Nascimento, C. C. P., Toffoletto, M. C., Gonçalves, L. A., Freitas, W. das G., & Padilha, K. G. (2008). Indicators of healthcare results: analysis of adverse events during hospital stays. Revista Latino-Americana De Enfermagem, 16(4), 746-751. https://doi.org/10.1590/S0104-11692008000400015