2014-2018 年巴西公民报告的患者安全事件和不良事件：描述性研究。

Patient safety incidents and adverse events reported by Brazilian citizens: a descriptive study, 2014-2018.

机构信息

Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de Janeiro, RJ, Brasil.

Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública Sergio Arouca, Rio de Janeiro, RJ, Brasil.

出版信息

Epidemiol Serv Saude. 2021 Nov 26;30(4):e2021005. doi: 10.1590/S1679-49742021000400007. eCollection 2021.

DOI:10.1590/S1679-49742021000400007

PMID:34852160

Abstract

OBJECTIVE

To describe incidents related to healthcare services reported by Brazilian citizens on the Health Surveillance Notification System.

METHODS

This was a descriptive study, using the database from the Health Surveillance Notification System (Notivisa) of the Brazilian Health Regulatory Agency (Anvisa), 'citizen' module, between 2014 and 2018.

RESULTS

935 incidents were reported, most of them occurred among females (60.9%), the elderly (20.1%) and those of white race/skin color (51.0%). The majority of the reported incidents were related to the use of medications (50.8%), falls (7.5%) and healthcare-associated infections (HAIs) (7.2%), which occurred during provision of healthcare, treatment or surgery (37.3%), in daytime (58.3%) and in hospital setting (37.4%).

CONCLUSION

It could be seen a low adherence to the notification system among the citizens. There was a higher frequency of incidents related to medications, falls and HAIs. This shows that citizens have the capability to recognize and report these incidents as patient safety issues.

摘要

目的

描述巴西公民通过卫生监督通报系统报告的与医疗保健服务相关的事件。

方法

本研究为描述性研究，使用巴西卫生监管局（Anvisa）卫生监督通报系统（Notivisa）的“公民”模块，对 2014 年至 2018 年期间的数据进行分析。

结果

共报告了 935 起事件，其中大多数发生在女性（60.9%）、老年人（20.1%）和白种人/肤色者（51.0%）中。报告的大多数事件与用药（50.8%）、跌倒（7.5%）和医源性感染（HAIs）（7.2%）有关，这些事件发生在医疗保健、治疗或手术过程中（37.3%）、白天（58.3%）和医院环境中（37.4%）。