Universidade Federal Fluminense, Escola de Enfermagem Aurora Afonso Costa, Niterói, Rio de Janeiro, Brazil.
Centro Brasileiro para o Cuidado à Saúde Informado por Evidências: Centro de Excelência do Instituto Joanna Briggs, São Paulo, SP, Brazil.
Rev Esc Enferm USP. 2022 Jun 10;56:e20210519. doi: 10.1590/1980-220X-REEUSP-2021-0519en. eCollection 2022.
To map, in the literature, the risk management tools aimed at investigating health adverse events.
Scoping review according to the Joanna Brigss Institute, with acronym PCC (Population: hospitalized patients, Concept: tools for the investigation of adverse events, and Context: health institutions) carried out in MEDLINE (OVID), EMBASE, LILACS, Scopus, CINAHL, and gray literature.
The search totaled 825 scientific productions, 31 of which met the objective of the study, which consisted of 27 scientific articles and 4 expert consensus. It was possible to carry out a synthesis of the necessary steps for the investigation of adverse events and use of the tools according to the extent of damage.
The practice of investigating adverse events should be guided by a thorough understanding of contributing factors, a fair culture, and the involvement of senior leadership.
在文献中绘制旨在调查医疗不良事件的风险管理工具。
根据 Joanna Brigss 研究所的方案,采用缩写 PCC(人群:住院患者,概念:不良事件调查工具,背景:医疗机构)进行了 MEDLINE(OVID)、EMBASE、LILACS、Scopus、CINAHL 和灰色文献的范围审查。
共检索到 825 篇科学文献,其中 31 篇符合研究目的,包括 27 篇科学文章和 4 篇专家共识。可以根据损害程度综合总结出调查不良事件和使用工具的必要步骤。
调查不良事件的实践应基于对促成因素、公正文化和高级领导层参与的透彻理解。