医院不良事件的发生与可预防情况：一项回顾性研究。
Occurrence and preventability of adverse events in hospitals: a retrospective study.
机构信息
Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil.
Hospital de clínicas de Uberlândia. Uberlândia, Minas Gerais, Brazil.
出版信息
Rev Bras Enferm. 2023 Jul 10;76(3):e20220025. doi: 10.1590/0034-7167-2022-0025. eCollection 2023.
OBJECTIVES
to analyze the incidence of preventable adverse events related to health care in adult patients admitted to public hospitals in Brazil.
METHODS
observational, analytical, retrospective study based on medical records review.
RESULTS
medical records from 370 patients were evaluated, 58 of whom had at least one adverse event. The incidence of adverse events corresponded to 15.7%. Adverse events were predominantly related to healthcare-related infection (47.1%) and procedures (24.5%). Regarding the adverse event severity, 13.7% were considered mild, 51.0% moderate, and 35.3% severe. 99% of adverse events were classified as preventable. Patients admitted to the emergency room had a 3.73 times higher risk for adverse events.
CONCLUSIONS
this study's results indicate a high incidence of avoidable adverse events and highlight the need for interventions in care practice.
目的
分析巴西公立医院成年患者中与医疗保健相关的可预防不良事件的发生率。
方法
基于病历回顾的观察性、分析性、回顾性研究。
结果
共评估了 370 份病历，其中 58 份至少发生了一次不良事件。不良事件发生率为 15.7%。不良事件主要与医疗相关感染（47.1%）和操作（24.5%）有关。关于不良事件的严重程度，13.7%为轻度，51.0%为中度，35.3%为重度。99%的不良事件被归类为可预防。急诊患者发生不良事件的风险高出 3.73 倍。
结论
本研究结果表明，可避免的不良事件发生率较高，这突显了在护理实践中需要进行干预。
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