ANALYSIS OF NOTIFIABLE CIRCUMSTANCES: INCIDENTS THAT MAY COMPROMISE PATIENT SAFETY

Authors

DOI:

https://doi.org/10.5380/ce.v24i0.61984

Keywords:

Patient safety, Risk management, Health Care quality, Quality management, Nursing care.

Abstract

Objective: To identify incidents defined as notifiable circumstances that occurred in a teaching
hospital in Goiás.
Method: Descriptive cross-sectional study that uses retrospective analysis of reports made
by the nursing team of a general medicine unit made in the January 2010-December 2015
period. Data was collected and recorded in a semi-structured instrument and descriptive
analysis was performed.
Results: There were 2,718 notifiable circumstances, of which 1,100 (40.5%) were related to
Resources/ Organizational Management, 844 (31.1%) to Medical Devices/Equipment, 270
(9.9%) to Documentation, 262 (9.6%) to Infrastructure/Facilities, 109 (4.0%) to Behavior, 80
(3.0%) to Medications/Intravenous Fluids, 28 (1.0%) to Blood/Blood derivatives, 17 (0.6%) to
Diet/Food. Conclusion: The present study showed that situations with the potential to cause
harm to hospitalized patients were very common, exposing organizational and care weaknesses
that must be discussed by the management, so that improvements are implemented in the
health care process and incidents are prevented.

Downloads

Published

2019-08-20

How to Cite

Sagawa, M. R., Silva, A. E. B. de C., Lima, J. C. de, Bezerra, A. L. Q., Costa, N. N., Sousa, M. R. G. de, & Gimenes, F. R. E. (2019). ANALYSIS OF NOTIFIABLE CIRCUMSTANCES: INCIDENTS THAT MAY COMPROMISE PATIENT SAFETY. Cogitare Enfermagem, 24. https://doi.org/10.5380/ce.v24i0.61984

Issue

Vol. 24 (2019)

Section

ORIGINAL ARTICLE

License

Cogitare Enfermagem reserves the right to make normative, orthographic, and grammatical changes to the published article to maintain the cultured standard of the language, while respecting the authors' style.

The published study is the sole responsibility of the author(s), and Cogitare Enfermagem is exclusively responsible for evaluating the manuscript as a scientific publication vehicle. Revista Cogitare Enfermagem is not responsible for any violations of Law No. 9,610/1998, the Brazilian Copyright Law.

Cogitare Enfermagem allows the author to hold the copyright of articles accepted for publication, without restrictions.

The articles published are licensed under the Creative Commons license CC BY 4.0 Creative Commons - Attribution 4.0 International - CC BY 4.0 - The attribution adopted by Cogitare Enfermagem is permitted:

  • Share - copy and redistribute the material in any media or format.
  • Adapt - remix, transform and build upon the material for any purpose, even commercially.
  • Attribution - You must give proper credit, provide a link to the license, and indicate if changes have been made. You may do this in any reasonable way, but not in a way that suggests that the licensor endorses it or approves of its use.
  • No additional restrictions - You may not apply legal terms or technological measures that legally restrict others from doing something that the license allows.