THE OCCURRENCE OF NEAR MISSES AND ASSOCIATED FACTORS IN THE SURGICAL CLINIC OF A TEACHING HOSPITAL

Authors

  • Thatianny Tanferri de Brito Paranaguá Faculdade de Enfermagem da Universidade Federal de Goiás.
  • Ana Lúcia Queiroz Bezerra Faculdade de Enfermagem da Universidade Federal de Goiás.
  • Ana Elisa Bauer de Camargo e Silva

DOI:

https://doi.org/10.5380/ce.v20i1.37446

Keywords:

Patient safety, Medical errors, Management of quality.

Abstract

This study aimed to investigate the occurrence
of, and factors associated with, near misses related to the
safety of patients undergoing inpatient treatment in the
surgical clinic of a teaching hospital. It is a transversal
study, undertaken with 750 episodes of inpatient treatment
undertaken in 2010, using the medical records as the
data source. Data collection occurred in January – May
2011. Univariate analysis and logistic regression were
undertaken. The recording of near misses occurred in
1.7% of all the episodes of inpatient treatment. A total of
18 near misses was recorded, that related to the process
of prescribing medications being the most frequent. Being
male was associated as a protective factor. The need was
ascertained to encourage health professionals to record
near misses, so as to support the learning process at work,
make it possible to study the causal factors, and promote
improvements in the work process.

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Published

2015-03-31

How to Cite

Paranaguá, T. T. de B., Bezerra, A. L. Q., & Silva, A. E. B. de C. e. (2015). THE OCCURRENCE OF NEAR MISSES AND ASSOCIATED FACTORS IN THE SURGICAL CLINIC OF A TEACHING HOSPITAL. Cogitare Enfermagem, 20(1). https://doi.org/10.5380/ce.v20i1.37446

Issue

Vol. 20 No. 1 (2015)

Section

ORIGINAL ARTICLE

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