ANALYSIS OF NOTIFIABLE CIRCUMSTANCES: INCIDENTS THAT MAY COMPROMISE PATIENT SAFETY

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.

Keywords

• Patient safety
• Risk management
• Health Care quality
• Quality management
• Nursing care