Cogitare Enfermagem (Jun 2017)

ANALYSIS OF ADVERSE EVENT REPORTING AT ACCREDITED HOSPITALS

  • Tatiana Paula Miguelaci Ferezin,
  • Daniele Ramos,
  • Graziela Caldana,
  • Carmen Silvia Gabriel,
  • Andrea Bernardes

DOI
https://doi.org/10.5380/ce.v22i2.49644
Journal volume & issue
Vol. 22, no. 2
p. 49644

Abstract

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The objective was to analyze the reporting of adverse events at accredited hospitals in the interior of the state of São Paulo from the nursing team’s perspective. Descriptive and cross-sectional survey with a quantitative approach, undertaken at three accredited hospitals in the interior of the state of São Paulo, with a sample of 61 nurses and 250 nursing technicians and auxiliary nurses. The data were collected between November 2014 and April 2015. It was demonstrated that 126 (75.4%) participants were knowledgeable to report adverse events, but only 109 (65.3%) reported being authorized to do so. The participants appointed the nurses as responsible for this action. In the total group of participants, 76 (45.5%) affirmed that the event reporting entails punitive measures for the professionals involved. Nevertheless, 62 (37,1%) did not highlight fear of punishment as a hindering factor. The institution should prioritize the learning and the safety culture, focused on improving the quality of care.

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