Revista Latino-Americana de Enfermagem
Print version ISSN 0104-1169
NASCIMENTO, Camila Cristina Pires et al. Indicators of healthcare results: analysis of adverse events during hospital stays. Rev. Latino-Am. Enfermagem [online]. 2008, vol.16, n.4, pp. 746-751. ISSN 0104-1169. http://dx.doi.org/10.1590/S0104-11692008000400015.
This quantitative, retrospective study aimed to characterize adverse events (AE) in Intensive Care Units (ICU), Semi-Intensive Care Units (SCU) and Inpatient Units (IU), regarding nature, type, day of the week and nursing professionals / patient ratio at the moment of occurrence; as well as to identify nursing interventions after the event and AE rates. The study was performed at a private hospital in the city of São Paulo, Brazil. Two hundred twenty-nine AE were notified. The predominant events were related to nasogastric tubes (NGT) (57.6%), followed by patient fall (16.6%) and medication errors (14.8%). The nursing professionals /patient ratio at the moment of the event was 1:2 for the ICU, 1:3 for the SCU and 1:4 for the IU. A similar distribution was observed for the other days of the week. The nursing interventions were: repositioning the NGT (83.2%) and communication of the occurrence to the physician in case of medication errors (47.6%) and falls (55.2%). The highest AE rate was related to NGT.
Keywords : sentinel surveillance; nursing; indicators.