Adverse events in surgical patients: incidence, characteristics and associated factors

Authors

DOI:

https://doi.org/10.5327/Z1414-4425202328890890

Keywords:

Patient safety, Medical errors, Surgical procedures, operative, Perioperative nursing

Abstract

Objective: To estimate the incidence of adverse events and identify the factors associated with their occurrence in surgical patients at a general reference hospital in the interior of Minas Gerais, Brazil. Method: Retrospective and documentary study carried out in 851 medical records of patients undergoing surgical procedures. To track and identify the adverse event, an adaptation of the Global Trigger Tool method was used, with double review of documents independently and data analysis using descriptive statistics, x2 test, Student’s t-test and logistic regression. Results: 145 adverse events were identified in 108 medical records, more than half related to complications at the surgical site, such as bleeding and surgical site infections. Prolonged hospital stay, duration of surgery longer than four hours and surgical procedures classified as contaminated were associated with greater chances of adverse event occurrence (p<0.001). Conclusion: Adverse events in surgical care have a high frequency and impact of damage caused, reinforcing the importance of strategies aimed at the safety of surgical patients.

Author Biographies

Luciane Ribeiro de Faria, Universidade Federal de Juiz de Fora – Juiz de Fora (MG), Brasil.

Enfermeira, Doutora em Saúde Coletiva, Departamento de Enfermagem Aplicada, Universidade Federal de Juiz de Fora. Juiz de Fora, MG, Brasil.

Andre Luiz Silva Alvim, Universidade Federal de Juiz de Fora – Juiz de Fora (MG), Brasil.

Enfermeiro. Professor Adjunto da Universidade Federal de Juiz de Fora. Juiz de Fora, MG, Brasil.

Hérica Silva Dutra, Universidade Federal de Juiz de Fora – Juiz de Fora (MG), Brasil.

Enfermeira, Doutora em Enfermagem, Departamento de Enfermagem Básica, Universidade Federal de Juiz de Fora. Juiz de Fora, MG, Brasil.

Fábio da Costa Carbogim, Universidade Federal de Juiz de Fora – Juiz de Fora (MG), Brasil.

Enfermeiro, Doutora em Enfermagem, Departamento de Enfermagem Básica, Universidade Federal de Juiz de Fora. Juiz de Fora, MG, Brasil.

Claudilene Fernandes da Silva, Universidade Federal de Juiz de Fora – Juiz de Fora (MG), Brasil.

Enfermeira, Mestranda em Enfermagem, HU/EBSERH, Universidade Federal de Juiz de Fora. Juiz de Fora, MG, Brasil.

Ronaldo Rocha Bastos, Universidade Federal de Juiz de Fora – Juiz de Fora (MG), Brasil.

. Engenheiro civil, Doutor em Planejamento Regional e Urbano, Departamento de Estatística, Universidade Federal de Juiz de Fora. Juiz de Fora, MG, Brasil.

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Published

2023-09-28

How to Cite

de Faria, L. R., Alvim, A. L. S., Dutra, H. S., Carbogim, F. da C., da Silva, C. F., & Bastos, R. R. (2023). Adverse events in surgical patients: incidence, characteristics and associated factors. Revista SOBECC, 28. https://doi.org/10.5327/Z1414-4425202328890890

Issue

Vol. 28 (2023)

Section

ORIGINAL ARTICLES

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Copyright (c) 2023 Luciane Ribeiro de Faria, Andre Luiz Silva Alvim, Hérica Silva Dutra, Fábio da Costa Carbogim, Claudilene Fernandes da Silva, Ronaldo Rocha Bastos

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