Acessibilidade / Reportar erro

OVERVIEW OF SAFETY INCIDENTS INVOLVING PEDIATRIC PATIENTS AT A UNIVERSITY HOSPITAL* * Artigo extraído da dissertação do mestrado: “Panorama dos incidentes de segurança envolvendo pacientes neonatais e pediátricos em um hospital universitário”, UFRGS, Porto Alegre, RS, Brasil, 2021.

ABSTRACT

Objective:

To analyze the profile and characteristics of safety incidents that occurred between 2015 and 2019 with pediatric patients reported in the computerized system of a university hospital.

Method:

quantitative, descriptive, cross-sectional study with 2,558 notifications at an institution in southern Brazil. Descriptive statistics and the chi-square test were used to analyze the data.

Results:

higher occurrence of safety incidents related to medications/intravenous fluids (n = 643; 25.1%), diet/food (n = 448; 17.5%), clinical process/procedure (n = 384; 15.0%), medical devices/equipment (n = 304; 11.9%), and patient accidents (n = 273; 10.7%). Inpatient and intensive care units are more related to the occurrence of incidents; work shifts were not related to the type of incident reported.

Conclusion:

The overview of safety incidents can guide strategies for improving care in the institution under study and collaborate with other health services in identifying risk situations for hospitalized children.

DESCRIPTORS:
Patient Safety; Pediatrics; Child; Hospitalized; Safety Management; Risk Management.

HIGHLIGHTS

1. ICUs and Inpatient wards had a higher risk of pediatric incidents.

2. Infants were more likely to suffer mild/moderate harm.

3. The most frequent pediatric incidents were related to medications/intravenous fluids.

4. The preventability of reported pediatric incidents was 93.5%.

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