N.
|
Title
|
Journal and year of publication
|
Authors
|
Study design
|
Interventions
|
Outcomes
|
01 |
The reasons of the nursing staff to notify
adverse events |
Rev Lat-am Enfermagem |
Paiva MCMS, Popim RC, Melleiro MM, Tronchim
DMR, Lima SAM, Juliani CMCM(1414 Paiva MC, Popim RC, Melleiro MM, Tronchim DM, Lima SA, Juliani CM. The
reasons of the nursing staff to notify adverse events. Rev Latinoam Enferm
[Internet]. 2014 [cited 2014 December 14];22(5):747-54. Available from:
http://www.ncbi.nlm.nih.gov/pubmed/25493669 http://www.ncbi.nlm.nih.gov/pubmed/25493...
)
|
Phenomenological qualitative study N = 31
nursing professionals |
Understanding the motivation of nursing
professionals for the reporting of adverse events. |
Notification of adverse events is a tool to
help management of the care. |
2014 |
02 |
Improving patient safety: how and why
incidences occur in nursing care |
Rev Esc Enferm USP |
Toffoletto MC, Ruiz XR(1515 Toffoletto MC, Ruiz XR. Improving patient safety: how and whyincidences
occur in nursing care. Rev Esc Enferm USP [Internet]. 2013 [cited 2014 December
14];47(5):1098-105. Available from:
http://www.scielo.br/pdf/reeusp/v47n5/0080-6234-reeusp-47-05-1098.pdf http://www.scielo.br/pdf/reeusp/v47n5/00...
)
|
Cross-sectional quantitative study N = 18
incidents |
Root cause analysis of incidents related to
nursing care. |
Vulnerable points in the system can lead to
adverse events and root cause analysis can identify these points. |
2013 |
03 |
Adverse effects in surgical patients:
knowledge of the nursing professionals |
Acta Paul Enferm |
Bohomol E, Tartali JA(1616 Bohomol E, Tartali JA. Eventos adversos em pacientes cirúrgicos:
conhecimento dos profissionais de enfermagem. Acta Paul Enferm [Internet]. 2013
[acesso em 15 de julho de 2014];26(4):376-81. Disponível em:
http://www.scielo.br/pdf/ape/v26n4/en_v26n4a12.pdf http://www.scielo.br/pdf/ape/v26n4/en_v2...
)
|
Cross-sectional quantitative study N = 31
nursing professionals |
The knowledge of the nursing staff on
surgical adverse events, responsible causes, notification. |
Identified a fragmented view of the nursing
staff about patient safety in the studied scenario, where responsibility
is not shared by all. |
2013 |
04 |
Nursing allocation and adverse
events/incidents in intensive care units |
Rev Esc Enferm USP |
Gonçalves LA, Andolhe R, Oliveira EM, Barbosa
RL, Faro ACM, Galloti RMD, Padilha KG(1717 Gonçalves LA, Andolhe R, Oliveira EM, Barbosa RL, Faro ACM, Galloti RMD,
et al. Alocação da equipe de enfermagem e ocorrência de eventos adversos: incidentes
em unidade de terapia intensiva. Rev Esc Enferm USP [Internet]. 2012 [acesso em 14 de
dezembro de 2014];46(n.º esp);71-1. Disponível em:
http://www.scielo.br/pdf/reeusp/v46nspe/en_11.pdf http://www.scielo.br/pdf/reeusp/v46nspe/...
)
|
Observational descriptive quantitative study
N=46 patients |
Relationship between the adequacy of the
nursing staff, working hours and the occurrence of adverse events in
ICU. |
There is a relationship between the
allocation of the nursing team and the event occurrences. Under the
appropriate allocations average of occurrence was 0.8 and the inadequate
0.9 to 1.6. |
2012 |
05 |
Evaluation of adverse drug events in the
hospital context |
Esc Anna Nery Rev |
Roque KE, Melo ECP(1818 Roque KE, Melo ECP. Avaliação dos eventos adversos a medicamentos no
contexto hospitalar. Esc Anna Nery Rev Enferm [Internet]. 2012 [acesso em 15 de julho
de 2014];16(1):121-7. Disponível em:
http://www.scielo.br/pdf/ean/v16n1/v16n1a16.pdf http://www.scielo.br/pdf/ean/v16n1/v16n1...
)
|
Retrospective quantitative study N = 112
patients |
Analysis of adverse events compared to the
damage. |
The events that have compromised the
patient's life were recorded in detail, unlike the others. |
2012 |
06 |
Nursing care quality and adverse events in US
hospitals |
J Clin Nurs |
Lucero RJ, Lake ET, Aiken LH(1919 Lucero RJ, Lake ET, Aiken LH. Nursing care quality and adverse events in
US hospitals. J Clin Nurs [Internet]. 2010 [cited 2014 December
14];19(15-16):2185-95. Available from:
http://www.ncbi.nlm.nih.gov/pubmed/20659198 http://www.ncbi.nlm.nih.gov/pubmed/20659...
)
|
Cross-sectional Quantitative study N = 10 184
nurses and 168 hospitals |
Association between the quality of care and
the occurrence of adverse events in US hospitals. |
The optimization of nursing care contributes
to the reduction of adverse events. |
2011 |
07 |
Adverse events: instrument for assessing
performance of a university hospital surgical center |
Rev Enferm UERJ |
Souza LP, Bezerra ALQ, Silva AEBC, Carneiro
FS, Paranaguá TTB, Lemos LF(2020 Souza LP, Bezerra ALQ, Silva AEBC, Carneiro FS, Paranaguá TTB, Lemos LF.
Eventos adversos: instrumento de avaliação do desempenho em centro cirúrgico de um
hospital universitário. Rev Enferm UERJ [internet]. 2011 [acesso em 14 de dezembro de
2014];19(1):127-33. Disponível em:
http://www.facenf.uerj.br/v19n1/v19n1a21.pdf http://www.facenf.uerj.br/v19n1/v19n1a21...
)
|
Retrospective study N=42 adverse events
recorded in books and nursing records |
Knowledge of adverse events in the operating
room. |
Adverse events related to the service and
care organization, resulting in serious injuries and deaths. |
2011 |
08 |
Medication-related adverse events:
percepception of nursing aides |
Rev Bras Enferm |
Corbellini VL, Schilling MCL, Frantz SF,
Godinho TG, Urbanetto JS(2121 Corbellini VL, Schilling MCL, Frantz SF, Godinho TG, Urbanetto JS.
Eventos adversos relacionados a medicamentos: percepção de técnicos e auxiliares de
enfermagem. Rev Bras Enferm [Internet]. 2011 [acesso em 15 de dezembro de
2014];64(2):241-7. Disponível em:
http://www.scielo.br/pdf/reben/v64n2/a04v64n2.pdf http://www.scielo.br/pdf/reben/v64n2/a04...
)
|
Qualitative study N = 10 nursing technicians
and assistants |
The perception of technicians and assistants
on the occurrence of adverse events. |
Errors in medication administration were
associated with work overload, prescription and misidentification of the
patient. |
2011 |
09 |
Adverse events in sentinela hospital in the
State of Goiás, Brazil |
Rev Latino-Am
Enfermagem |
Silva AEBC, Reis AMM, Mi-asso AI, Santos JO,
Cassiani SHB(2222 Silva AEBC, Reis AMM, Miasso AI, Santos JO, Cassiani SHB. Adverse drug
events in sentinel hospital in the State of Goiás, Brazil. Rev Latinoam Enferm
[Internet]. 2011 [cited 2014 December 15];19(2):378-86. Available from:
http://www.scielo.br/pdf/rlae/v19n2/21.pdf http://www.scielo.br/pdf/rlae/v19n2/21.p...
)
|
Descriptive quantitative, retrospective
study, N = 242 nursing records |
Identification of adverse events through the
nursing records. |
Records are sources of information about
adverse events, risk analysis and implementation of improvements. |
2011 |
10 |
Incidence of inhospital adverse events in the
state of Rio de Janeiro, Brazil: evaluation of patient medical
record |
Rev Bras
Epidemiol |
Pavão ALB, Andrade D, Mendes W, Martins M,
Travassos C(66 Pavão ALB, Barbosa, DAR, Mendes W, Martins MS, Travassos CMR. Estudo de
incidência de eventos adversos hospitalares, Rio de Janeiro, Brasil: avaliação da
qualidade do prontuário do paciente. Rev Bras Epidemiol [Internet]. 2011 [acesso em
15 de julho de 2014];14(4):651-61. Disponível em:
http://www.arca.fiocruz.br/bitstream/icict/3868/1/Estudo%20de%20incid%C3%AAncia%20de%20eventos%20adversos%20hospitalares.pdf http://www.arca.fiocruz.br/bitstream/ici...
)
|
Retrospective quantitative study N = 1,103
records |
Analysis of the quality of medical records
and records of adverse events. |
The analyzed records had poor quality and
lack of important information, particularly in the discharge
summary. |
2011 |
11 |
Risk of falling out of bed. Nursing's
challenge for the patient's safety |
Invest Educ Enferm |
Inoue KC, Mat-suda LM, Melo WA, Mussaraki
ACY, Hayakawa LY(23) |
Cross-sectional descriptive and quantitative
study N = 1,307 observations |
Factors associated with risk of falling. |
Need for improvements in nursing care and
physical space to reduce the risk of falling. |
2011 |
12 |
Patient safety: analysing intravenous
medication preparation in a sentinel network hospital in brazil |
Texto e Contexto
Enferm |
Camerini FG, Silva LD(2424 Camerini FG, Silva LD. Segurança do paciente: análise do preparo de
medicação intravenosa em hospital da rede sentinela. Texto & Contexto Enferm
[Internet]. 2011 [acesso em 10 de novembro de 2013];20(1):41-9. Disponível em:
http://www.scielo.br/pdf/tce/v20n1/05.pdf http://www.scielo.br/pdf/tce/v20n1/05.pd...
)
|
Cross-sectional quantitative multicenter
observational study N = 35 nursing technicians and 365 doses of
medication |
Observation of the type and frequency of
adverse events. |
Error rates above 70% in all categories of
the study. The errors relate to the potential change of microbiological
safety and therapeutic response. |
2011 |
13 |
The length of stay and the occurrence of
adverse drug: a question of nursing |
Esc Anna Nery Rev |
Roque KE, Melo ECP(2525 Roque KE, Melo ECP. Tempo de internação e a ocorrência de eventos
adversos a medicamentos: uma questão de enfermagem. Esc Anna Nery Rev Enferm
[Internet]. 2011 [acesso em 10 de novembro de 2013];15(3):595-601. Disponível em:
http://www.scielo.br/pdf/ean/v15n3/a22v15n3.pdf http://www.scielo.br/pdf/ean/v15n3/a22v1...
)
|
Retrospective quantitative evaluation study N
= 112 records |
Evaluation about the occurrence of adverse
drug events. |
The probability of no adverse event and
survival varies according to the length of hospital stay. The longer the
time, the greater the chances of occurrence. |
2011 |
14 |
Adverse events in the surgical clinic of a
university hospital: a tool for assessing quality |
Rev Enferm UERJ |
Carneiro FS, Bezerra ALQ, Silva AEBC, Souza
LP, Paranaguá TTB, Branquinho NCSS(2626 Carneiro FS, Bezerra ALQ, Silva AEBC, Souza LP, Paranaguá TTB,
Branquinho NCSS. Eventos adversos na clínica cirúrgica de um hospital universitário:
instrumento de avaliação da qualidade. Rev Enferm UERJ [Internet]. 2011 [acesso em 10
de novembro de 2013];19(2):204-11. Disponível em:
http://www.facenf.uerj.br/v19n2/v19n2a06.pdf http://www.facenf.uerj.br/v19n2/v19n2a06...
)
|
Retrospective quantitative study N=264
medical errorss |
Analysis of adverse events in a surgical
clinic. |
Identification of various events, however,
the notification rate was 19.05%, indicating underreporting. Death was
the most serious consequence. |
2011 |
15 |
Errors in the administration of antibiotics
in the intensive care unit of the teaching hospital |
Rev Eletronica Enferm |
Rodrigues MCS, Oliveira LC(2727 Rodrigues MCS, Oliveira LC. Erros na administração de antibióticos em
terapia intensiva de hospital de ensino. Rev Eletrônica Enferm [Internet] 2010
[acesso em 10 de novembro de 2013];12(3):511-9. Disponível em:
http://www.fen.ufg.br/revista/v12/n3/v12n3a14.htm http://www.fen.ufg.br/revista/v12/n3/v12...
)
|
Descriptive quantitative study N = 35
patients prescriptions |
Characterization of errors in the
administration of antibiotics. |
Identified preventable and avoidable errors
in preparation and administration of antibiotics by the nursing
team. |
2010 |
16 |
Adverse events and tools for improving the
assistance safety of nursing |
CuidArte Enferm |
Françolin L, Gabriel CS, Melo MRAC, Correa
JS(2828 Françolin L, Gabriel CS, Melo MRAC, Correa JS. Eventos adversos e
ferramentas para melhoria da segurança assistencial da enfermagem. CuidArte Enferm
[Internet]. 2010 [acesso em 10 de novembro de 2013];4(2):74-9. Disponível em:
http://bases.bireme.br/cgi-bin/wxislind.exe/iah/online/?IsisScript=iah/iah.xis&src=google&base=BDENF&lang=p&nextAction=lnk&exprSearch=20565&indexSearch=ID http://bases.bireme.br/cgi-bin/wxislind....
)
|
Retrospective descriptive quantitative study
N=3,220 patients |
Knowledge of the adverse events in the daily
care and spontaneously reported. |
Study conducted comparison of different
institutions. However, points out that this comparison was not
appropriate because each institution has a different reality. |
2010 |
17 |
Iatrogenic or adverse event: perception of
nursing staff |
Rev Enferm UFPE online |
Cecchetto FH, Fachinelli TS, Souza
EM(2929 Cecchetto FH, Fachinelli TS, Souza EM. Iatrogenia ou evento adverso:
percepção da equipe de enfermagem. Rev Enferm UFPE online [Internet]. 2010 [acesso em
10 de novembro de 2013];4(3):1377-83. Disponível em:
http://bases.bireme.br/cgi-bin/wxislind.exe/iah/online/?IsisScript=iah/iah.xis&src=google&base=BDENF&lang=p&nextAction=lnk&exprSearch=20362&indexSearch=ID http://bases.bireme.br/cgi-bin/wxislind....
)
|
Exploratory descriptive qualitative study N =
12 professional nursing |
Nursing staff perception facing the
experienced events. |
Professionals realize the seriousness of the
fact communicating occurrences to the team and assuming the
responsibilities. |
2010 |
18 |
The attitudes of nurses from an intensive
care unit in the face of errors: an approach in light of bioethics |
Rev Lat-am Enfermagem |
Coli RCP, Anjos MF, Perereira
LL(1111 Coli RCP, Anjos MF, Pereira LL. The atitudes of nurses from an intensive
care unit in the face of errors: an approach in light of bioethics. Rev Latinoam
Enferm [Internet]. 2010 [cited 2014 July 14];18(3):324-30. Available from:
http://www.ncbi.nlm.nih.gov/pubmed/20721419 http://www.ncbi.nlm.nih.gov/pubmed/20721...
)
|
Descriptive qualitative study N = 14
nurses |
Position analysis of nurses according to
bioethical references. |
Nurses positioned themselves recognizing
their mistakes and their vulnerabilities. |
2010 |
19 |
Adverse events: analysis of a notification
instrument used in nursing management |
Rev Esc Enferm USP |
Paiva MCMS, Paiva SAR, Berti
HW(3030 Paiva MCMS, Paiva SAR, Berti HW. Eventos adversos: análise de um
instrumento de notificação utilizado no gerenciamento de enfermagem. Rev Esc Enferm
USP [Internet]. 2010 [acesso em 10 de maio de 2012];44(2):287-94. Disponível em:
http://www.scielo.br/pdf/reeusp/v44n2/en_07.pdf http://www.scielo.br/pdf/reeusp/v44n2/en...
)
|
Retrospective descriptive quantitative study
N = 826 Event Reporting Adverse Bulletins |
Analysis of Adverse Event Reporting Reports
as a means of communication between the nursing staff. |
Newsletters promote the event ID, provide
means of communication and contribute to the work process
management. |
2010 |
20 |
Conduct of the future nurses in the
perspective of medication error |
Rev Enferm UFPE online |
Pereira CMB, Pereira OB, Carboni
RM(3131 Pereira CMB, Pereira OB, Carboni RM. Conduta do futuro enfermeiro
mediante o erro de medicação. Rev Enferm UFPE online [Internet]. 2010 [acesso em 10
novembro de 2013];4(1)113-8. Disponível em:
http://bases.bireme.br/cgi-bin/wxislind.exe/iah/online/?IsisScript=iah/iah.xis&src=google&base=BDENF&lang=p&nextAction=lnk&exprSearch=18841&indexSearch=ID http://bases.bireme.br/cgi-bin/wxislind....
)
|
Exploratory descriptive quantitative study N
= 113 nursing students |
Perception of the student and his conduct by
medication error. |
92% of the students had no doubt, however,
68% believed it was necessary to study more and 75% would report the
error. |
2010 |
21 |
Nursing care and patient safety: visualizing
medication organization, storage and distribution with photographic
research methods |
Rev Latino-Am Enferm |
Raduenz AC, Hoffmann P, Radunz V, Dal Sasso
GTM, Maliska ICA, Marck PB(3232 Raduenz AC, Hoffmann P, Radunz V, Dal Sasso GTM, Maliska ICA, Marck PB.
Nursing care and patient safety: visualizing medication organization, storage and
distribution with photographic research methods. Rev Latinoam Enferm [Internet]. 2010
[cited 2012 June 12];18(6):1045-54. Available from:
http://www.scielo.br/pdf/rlae/v18n6/02.pdf http://www.scielo.br/pdf/rlae/v18n6/02.p...
)
|
Qualitative photographic study N = 17
professionals and nursing students |
Photo analysis for the identification of
organization-related errors, packaging, distribution and preparation of
drugs. |
The results demonstrating the frequent
practices were worrying. From the results, the research seeks to improve
patient safety. |
2010 |