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Prevalence and avoidability of surgical adverse events in a teaching hospital in Brazil

Batista, Josemar ; Cruz, Elaine Drehmer de Almeida ; Alpendre, Francine Taporosky ; Rocha, Denise Jorge Munhoz da ; Brandão, Marilise Borges ; Maziero, Eliane Cristina Sanches

Revista latino-americana de enfermagem, 2019-01, Vol.27, p.e2939-e2939 [Periódico revisado por pares]

Brazil: Universidade de São Paulo-USP, Escola de Enfermagem de Ribeirão Preto - USP

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Título:
Prevalence and avoidability of surgical adverse events in a teaching hospital in Brazil
Autor: Batista, Josemar ; Cruz, Elaine Drehmer de Almeida ; Alpendre, Francine Taporosky ; Rocha, Denise Jorge Munhoz da ; Brandão, Marilise Borges ; Maziero, Eliane Cristina Sanches
Assuntos: Adult ; Artigo Original ; Brazil - epidemiology ; Cross-Sectional Studies ; Female ; Hospitals, Teaching - statistics & numerical data ; Humans ; Infections ; Male ; Middle Aged ; Patient Safety ; Postoperative Complications - epidemiology ; Postoperative Complications - prevention & control ; Postoperative Period ; Retrospective Studies ; Surgical Procedures, Operative - adverse effects ; Surgical Procedures, Operative - standards ; Surgical Wound Dehiscence - epidemiology ; Surgical Wound Infection - epidemiology ; Teaching hospitals
É parte de: Revista latino-americana de enfermagem, 2019-01, Vol.27, p.e2939-e2939
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: to estimate the prevalence and avoidability of surgical adverse events in a teaching hospital and to classify the events according to the type of incident and degree of damage. cross-sectional retrospective study carried out in two phases. In phase I, nurses performed a retrospective review on a simple randomized sample of 192 records of adult patients using the Canadian Adverse Events Study form for case tracking. Phase II aimed at confirming the adverse event by an expert committee composed of physicians and nurses. Data were analyzed by univariate descriptive statistics. the prevalence of surgical adverse events was 21.8%. In 52.4% of the cases, detection occurred on outpatient return. Of the 60 cases analyzed, 90% (n = 54) were preventable and more than two thirds resulted in mild to moderate damage. Surgical technical failures contributed in approximately 40% of the cases. There was a prevalence of the infection category associated with health care (50%, n = 30). Adverse events were mostly related to surgical site infection (30%, n = 18), suture dehiscence (16.7%, n = 10) and hematoma/seroma (15%, n = 9). the prevalence and avoidability of surgical adverse events are challenges faced by hospital management.
Editor: Brazil: Universidade de São Paulo-USP, Escola de Enfermagem de Ribeirão Preto - USP
Idioma: Português;Inglês;Espanhol

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Prevalence and avoidability of surgical adverse events in a teaching hospital in Brazil

Batista, Josemar ; Cruz, Elaine Drehmer de Almeida ; Alpendre, Francine Taporosky ; Rocha, Denise Jorge Munhoz da ; Brandão, Marilise Borges ; Maziero, Eliane Cristina Sanches

Brazil: Universidade de São Paulo-USP, Escola de Enfermagem de Ribeirão Preto - USP

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