ArticlePloS one2021
Incidence and preventability of adverse events in adult patients admitted to a Brazilian teaching hospital.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 58 citations in OpenAlex.
- Adverse events as key risk factors for in-hospital mortality in intensive care units.Critical care (London, England) · 2026Observational
- Prevalence of Adverse Events in Mexico Using the Institute for Healthcare Improvement-Global Trigger Tool Method: A Retrospective Study.Journal of evaluation in clinical practice · 2026Article
- Perceptions of patient safety culture in a teaching hospital in Brazil.BMC health services research · 2025Article
- Nursing students' skills in surgical wound care improve after clinical simulation: a quasi-experiment.Revista brasileira de enfermagem · 2025Article
- Prevalence of adverse events in hip and knee arthroplasties following the implementation of surgical checklists.Revista latino-americana de enfermagem · 2025Article
- Validation in the Greek Language of the Patients' Perception of the Surgical Safety Questionnaire.Cureus · 2024Article
- Perceptions of Clinical Adverse Event Reporting by Nurses and Midwives.Healthcare (Basel, Switzerland) · 2024Article
- Moral Resilience Reduces Levels of Quiet Quitting, Job Burnout, and Turnover Intention among Nurses: Evidence in the Post COVID-19 Era.Nursing reports (Pavia, Italy) · 2024Article
- Occurrence and preventability of adverse events in hospitals: a retrospective study.Revista brasileira de enfermagem · 2023Observational
- Translation, cross-cultural adaptation and content validation of the Global Trigger Tool surgical module.Revista brasileira de enfermagem · 2022Article
- Patient Safety Culture, Missed Nursing Care, and Adverse Events in University Hospitals: A Cross-Sectional Study.Iranian journal of nursing and midwifery researchArticle
- Standard Elements in Studies of Adverse Events and Medical Error (SESAME): explanation and elaboration.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo analyze the incidence and preventability of adverse events related to health care in adult patients admitted to a Brazilian teaching hospital.
methodsA retrospective cohort study, in which the incidence and preventability of adverse events related to health care were based on a two-stage retrospective review of 368 medical records (nurses and pharmacist review of medical records, followed by physicians review of triggered medical records) of adult patients whose hospitalizations occurred during 2015 in a high-complexity public teaching hospital located in Brazil. Data were collected from February 2018 to February 2019.
resultsA total of 266 adverse events were observed in 124 patients. The incidence of adverse events related to health care was 33.7% (95% CI 0.29-0.39), and the incidence density was 4.97 adverse events per 100 patient-days. Adverse events were responsible for 701 additional days of hospitalization, and the estimated length of additional hospital stay attributable to them was, on average, 6.8 days per event. The most common types of events were related to general care (60; 22.6%), medications (50; 18.8%), nosocomial infection (35; 13.2%), any other type (11; 4.1%), and diagnoses (2; 0.8%). Regarding the severity of adverse events, it was found that 168 (63.2%) were mild, 55 (20.7%) were moderate, and 43 (16.2%) were severe. In addition, it was estimated that 155 (58.3%) events were preventable. The length of a patient's hospital stay was identified as a risk factor for the occurrence of adverse events (RR 1.20; 95% CI 1.04-1.39).
conclusionsThrough knowledge of the incidence, nature, severity, preventability, and risk factors for the occurrence of adverse events, it is possible to create the opportunities to prioritize the implementation of strategies for mitigating specific events based on reliable data and concrete information.
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