Observational studyRevista brasileira de enfermagem2023
Occurrence and preventability of adverse events in hospitals: a retrospective study.
Observational study in Revista brasileira de enfermagem, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Predictive values of trigger tools for identifying adverse events in hospitalized patients using a medical record review: a systematic review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Pooled it
- 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
- [Drug safety: advances and challenges on the path to excellence at Brazilian hospitals].Cadernos de saude publica · 2026Article
- The impact of patient-facing digital health interventions on patient safety outcomes: a meta-analysis of meta-analyses.Oxford open digital health · 2026Review
- Safe Practices in Intravenous Drug Therapy in Hospitalized Adult Patients: Scoping Review.Revista brasileira de enfermagem · 2026Article
- The Paradox of Healthcare in the 'Superbugs' Era: Current Challenges and Future Directions.Pathogens (Basel, Switzerland) · 2025Review
- Panorama of Two Decades of Maternal Deaths in Brazil: Retrospective Ecological Time Series.Nursing reports (Pavia, Italy) · 2025Article
- Perceptions of patient safety culture in a teaching hospital in Brazil.BMC health services research · 2025Article
- Risk Management and Patient Safety in the Artificial Intelligence Era: A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- [Factors Associated with Triggers and Adverse Events in PediatricsFactores asociados con desencadenantes y eventos adversos en pediatría].Revista CuidarteArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesto analyze the incidence of preventable adverse events related to health care in adult patients admitted to public hospitals in Brazil.
methodsobservational, analytical, retrospective study based on medical records review.
resultsmedical records from 370 patients were evaluated, 58 of whom had at least one adverse event. The incidence of adverse events corresponded to 15.7%. Adverse events were predominantly related to healthcare-related infection (47.1%) and procedures (24.5%). Regarding the adverse event severity, 13.7% were considered mild, 51.0% moderate, and 35.3% severe. 99% of adverse events were classified as preventable. Patients admitted to the emergency room had a 3.73 times higher risk for adverse events.
conclusionsthis study's results indicate a high incidence of avoidable adverse events and highlight the need for interventions in care practice.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.