Tools for the investigation of adverse events: scoping review*

Authors

  • Lucas Rodrigo Garcia de Mello Universidade Federal Fluminense, Escola de Enfermagem Aurora Afonso Costa, Niterói, Rio de Janeiro, Brasil. http://orcid.org/0000-0002-4833-606X
  • Barbara Pompeu Christovam Universidade Federal Fluminense, Escola de Enfermagem Aurora Afonso Costa, Niterói, Rio de Janeiro, Brasil. http://orcid.org/0000-0002-9135-8379
  • Ana Paula Amorim Moreira Universidade Federal Fluminense, Escola de Enfermagem Aurora Afonso Costa, Niterói, Rio de Janeiro, Brasil. http://orcid.org/0000-0003-1047-0658
  • Erica Brandão de Moraes Universidade Federal Fluminense, Escola de Enfermagem Aurora Afonso Costa, Niterói, Rio de Janeiro, Brasil. Centro Brasileiro para o Cuidado à Saúde Informado por Evidências: Centro de Excelência do Instituto Joanna Briggs, São Paulo, SP, Brasil. http://orcid.org/0000-0003-3052-158X
  • Graciele Oroski Paes Universidade Federal Rio de Janeiro, Escola de Enfermagem Anna Nery, Rio de Janeiro, RJ, Brasil. http://orcid.org/0000-0001-8814-5770
  • Cassiana Gil Prates Hospital Ernesto Dornelles, Serviço de Epidemiologia e Gerenciamento de Riscos, Porto Alegre, RS, Brasil. http://orcid.org/0000-0001-6077-8584

DOI:

https://doi.org/10.1590/1980-220X-REEUSP-2021-0519pt

Keywords:

Patient Safety, Risk Management, Patient Harm, Health Quality Management, Safety Management

Abstract

Objective: To map, in the literature, the risk management tools aimed at investigating health adverse events. Method: Scoping review according to the Joanna Brigss Institute, with acronym PCC (Population: hospitalized patients, Concept: tools for the investigation of adverse events, and Context: health institutions) carried out in MEDLINE (OVID), EMBASE, LILACS, Scopus, CINAHL, and gray literature. Results: The search totaled 825 scientific productions, 31 of which met the objective of the study, which consisted of 27 scientific articles and 4 expert consensus. It was possible to carry out a synthesis of the necessary steps for the investigation of adverse events and use of the tools according to the extent of damage. Conclusion: The practice of investigating adverse events should be guided by a thorough understanding of contributing factors, a fair culture, and the involvement of senior leadership.

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Published

2022-06-10

Issue

Section

Review

How to Cite

Mello, L. R. G. de, Christovam, B. P. ., Moreira, A. P. A., Moraes, E. B. de, Paes, G. O., & Prates, C. G. (2022). Tools for the investigation of adverse events: scoping review*. Revista Da Escola De Enfermagem Da USP, 56, e20210519. https://doi.org/10.1590/1980-220X-REEUSP-2021-0519pt