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

Authors

  • Josemar Batista Universidade Federal do Paraná, Curitiba, PR, Brasil. Faculdades Santa Cruz, Curitiba, PR, Brasil. http://orcid.org/0000-0001-9838-1232
  • Elaine Drehmer de Almeida Cruz Universidade Federal do Paraná, Departamento de Enfermagem, Curitiba, PR, Brasil. http://orcid.org/0000-0002-7686-6340
  • Francine Taporosky Alpendre Universidade Federal do Paraná, Curitiba, PR, Brasil. Complexo Hospitalar de Clínicas da Universidade Federal do Paraná, Unidade de Centro Cirúrgico, Curitiba, PR, Brasil. http://orcid.org/0000-0003-1506-160X
  • Denise Jorge Munhoz da Rocha Complexo Hospitalar de Clínicas da Universidade Federal do Paraná, Assessoria da Gestão da Qualidade, Curitiba, PR, Brasil. http://orcid.org/0000-0002-2385-2391
  • Marilise Borges Brandão Complexo Hospitalar de Clínicas da Universidade Federal do Paraná, Assessoria da Gestão da Qualidade, Curitiba, PR, Brasil. http://orcid.org/0000-0002-9090-8607
  • Eliane Cristina Sanches Maziero Universidade Federal do Paraná, Curitiba, PR, Brasil. Governo do Estado do Paraná, Secretaria de Saúde do Estado do Paraná, Curitiba, PR, Brasil.

DOI:

https://doi.org/10.1590/1518-8345.2939.3171

Keywords:

Patient Safety; Medical Errors; Iatrogenic Disease; Surgical Procedures, Operative; Postoperative Complications; Surgical Wound Infection

Abstract

Objective

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.

Method

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.

Results

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).

Conclusion

the prevalence and avoidability of surgical adverse events are challenges faced by hospital management.

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Published

2019-10-07

Issue

Vol. 27 (2019)

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Prevalence and avoidability of surgical adverse events in a teaching hospital in Brazil. (2019). Revista Latino-Americana De Enfermagem, 27(e3181), e3171. https://doi.org/10.1590/1518-8345.2939.3171