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Enfermería Global

On-line version ISSN 1695-6141


LIMA NETO, Alcides Viana de et al. Analysis of notifications of adverse events in a private hospital. Enferm. glob. [online]. 2019, vol.18, n.55, pp.314-343.  Epub Oct 21, 2019. ISSN 1695-6141.


patient safety, in the current context, began to be investigated in the different health fields, aiming to reduce the incidence of damages and adverse events to patients.


to identify and analyze adverse events that compromise patient safety during nursing care in a private hospital.


exploratory, documentary and retrospective research. The instrument of data collection was the report of adverse event notification used by the hospital composed of open and closed questions.


the researchers analyzed 262 reports of adverse/incident events that occurred in the period 2015 to 2016. The contributing factors for the occurrence of adverse events were caused by human failure. Of the total number of forms analyzed, 161 (61.83%) reported carelessness and distraction. The omission was highlighted with 11 (4.20%) cases. The lack of attention with the patient led to 116 (44.27%) errors in medication administration, 46 (17.56%) failures during the typing and transcription of the medical prescription and 35 (13.36%) failures in care.


the incidents are caused by human factors, with possible reversion. When investigated, they can be minimized, which contributes to quality and safety in patient care.

Keywords : Nursing; Patient safety; Damage.

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