Hospital adverse events: analysis of internal reporting and reasons for underreporting in official systems

Objective: to analyze adverse events reported internally in different hospitals and the possible reasons for underreporting to official reporting systems. Methods: a mixed study was carried out in three hospitals, using secondary data from internal records and notifications from official systems. In...

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Main Authors: Edilaine Coelho Ferreira (Author), Rafaela Alves Arcanjo (Author), Luana Vieira Toledo (Author), Andreia Guerra Siman (Author)
Format: Book
Published: Universidade Federal do Ceará, 2024-06-01T00:00:00Z.
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001 doaj_0d76e8a5a0bc43a1b9d74b6e78f86f9f
042 |a dc 
100 1 0 |a Edilaine Coelho Ferreira  |e author 
700 1 0 |a Rafaela Alves Arcanjo  |e author 
700 1 0 |a Luana Vieira Toledo  |e author 
700 1 0 |a Andreia Guerra Siman  |e author 
245 0 0 |a Hospital adverse events: analysis of internal reporting and reasons for underreporting in official systems 
260 |b Universidade Federal do Ceará,   |c 2024-06-01T00:00:00Z. 
500 |a 10.15253/2175-6783.20242593160 
500 |a 2175-6783 
520 |a Objective: to analyze adverse events reported internally in different hospitals and the possible reasons for underreporting to official reporting systems. Methods: a mixed study was carried out in three hospitals, using secondary data from internal records and notifications from official systems. Interviews were conducted with 27 professionals. We used content analysis and statistical analysis of the text corpus using the software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires. Results: of the 1,154 adverse events recorded internally, medication/intravenous fluid errors and clinical processes/procedures stand out. However, in the official systems, failure to identify falls appears as the most reported event. The prevalence of underreporting in the official systems was 34.4%, the main reasons being: difficulty of access, lack of knowledge, complexity of the systems, turnover, work overload, internal underreporting, and non-exclusive human resources at the center. Conclusion: The main internal notifications were of medication/intravenous fluid errors and clinical processes/procedures, but there was under-reporting to official systems due to human resources, infrastructure, and management issues. Contributions to practice: the role of managers, professionals, and the regulatory body in implementing actions to facilitate, train, and support those responsible for records stand out. 
546 |a EN 
546 |a PT 
690 |a patient safety; notification; underregistration; health information systems; medical errors. 
690 |a Nursing 
690 |a RT1-120 
655 7 |a article  |2 local 
786 0 |n Rev Rene, Vol 25, p e93160 (2024) 
787 0 |n http://periodicos.ufc.br/rene/article/view/93160/250412 
787 0 |n https://doaj.org/toc/2175-6783 
856 4 1 |u https://doaj.org/article/0d76e8a5a0bc43a1b9d74b6e78f86f9f  |z Connect to this object online.