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- Title
EVENTOS ADVERSOS E FATORES ASSOCIADOS EM MATERNIDADES DE ALTO RISCO.
- Authors
da Costa Oliveira, Thais; de Oliveira E. Silva, Jovânia Marques; de Carvalho Nagliate, Patrícia; Sales Santos Veríssimo, Regina Célia; da Hora Sales, Maria Lucélia; Silva de Lucena, Tâmara
- Abstract
Objective: To analyze adverse events and associated factors in high-risk maternity hospitals in educational institutions in Maceió, Alagoas, Brasil. Methods: Cross-sectional, retrospective and analytical study, in which 480 medical records of women hospitalized in maternity hospitals were evaluated in 2016, with the outcome of surgical delivery. A retrospective chart review instrument was used, adapted and validated for maternity hospitals in Brazil. The search for tracking criteria was used to analyze the occurrence of adverse events, a process evaluated in two stages, with the verification of the event and the resulting damage. Results: The presence of 1051 tracking criteria was evidenced, representing 163 adverse events, which were located in 26.8% of medical records. The damage was temporary, requiring intervention in 28.8% and an increase in hospital stay in 60.1% of cases. Conclusion: The frequency of adverse events proved to be high, with the profile and types of incidents similar to the already established causes of maternal morbidity and mortality, being more related to hypertensive disorders, hemorrhages and infections, associated with the poor control of clinical situations during pregnancy, childbirth and the puerperium, which runs through the entire network of maternal and child care.
- Subjects
BRAZIL; MATERNAL health services; ACQUISITION of data methodology; ACADEMIC medical centers; CROSS-sectional method; HIGH-risk pregnancy; RETROSPECTIVE studies; DISEASES; QUALITY assurance; MEDICAL records; DESCRIPTIVE statistics; PUERPERIUM; ADVERSE health care events; MATERNAL mortality; PATIENT safety
- Publication
Enfermagem em Foco, 2020, Vol 11, Issue 5, p179
- ISSN
2177-4285
- Publication type
Article