Christiane Santiago Maia1, Daniel Roberto Coradi de Freitas1, Luciana Guerra Gallo2, Wildo Navegantes de Araújo3. 1. Agência Nacional de Vigilância Sanitária, Diretoria de Coordenação e Articulação do Sistema Nacional de Vigilância Sanitária, Brasília, DF, Brasil. 2. Universidade de Brasília, Faculdade de Medicina, Brasília, DF, Brasil. 3. Universidade de Brasília, Faculdade de Ceilândia, Brasília, DF, Brasil.
Abstract
OBJECTIVE: to describe the adverse events related to health care resulting in death. METHODS: a descriptive study of reports recorded in the Brazilian Health Surveillance Notification System (Notivisa) in Brazil from Jun 2014 to Jun 2016; notifications recorded as 'other' in the 'incident type' were recoded. RESULTS: 417 cases were recorded, mostly in adults and the elderly (85%), with no sex differences; the states of São Paulo (N=92), Paraná (N=75) and Minas Gerais (N=66) were the main reporter; hospitals contributed to 97% of the records, principally in the intensive care and hospitalization sectors; the investigation by the notifying unit occurred in 5% of cases; in the recode of the type of incident, 52 records were recovered; the most common type of incident was 'failures during health care' (50%). CONCLUSION: notifications resulting in death occurred mainly in hospitals; were identified failure to register and need to investigate the large proportion of deaths.
OBJECTIVE: to describe the adverse events related to health care resulting in death. METHODS: a descriptive study of reports recorded in the Brazilian Health Surveillance Notification System (Notivisa) in Brazil from Jun 2014 to Jun 2016; notifications recorded as 'other' in the 'incident type' were recoded. RESULTS: 417 cases were recorded, mostly in adults and the elderly (85%), with no sex differences; the states of São Paulo (N=92), Paraná (N=75) and Minas Gerais (N=66) were the main reporter; hospitals contributed to 97% of the records, principally in the intensive care and hospitalization sectors; the investigation by the notifying unit occurred in 5% of cases; in the recode of the type of incident, 52 records were recovered; the most common type of incident was 'failures during health care' (50%). CONCLUSION: notifications resulting in death occurred mainly in hospitals; were identified failure to register and need to investigate the large proportion of deaths.
Authors: M Sanni Ali; Maria Yury Ichihara; Luciane Cruz Lopes; George C G Barbosa; Robespierre Pita; Roberto Perez Carreiro; Djanilson Barbosa Dos Santos; Dandara Ramos; Nivea Bispo; Fabiana Raynal; Vania Canuto; Bethania de Araujo Almeida; Rosemeire L Fiaccone; Marcos E Barreto; Liam Smeeth; Mauricio L Barreto Journal: Front Pharmacol Date: 2019-09-23 Impact factor: 5.810