Characteristics of adverse events in primary health care in Brazil
This study aimed to evaluate the occurrence of incidents in primary health care in Brazil. Fifteen health professionals working in Family Health Strategy units agreed to anonymously and confidentially record incidents over the course of five months, using the questionnaire Primary Care International...
Gespeichert in:
| Veröffentlicht in: | Cadernos de saúde pública 2015-11, Vol.31 (11), p.2313-2330 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng ; por |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 2330 |
|---|---|
| container_issue | 11 |
| container_start_page | 2313 |
| container_title | Cadernos de saúde pública |
| container_volume | 31 |
| creator | Marchon, Simone Grativol Mendes Junior, Walter Vieira Pavão, Ana Luiza Braz |
| description | This study aimed to evaluate the occurrence of incidents in primary health care in Brazil. Fifteen health professionals working in Family Health Strategy units agreed to anonymously and confidentially record incidents over the course of five months, using the questionnaire Primary Care International Study of Medical Errors (PCISME) questionnaire adapted to the Brazilian context. The overall rate of incidents was 1.11%. The rate of incidents that did not reach patients was 0.11%. The rate of incidents reaching patients but without causing harm was 0.09%. The rate of incidents reaching patients and causing adverse events was 0.9%. Eight types of most frequent errors and administrative failures were identified. Communication failures were the most common contributing factor to incidents in primary health care (53%). The findings show that incidents occur in primary health care (as elsewhere in the health system), but research in this area is still incipient. |
| doi_str_mv | 10.1590/0102-311X00194214 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1793910485</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1793910485</sourcerecordid><originalsourceid>FETCH-LOGICAL-p211t-3e3dc9490bcbab4564e33cbd2ff7aa2c6d73f83f4278396a16395d8bf60988083</originalsourceid><addsrcrecordid>eNo1j0tLxDAUhYMgzjj6A9xIlm6qublpmiydwRcMuFFwV27TG6bSeZi0A_rrVRxXBw4fH-cIcQHqGkqvbhQoXSDAm1LgjQZzJKZgK1cYY81EnOb8rpRGjeWJmGjrjHKgp2K-WFGiMHDq8tCFLLdRUrvnlFnynjdDlt1G7lK3pvQpV0z9sJKBEv_W80RfXX8mjiP1mc8POROv93cvi8di-fzwtLhdFjsNMBTI2AZvvGpCQ40prWHE0LQ6xopIB9tWGB1GoyuH3hJY9GXrmmiVd045nImrP-8ubT9GzkO97nLgvqcNb8dcQ-XRgzKu_EEvD-jYrLmtD_vr_9_4DQKJV8c</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1793910485</pqid></control><display><type>article</type><title>Characteristics of adverse events in primary health care in Brazil</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Marchon, Simone Grativol ; Mendes Junior, Walter Vieira ; Pavão, Ana Luiza Braz</creator><creatorcontrib>Marchon, Simone Grativol ; Mendes Junior, Walter Vieira ; Pavão, Ana Luiza Braz</creatorcontrib><description>This study aimed to evaluate the occurrence of incidents in primary health care in Brazil. Fifteen health professionals working in Family Health Strategy units agreed to anonymously and confidentially record incidents over the course of five months, using the questionnaire Primary Care International Study of Medical Errors (PCISME) questionnaire adapted to the Brazilian context. The overall rate of incidents was 1.11%. The rate of incidents that did not reach patients was 0.11%. The rate of incidents reaching patients but without causing harm was 0.09%. The rate of incidents reaching patients and causing adverse events was 0.9%. Eight types of most frequent errors and administrative failures were identified. Communication failures were the most common contributing factor to incidents in primary health care (53%). The findings show that incidents occur in primary health care (as elsewhere in the health system), but research in this area is still incipient.</description><identifier>EISSN: 1678-4464</identifier><identifier>DOI: 10.1590/0102-311X00194214</identifier><identifier>PMID: 26840812</identifier><language>eng ; por</language><publisher>Brazil</publisher><subject>Adolescent ; Adult ; Brazil ; Child ; Female ; Humans ; Male ; Medical Errors - adverse effects ; Medical Errors - statistics & numerical data ; Middle Aged ; Patient Safety - statistics & numerical data ; Primary Health Care - statistics & numerical data ; Prospective Studies ; Risk Assessment ; Severity of Illness Index ; Young Adult</subject><ispartof>Cadernos de saúde pública, 2015-11, Vol.31 (11), p.2313-2330</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26840812$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marchon, Simone Grativol</creatorcontrib><creatorcontrib>Mendes Junior, Walter Vieira</creatorcontrib><creatorcontrib>Pavão, Ana Luiza Braz</creatorcontrib><title>Characteristics of adverse events in primary health care in Brazil</title><title>Cadernos de saúde pública</title><addtitle>Cad Saude Publica</addtitle><description>This study aimed to evaluate the occurrence of incidents in primary health care in Brazil. Fifteen health professionals working in Family Health Strategy units agreed to anonymously and confidentially record incidents over the course of five months, using the questionnaire Primary Care International Study of Medical Errors (PCISME) questionnaire adapted to the Brazilian context. The overall rate of incidents was 1.11%. The rate of incidents that did not reach patients was 0.11%. The rate of incidents reaching patients but without causing harm was 0.09%. The rate of incidents reaching patients and causing adverse events was 0.9%. Eight types of most frequent errors and administrative failures were identified. Communication failures were the most common contributing factor to incidents in primary health care (53%). The findings show that incidents occur in primary health care (as elsewhere in the health system), but research in this area is still incipient.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Brazil</subject><subject>Child</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical Errors - adverse effects</subject><subject>Medical Errors - statistics & numerical data</subject><subject>Middle Aged</subject><subject>Patient Safety - statistics & numerical data</subject><subject>Primary Health Care - statistics & numerical data</subject><subject>Prospective Studies</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Young Adult</subject><issn>1678-4464</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j0tLxDAUhYMgzjj6A9xIlm6qublpmiydwRcMuFFwV27TG6bSeZi0A_rrVRxXBw4fH-cIcQHqGkqvbhQoXSDAm1LgjQZzJKZgK1cYY81EnOb8rpRGjeWJmGjrjHKgp2K-WFGiMHDq8tCFLLdRUrvnlFnynjdDlt1G7lK3pvQpV0z9sJKBEv_W80RfXX8mjiP1mc8POROv93cvi8di-fzwtLhdFjsNMBTI2AZvvGpCQ40prWHE0LQ6xopIB9tWGB1GoyuH3hJY9GXrmmiVd045nImrP-8ubT9GzkO97nLgvqcNb8dcQ-XRgzKu_EEvD-jYrLmtD_vr_9_4DQKJV8c</recordid><startdate>201511</startdate><enddate>201511</enddate><creator>Marchon, Simone Grativol</creator><creator>Mendes Junior, Walter Vieira</creator><creator>Pavão, Ana Luiza Braz</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201511</creationdate><title>Characteristics of adverse events in primary health care in Brazil</title><author>Marchon, Simone Grativol ; Mendes Junior, Walter Vieira ; Pavão, Ana Luiza Braz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p211t-3e3dc9490bcbab4564e33cbd2ff7aa2c6d73f83f4278396a16395d8bf60988083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; por</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Brazil</topic><topic>Child</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical Errors - adverse effects</topic><topic>Medical Errors - statistics & numerical data</topic><topic>Middle Aged</topic><topic>Patient Safety - statistics & numerical data</topic><topic>Primary Health Care - statistics & numerical data</topic><topic>Prospective Studies</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marchon, Simone Grativol</creatorcontrib><creatorcontrib>Mendes Junior, Walter Vieira</creatorcontrib><creatorcontrib>Pavão, Ana Luiza Braz</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Cadernos de saúde pública</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marchon, Simone Grativol</au><au>Mendes Junior, Walter Vieira</au><au>Pavão, Ana Luiza Braz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characteristics of adverse events in primary health care in Brazil</atitle><jtitle>Cadernos de saúde pública</jtitle><addtitle>Cad Saude Publica</addtitle><date>2015-11</date><risdate>2015</risdate><volume>31</volume><issue>11</issue><spage>2313</spage><epage>2330</epage><pages>2313-2330</pages><eissn>1678-4464</eissn><abstract>This study aimed to evaluate the occurrence of incidents in primary health care in Brazil. Fifteen health professionals working in Family Health Strategy units agreed to anonymously and confidentially record incidents over the course of five months, using the questionnaire Primary Care International Study of Medical Errors (PCISME) questionnaire adapted to the Brazilian context. The overall rate of incidents was 1.11%. The rate of incidents that did not reach patients was 0.11%. The rate of incidents reaching patients but without causing harm was 0.09%. The rate of incidents reaching patients and causing adverse events was 0.9%. Eight types of most frequent errors and administrative failures were identified. Communication failures were the most common contributing factor to incidents in primary health care (53%). The findings show that incidents occur in primary health care (as elsewhere in the health system), but research in this area is still incipient.</abstract><cop>Brazil</cop><pmid>26840812</pmid><doi>10.1590/0102-311X00194214</doi><tpages>18</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | EISSN: 1678-4464 |
| ispartof | Cadernos de saúde pública, 2015-11, Vol.31 (11), p.2313-2330 |
| issn | 1678-4464 |
| language | eng ; por |
| recordid | cdi_proquest_miscellaneous_1793910485 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent Adult Brazil Child Female Humans Male Medical Errors - adverse effects Medical Errors - statistics & numerical data Middle Aged Patient Safety - statistics & numerical data Primary Health Care - statistics & numerical data Prospective Studies Risk Assessment Severity of Illness Index Young Adult |
| title | Characteristics of adverse events in primary health care in Brazil |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-29T04%3A25%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Characteristics%20of%20adverse%20events%20in%20primary%20health%20care%20in%20Brazil&rft.jtitle=Cadernos%20de%20sa%C3%BAde%20p%C3%BAblica&rft.au=Marchon,%20Simone%20Grativol&rft.date=2015-11&rft.volume=31&rft.issue=11&rft.spage=2313&rft.epage=2330&rft.pages=2313-2330&rft.eissn=1678-4464&rft_id=info:doi/10.1590/0102-311X00194214&rft_dat=%3Cproquest_pubme%3E1793910485%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1793910485&rft_id=info:pmid/26840812&rfr_iscdi=true |