Frequency and content analysis of adverse event reports in surgical centers: a cross-sectional study
ABSTRACT Objectives: to identify the frequency of adverse events reported in surgical centers and analyze the content of the reports made. Methods: a cross-sectional study analyzed reports from January 2019 to March 2023 in eight hospitals, with a sample of 163 reports. The quantitative analysis c...
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Associação Brasileira de Enfermagem
2025-03-01
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| Series: | Revista Brasileira de Enfermagem |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672025000100169&lng=en&tlng=en |
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| author | Ítalo Lennon Sales de Almeida Ana Paula Agostinho Alencar Vanessa de Brito Poveda Rhanna Emanuela Fontenele Lima de Carvalho |
| author_facet | Ítalo Lennon Sales de Almeida Ana Paula Agostinho Alencar Vanessa de Brito Poveda Rhanna Emanuela Fontenele Lima de Carvalho |
| author_sort | Ítalo Lennon Sales de Almeida |
| collection | DOAJ |
| description | ABSTRACT Objectives: to identify the frequency of adverse events reported in surgical centers and analyze the content of the reports made. Methods: a cross-sectional study analyzed reports from January 2019 to March 2023 in eight hospitals, with a sample of 163 reports. The quantitative analysis considered variables such as type and degree of damage, while the qualitative analysis used similarity analysis in Iramuteq. Results: sixteen never events were identified, including pressure injuries (stages three and four), loss of biopsy material, incorrect surgical procedures, and unintentional retention of a foreign body. The qualitative analysis highlighted terms such as “failures in care”, “failure”, “surgical procedure”, and “pressure injury”. Conclusions: pressure injuries, burns, organ damage, and surgical site infection were the most frequent reports. There is underreporting of adverse events in surgical centers and limitations in the quality of records, including unspecified adverse events and lack of standardization in reporting. |
| format | Article |
| id | doaj-art-ea4cea8969f14892ad16db6b9c705f0f |
| institution | DOAJ |
| issn | 1984-0446 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Associação Brasileira de Enfermagem |
| record_format | Article |
| series | Revista Brasileira de Enfermagem |
| spelling | doaj-art-ea4cea8969f14892ad16db6b9c705f0f2025-08-20T02:47:46ZengAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem1984-04462025-03-0178110.1590/0034-7167-2024-0082Frequency and content analysis of adverse event reports in surgical centers: a cross-sectional studyÍtalo Lennon Sales de Almeidahttps://orcid.org/0000-0002-8013-8565Ana Paula Agostinho Alencarhttps://orcid.org/0000-0002-6262-4279Vanessa de Brito Povedahttps://orcid.org/0000-0002-5839-7253Rhanna Emanuela Fontenele Lima de Carvalhohttps://orcid.org/0000-0002-3406-9685ABSTRACT Objectives: to identify the frequency of adverse events reported in surgical centers and analyze the content of the reports made. Methods: a cross-sectional study analyzed reports from January 2019 to March 2023 in eight hospitals, with a sample of 163 reports. The quantitative analysis considered variables such as type and degree of damage, while the qualitative analysis used similarity analysis in Iramuteq. Results: sixteen never events were identified, including pressure injuries (stages three and four), loss of biopsy material, incorrect surgical procedures, and unintentional retention of a foreign body. The qualitative analysis highlighted terms such as “failures in care”, “failure”, “surgical procedure”, and “pressure injury”. Conclusions: pressure injuries, burns, organ damage, and surgical site infection were the most frequent reports. There is underreporting of adverse events in surgical centers and limitations in the quality of records, including unspecified adverse events and lack of standardization in reporting.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672025000100169&lng=en&tlng=enPatient SafetyNotificationAdverse EventsSurgical CentersOperative Surgical Procedures |
| spellingShingle | Ítalo Lennon Sales de Almeida Ana Paula Agostinho Alencar Vanessa de Brito Poveda Rhanna Emanuela Fontenele Lima de Carvalho Frequency and content analysis of adverse event reports in surgical centers: a cross-sectional study Revista Brasileira de Enfermagem Patient Safety Notification Adverse Events Surgical Centers Operative Surgical Procedures |
| title | Frequency and content analysis of adverse event reports in surgical centers: a cross-sectional study |
| title_full | Frequency and content analysis of adverse event reports in surgical centers: a cross-sectional study |
| title_fullStr | Frequency and content analysis of adverse event reports in surgical centers: a cross-sectional study |
| title_full_unstemmed | Frequency and content analysis of adverse event reports in surgical centers: a cross-sectional study |
| title_short | Frequency and content analysis of adverse event reports in surgical centers: a cross-sectional study |
| title_sort | frequency and content analysis of adverse event reports in surgical centers a cross sectional study |
| topic | Patient Safety Notification Adverse Events Surgical Centers Operative Surgical Procedures |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672025000100169&lng=en&tlng=en |
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