Affiliation:
1. Universidade Federal Fluminense, Brazil
2. Universidade Federal Fluminense, Brazil; Centro Brasileiro para o Cuidado à Saúde Informado por Evidências: Centro de Excelência do Instituto Joanna Briggs, Brazil
3. Universidade Federal Rio de Janeiro, Brazil
4. Hospital Ernesto Dornelles, Brazil
Abstract
ABSTRACT Objective: To map, in the literature, the risk management tools aimed at investigating health adverse events. Method: Scoping review according to the Joanna Brigss Institute, with acronym PCC (Population: hospitalized patients, Concept: tools for the investigation of adverse events, and Context: health institutions) carried out in MEDLINE (OVID), EMBASE, LILACS, Scopus, CINAHL, and gray literature. Results: The search totaled 825 scientific productions, 31 of which met the objective of the study, which consisted of 27 scientific articles and 4 expert consensus. It was possible to carry out a synthesis of the necessary steps for the investigation of adverse events and use of the tools according to the extent of damage. Conclusion: The practice of investigating adverse events should be guided by a thorough understanding of contributing factors, a fair culture, and the involvement of senior leadership.
Reference49 articles.
1. Institui ações para a segurança do paciente em serviços de saúde e dá outras providências [Internet],2013
2. Institui o Programa Nacional de Segurança do Paciente (PNSP) [Internet],2013
3. The assessment of adverse events in hospitals in Brazil;Mendes W;Int J Qual Health Care.,2009
4. Learning from adverse events: adverse events reported to the Health Quality & Safety Commission 1 July 2018 to 30 June 2019 [Internet],2019
5. JBI Manual for Evidence Synthesis;Peters MDJ,2020
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献