Sucesos adversos relacionados con el acto quirúrgico en una institución de salud de tercer nivel / Adverse events related to the surgical act in a third level of health care's institution
Rev. cuba. salud pública
; 44(3)jul.-set. 2018. graf
Article
in Spanish
| LILACS, CUMED
| ID: biblio-960669
Responsible library:
CU1.1
RESUMEN
Introducción:
Los eventos adversos constituyen actualmente un problema de salud pública a nivel mundial y un gran reto para los programas de control y prevención.Objetivo:
Determinar las causas que ocasionan la presencia de sucesos adversos relacionados con el acto quirúrgico en una institución de salud de tercer nivel.Métodos:
Estudio descriptivo con temporalidad retrospectiva realizado en Cali, Colombia en 2015. Se revisaron 164 registros de reporte de evento adverso. Se diseñó un formato de recolección de datos y se tomó como referente el instrumento de reporte de evento adverso del Instituto Nacional de Vigilancia de Medicamentos y Alimentos.Resultados:
Los sucesos adversos registrados se clasificaron en eventos adversos prevenibles 58,44 por ciento, eventos adversos no prevenibles 13,64 por ciento, acciones inseguras 22,73 por cinto e incidentes 5,19 por ciento.Conclusiones:
Los sucesos adversos obedecen a cancelaciones inoportunas de los procedimientos quirúrgicos, descuido en la administración de medicamentos, identificación incorrecta de pacientes, no lavado de manos por parte del equipo quirúrgico y falta de aseo en el quirófano durante los recambios(AU)ABSTRACT
Introduction:
The Adverse Event is the result of health care that unintentionally caused harm. Currently, adverse events are a global public health problem and a major challenge for prevention and control programs.Objective:
To determine the causes that occasioned the occurrence of adverse events related to the surgical act in a third level of health care's institution.Methods:
A descriptive study with retrospective temporality was carried out in Cali, Colombia in 2015. A documentary review was carried out on 164 records of adverse events reporting. A data collection format was designed taking as reference the adverse event reporting instrument of the National Institute for Drug and Food Surveillance.Results:
Registered adverse events were classified in preventable adverse events (58.44 percent), non-preventable adverse events (13.64 percent), unsafe actions (22.73 percent), and incidents (5.19 percent).Conclusions:
Adverse events are due to untimely cancellations of surgical procedures, neglect in medication management, wrong identification of patients, non-hand washing by the surgical team; and lack of cleanliness in the operating room during refills(AU)
Full text:
Available
Collection:
International databases
Database:
CUMED
/
LILACS
Main subject:
Patient Safety
/
Malpractice
Type of study:
Observational study
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Colombia
Language:
Spanish
Journal:
Rev. cuba. salud pública
Journal subject:
Public Health
Year:
2018
Document type:
Article
Affiliation country:
Colombia
Institution/Affiliation country:
Universidad Santiago de Cali/CO