Resumo

ECHEVARRIA ZUNO, Santiago et al. Adverse events in surgery. Cir. gen [online]. 2011, vol.33, n.3, pp.163-169. ISSN 1405-0099.

Objective: To analyze the adverse events reported to the Notification System of sentinel event, adverse event, and quasi-failure ''VENCER II'' of the Mexican Institute of Social Security (IMSS, for its initials in Spanish). Setting: Medical Care Unit, IMSS Design: Cross-sectional, retrospective, observational, descriptive study. Statistical analysis: Percentages as summary measure for qualitative variables. Material and methods: We present a review of the adverse events reported in one month. In this investigation, we included two types of events: those related to surgical procedures and those to infectious processes. Results: Total of adverse events, 78, the most affected age group was that of 16 to 45 years (49%), the predominating gender was the female with 66%; the shift during which they occurred most frequently was the morning shift with 77%, the specialty with the highest incidence was general surgery with 51%. In regard to origin, infections of the surgical site corresponded to 69%, other nosocomial infections represented 1.5%, and non-infectious cases corresponded to 29.5% (organ lesion); severity was moderate in 71%, and the medical personnel was the most infrequently involved with 57%. Conclusion: The system provides permanent feedback, as well as an analysis to identify the root cause and the improvement actions to reduce and prevent adverse events.

Palavras-chave : Adverse events; patients' safety; surgery.

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