Introduction

The attention provided to users of health systems can often end up in adverse events (AE) due to intrinsic or extrinsic system factors.

Objective

To analyze factors related to safety and quality of attention in hospitalized pediatric patients using an adverse-events reporting system.

Method

This is a study derived from a multicentric, transversal, and prospective project. Observation unit: All reported adverse events on hospitalized children aged 0 - 18 at the National Institute of Health of the City of Mexico, from June 2014 to July 2015. The SYREC instrument was used for the report. A statistic descriptive analysis and variable comparison through Chi squared and Fisher exact test was performed.

Results

173 adverse events were registered, 55% of these on males, higher occurrence <1 year (43%), in critical areas 60%. The main events were: unprogrammed intubation (16%), UPP (14%), phlebitis (10%), lesions (9%), burns (8%), medication-related (6%). System factors (39%) were related to distraction, overload, lack of communication, lack of ability, supervision. Extrinsic factors (35%) were related to monitoring, therapeutic handling. Intrinsic factors (26%) were related to the clinic condition of the patient.

Conclusions

Safety and quality of attention to hospitalized pediatric patients is often affected by diverse system factors, thus, nursing professionals should be aware of potential impacts to address them correspondingly.