Eventos adversos em hospitais britânicos: revisão preliminar retrospectiva de prontuários

VINCENT, C. ; NEALE, G. ; WOLOSHYNOWYCH, M.
Título original:
Adverse events in British hospitals: preliminary retrospective record review
Resumo Original:

Objectives: To examine the feasibility of detecting adverse events through record review in British hospitals and to make preliminary estimates of the incidence and costs of adverse events.

Design: Retrospective review of 1014 medical and nursing records.

Setting: Two acute hospitals in Greater London area.

Main outcome measure: Number of adverse events.

Results: 110 (10.8%) patients experienced an adverse event, with an overall rate of adverse events of 11.7% when multiple adverse events were included. About half of these events were judged preventable with ordinary standards of care. A third of adverse events led to moderate or greater disability or death.

Conclusions: These results suggest that adverse events are a serious source of harm to patients and a large drain on NHS resources. Some are major events; others are frequent, minor events that go unnoticed in routine clinical care but together have massive economic consequences

Fonte:
BMJ : British Medical Journal / British Medical Association ; 322(7285): 517-9; 2001. DOI: 10.1136/bmj.322.7285.517.
DECS:
Dano ao paciente, registros médicos, revisão, Londres