Dificuldades para notificação de eventos adversos: revisão integrativa.

Abstract

Adverse event (AE) is defined as injury or unintentional damage that resulted in disability or impairment, temporary or permanent, and / or extending the length of stay in healthcare provider environment or even death as a result of care. The occurrence of adverse events in hospitals generate risks in health care and make it difficult to maintain patient safety and quality of care. However when this problem is identified the consequences or the probability of occurrence are reduced, however the great difficulty is in underreporting because it is perceived that is very common during the reporting professional present, fear, guilt, shame, self-punishment and also lack of stimuli and incentives. The objective is thus to gather available evidence in the literature to describe the difficulties encountered in hospitals to record the occurrences of adverse events in patients. The typology of the study was based on a systematic review of the integrative type, using the open-access databases, and selected seven articles in full, in Portuguese, from 2009 to 2014 in the Online System Search and Analysis Medical literature (MEDLINE) and Latin American and Caribbean Health Sciences (LILACS). The period of data collection was from February to March, 2016. Focusing on the considerations of the authors in relation to the research, it was observed that the low quality of notifications is due to the punitive nature that some hospitals have adopted, this also occurs due to some clarification of professionals regarding the relevance of the record and the lack of clarity of records, because it has legitimacy in developments. The study relented that adverse events related to medication are the most prevalent in the analyzed articles. Being the indispensable record in the process of the team communication and the relationship between the patient and health care professional. It’s also used for continuity of care and for research purposes and legal process. Therefore it is of great importance the staff training to ensure the patient safety, care improvement and consequently the health service.