Walter Vieira Mendes Junior

Patient safety in primary health care: a systematic review.

The aim of this study was to identify methodologies to evaluate incidents in primary health care, types of incidents, contributing factors, and solutions to make primary care safer. A systematic literature review was performed in the following databases: PubMed, Scopus, LILACS, SciELO, and Capes, from 2007 to 2012, in Portuguese, English, and Spanish. Thirty-three articles were selected: 26% on retrospective studies, 44% on prospective studies, including focus groups, questionnaires, and interviews, and 30% on cross-sectional studies. The most frequently used method was incident analysis from incident reporting systems (45%). The most frequent types of incidents in primary care were related to medication and diagnosis. The most relevant contributing factors were communication failures among member of the healthcare team. Research methods on patient safety in primary care are adequate and replicable, and they will likely be used more widely, thereby providing better knowledge on safety in this setting.The aim of this study was to identify methodologies to evaluate incidents in primary health care, types of incidents, contributing factors, and solutions to make primary care safer. A systematic literature review was performed in the following databases: PubMed, Scopus, LILACS, SciELO, and Capes, from 2007 to 2012, in Portuguese, English, and Spanish. Thirty-three articles were selected: 26% on retrospective studies, 44% on prospective studies, including focus groups, questionnaires, and interviews, and 30% on cross-sectional studies. The most frequently used method was incident analysis from incident reporting systems (45%). The most frequent types of incidents in primary care were related to medication and diagnosis. The most relevant contributing factors were communication failures among member of the healthcare team. Research methods on patient safety in primary care are adequate and replicable, and they will likely be used more widely, thereby providing better knowledge on safety in this setting.

Adverse events and other incidents in neonatal intensive care units

The occurrence of avoidable adverse events (AEs) represents a problem of quality of care that is responsible for the increase in monetary and social costs, causing suffering to the patient, their family members and the professional involved. This situation is aggravated when it involves newborns (NBs) with very low birth weights and shorter gestational ages, admitted to neonatal intensive care units (NICU). The scope of this study is to understand more about these incidents and adverse events in NICUs. The article aims to identify the occurrence of incidents, with and without injury that have occurred in NICUs in the literature and correlate this with the gestational age group of the NBs most affected. This is a systematic review of the available literature on incidents, particularly AEs as witnessed in NICUs. This study reveals that the types of incidents that occur in NICUs, with or without injury to the patient, are related to errors or failures in medication use, healthcare-associated infections (HAIs), skin injuries, mechanical ventilation and intravascular catheters. The cause of incidents and adverse events in NICUs are associated with human factors and the outcomes that are most damaging are due to HAIs. Furthermore, the study points out ways to mitigate these occurrences.

Segurança do paciente na atenção primária à saúde: revisão sistemática

The aim of this study was to identify methodologies to evaluate incidents in primary health care, types of incidents, contributing factors, and solutions to make primary care safer. A systematic literature review was performed in the following databases: PubMed, Scopus, LILACS, SciELO, and Capes, from 2007 to 2012, in Portuguese, English, and Spanish. Thirty-three articles were selected: 26% on retrospective studies, 44% on prospective studies, including focus groups, questionnaires, and interviews, and 30% on cross-sectional studies. The most frequently used method was incident analysis from incident reporting systems (45%). The most frequent types of incidents in primary care were related to medication and diagnosis. The most relevant contributing factors were communication failures among member of the healthcare team. Research methods on patient safety in primary care are adequate and replicable, and they will likely be used more widely, thereby providing better knowledge on safety in this setting.The aim of this study was to identify methodologies to evaluate incidents in primary health care, types of incidents, contributing factors, and solutions to make primary care safer. A systematic literature review was performed in the following databases: PubMed, Scopus, LILACS, SciELO, and Capes, from 2007 to 2012, in Portuguese, English, and Spanish. Thirty-three articles were selected: 26% on retrospective studies, 44% on prospective studies, including focus groups, questionnaires, and interviews, and 30% on cross-sectional studies. The most frequently used method was incident analysis from incident reporting systems (45%). The most frequent types of incidents in primary care were related to medication and diagnosis. The most relevant contributing factors were communication failures among member of the healthcare team. Research methods on patient safety in primary care are adequate and replicable, and they will likely be used more widely, thereby providing better knowledge on safety in this setting.

Tradução e adaptação de um questionário elaborado para avaliar a segurança do paciente na atenção primária em saúde

O objetivo deste estudo foi descrever as etapas de traducao e adaptacao do questionario do Primary Care International Study of Medical Errors (PCISME). Esse instrumento visa a identificar incidentes ocorridos com pacientes na Atencao Primaria em Saude (APS), no contexto destes servicos, em uma microrregiao de saude, no Estado do Rio de Janeiro, Brasil. Para esse processo, foi organizado um painel com especialistas, os quais adaptaram o questionario por meio do metodo Delphi modificado. O instrumento adaptado pode contribuir para produzir informacoes especificas na APS, de modo a fortalecer iniciativas nacionais para a melhoria da seguranca do paciente.The objective of this study was to describe the translation and adaptation of the questionnaire used in the Primary Care International Study of Medical Errors (PCISME) for application in primary health care in a local health district in Rio de Janeiro State, Brazil. The process included organization of an expert panel that adapted the questionnaire using a modified Delphi method. The adapted instrument can help produce specific information on primary health care and strengthen initiatives to improve patient safety in Brazil.

Características dos eventos adversos na atenção primária à saúde no Brasil

This study aimed to evaluate the occurrence of incidents in primary health care in Brazil. Fifteen health professionals working in Family Health Strategy units agreed to anonymously and confidentially record incidents over the course of five months, using the questionnaire Primary Care International Study of Medical Errors (PCISME) questionnaire adapted to the Brazilian context. The overall rate of incidents was 1.11%. The rate of incidents that did not reach patients was 0.11%. The rate of incidents reaching patients but without causing harm was 0.09%. The rate of incidents reaching patients and causing adverse events was 0.9%. Eight types of most frequent errors and administrative failures were identified. Communication failures were the most common contributing factor to incidents in primary health care (53%). The findings show that incidents occur in primary health care (as elsewhere in the health system), but research in this area is still incipient.

Características de los eventos adversos en la atención primaria de salud en Brasil

This study aimed to evaluate the occurrence of incidents in primary health care in Brazil. Fifteen health professionals working in Family Health Strategy units agreed to anonymously and confidentially record incidents over the course of five months, using the questionnaire Primary Care International Study of Medical Errors (PCISME) questionnaire adapted to the Brazilian context. The overall rate of incidents was 1.11%. The rate of incidents that did not reach patients was 0.11%. The rate of incidents reaching patients but without causing harm was 0.09%. The rate of incidents reaching patients and causing adverse events was 0.9%. Eight types of most frequent errors and administrative failures were identified. Communication failures were the most common contributing factor to incidents in primary health care (53%). The findings show that incidents occur in primary health care (as elsewhere in the health system), but research in this area is still incipient.

Characteristics of adverse events in primary health care in Brazil

This study aimed to evaluate the occurrence of incidents in primary health care in Brazil. Fifteen health professionals working in Family Health Strategy units agreed to anonymously and confidentially record incidents over the course of five months, using the questionnaire Primary Care International Study of Medical Errors (PCISME) questionnaire adapted to the Brazilian context. The overall rate of incidents was 1.11%. The rate of incidents that did not reach patients was 0.11%. The rate of incidents reaching patients but without causing harm was 0.09%. The rate of incidents reaching patients and causing adverse events was 0.9%. Eight types of most frequent errors and administrative failures were identified. Communication failures were the most common contributing factor to incidents in primary health care (53%). The findings show that incidents occur in primary health care (as elsewhere in the health system), but research in this area is still incipient.

Traducción y adaptación de un cuestionario para evaluar la seguridad del paciente en la atención primaria de salud

O objetivo deste estudo foi descrever as etapas de traducao e adaptacao do questionario do Primary Care International Study of Medical Errors (PCISME). Esse instrumento visa a identificar incidentes ocorridos com pacientes na Atencao Primaria em Saude (APS), no contexto destes servicos, em uma microrregiao de saude, no Estado do Rio de Janeiro, Brasil. Para esse processo, foi organizado um painel com especialistas, os quais adaptaram o questionario por meio do metodo Delphi modificado. O instrumento adaptado pode contribuir para produzir informacoes especificas na APS, de modo a fortalecer iniciativas nacionais para a melhoria da seguranca do paciente.The objective of this study was to describe the translation and adaptation of the questionnaire used in the Primary Care International Study of Medical Errors (PCISME) for application in primary health care in a local health district in Rio de Janeiro State, Brazil. The process included organization of an expert panel that adapted the questionnaire using a modified Delphi method. The adapted instrument can help produce specific information on primary health care and strengthen initiatives to improve patient safety in Brazil.

Translation and adaptation of a questionnaire to assess patient safety in primary health care

O objetivo deste estudo foi descrever as etapas de traducao e adaptacao do questionario do Primary Care International Study of Medical Errors (PCISME). Esse instrumento visa a identificar incidentes ocorridos com pacientes na Atencao Primaria em Saude (APS), no contexto destes servicos, em uma microrregiao de saude, no Estado do Rio de Janeiro, Brasil. Para esse processo, foi organizado um painel com especialistas, os quais adaptaram o questionario por meio do metodo Delphi modificado. O instrumento adaptado pode contribuir para produzir informacoes especificas na APS, de modo a fortalecer iniciativas nacionais para a melhoria da seguranca do paciente.The objective of this study was to describe the translation and adaptation of the questionnaire used in the Primary Care International Study of Medical Errors (PCISME) for application in primary health care in a local health district in Rio de Janeiro State, Brazil. The process included organization of an expert panel that adapted the questionnaire using a modified Delphi method. The adapted instrument can help produce specific information on primary health care and strengthen initiatives to improve patient safety in Brazil.

La seguridad del paciente en la atención primaria: una revisión sistemática

The aim of this study was to identify methodologies to evaluate incidents in primary health care, types of incidents, contributing factors, and solutions to make primary care safer. A systematic literature review was performed in the following databases: PubMed, Scopus, LILACS, SciELO, and Capes, from 2007 to 2012, in Portuguese, English, and Spanish. Thirty-three articles were selected: 26% on retrospective studies, 44% on prospective studies, including focus groups, questionnaires, and interviews, and 30% on cross-sectional studies. The most frequently used method was incident analysis from incident reporting systems (45%). The most frequent types of incidents in primary care were related to medication and diagnosis. The most relevant contributing factors were communication failures among member of the healthcare team. Research methods on patient safety in primary care are adequate and replicable, and they will likely be used more widely, thereby providing better knowledge on safety in this setting.The aim of this study was to identify methodologies to evaluate incidents in primary health care, types of incidents, contributing factors, and solutions to make primary care safer. A systematic literature review was performed in the following databases: PubMed, Scopus, LILACS, SciELO, and Capes, from 2007 to 2012, in Portuguese, English, and Spanish. Thirty-three articles were selected: 26% on retrospective studies, 44% on prospective studies, including focus groups, questionnaires, and interviews, and 30% on cross-sectional studies. The most frequently used method was incident analysis from incident reporting systems (45%). The most frequent types of incidents in primary care were related to medication and diagnosis. The most relevant contributing factors were communication failures among member of the healthcare team. Research methods on patient safety in primary care are adequate and replicable, and they will likely be used more widely, thereby providing better knowledge on safety in this setting.