Characterization of reported deaths resulting from complications of medical and surgical care
DOI:
https://doi.org/10.5902/2179769265710Keywords:
Mortalidade hospitalar, Complicações pós-operatórias, Segurança do paciente, Assistência à saúde, Sistema único de saúdeAbstract
Objective: describing the cases of deaths reported due to complications of medical and surgical care in Brazil between 2015 to 2018. Method: a descriptive and retrospective conducted between June and July 2020 with the records of deaths extracted from the Health Mortality Information System. The data were grouped into two biennia, 2015-2016, and 2017-2018, and analyzed by descriptive statistics and percentage variations. Results: there were reported 6,587 deaths, especially the 2017-2018 biennium (n=3,425;52%). Deaths caused using medical equipment reduced in Brazil, with a negative percentage variation of 15.4% among the biennia. There was an increase in deaths from adverse effects of drugs/medications with a positive percentage variation of 12.2%. The number of deaths from accidents during hospital care remained stationary. Conclusion: changes were observed in the records of deaths notified in Brazil, and expanding preventive actions aimed at reducing deaths are necessary in all notification groups.
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Ribeiro GSR, Silva RC, Ferreira MA, Silva GR, Campos JF, Andrade BRP. Equipment failure: conducts of nurses and implications for patient safety. Rev Bras Enferm. 2018;71(4):1832-40. doi: 10.1590/0034-7167-2016-0547
Allard MA, Blanié A, Brouquet A, Benhamou D. Learning non-technical skills in surgery. J Visc Surg 2020;157(3 Suppl 2):S131-6. doi: 10.1016/j.jviscsurg.2020.03.001
Costa NN, Silva AEBC, Lima JC, Barbosa MRS, Freitas JS, Bezerra ALQ. The portrait adverse events in a medical clinic: analysis of a decade. Cogitare Enferm. 2016;21(5):1-9. doi: 10.5380/ce.v21i5.45661
Agência Nacional de Vigilância Sanitária (ANVISA). Assistência segura: uma reflexão teórica aplicada à prática [Internet]. Brasília (DF): Anvisa; 2017 [acesso em 2021 abr 14]. Disponível em: http://www.saude.pi.gov.br/uploads/divisa_document/file/374/Caderno_1_-_Assist%C3%AAncia_Segura_-_Uma_Reflex%C3%A3o_Te%C3%B3rica_Aplicada_%C3%A0_Pr%C3%A1tica.pdf
Bohlouli B, Jackson TJ, Tonelli M, Hemmelgarn B, Klarenbach S. Adverse outcomes associated with preventable complications in hospitalized patients with CKD. Clin J Am Soc Nephrol. 2017;12(5):799-806. doi: 10.2215/CJN.09410916
Badgery-Parker T, Pearson SA, Dunn S, Elshaug AG. Measuring hospital-acquired complications associated with low-value care. JAMA Intern Med. 2019;179(4):499-505. doi: 10.1001/jamainternmed.2018.7464
Warner JL, Zhang P, Liu J, Alterovitz G. Classification of hospital acquired complications using temporal clinical information from a large electronic health record. J Biomed Inform. 2016;59:209-17. doi: 10.1016/j.jbi.2015.12.008
Nepogodiev D, Martin J, Biccard B, Makupe A, Bhangu A; National Institute for Health Research Global Health Research Unit on Global Surgery. Global burden of postoperative death. Lancet. 2019;393(10170):401. doi:10.1016/S0140-6736(18)33139-8
Covre ER, Melo WA, Tostes MFP, Fernandes CAM. Tendência de internações e mortalidade por causas cirúrgicas no Brasil, 2008 a 2016. Rev Col Bras Cir. 2019;46(1):e1979. doi: 10.1590/0100-6991e-20191979
Stahlschmidt A, Novelo B, Freitas LA, Passos SC, Dussán-Sarria JA, Felix EA, et al. Preditores de mortalidade intra-hospitalar em pacientes submetidos a cirurgias não eletivas em um hospital universitário: uma coorte prospectiva. Rev Bras Anestesiol. 2018;68(5):492-8. doi: 10.1016/j.bjan.2018.04.001
Ribeiro MR, Motta AA, Fonseca LAM, Kalil-Filho J, Bianchi PG. Increase of 10% in the rate of adverse drug reactions for each drug administered in hospitalized patients. Clinics (Sao Paulo). 2018;73:e185. doi: 10.6061/clinics/2018/e185
Ministério da Saúde (BR). Informações de saúde (TABNET) - Estatísticas vitais [Internet]. Brasília (DF): Ministério da Saúde; 2020 [acesso em 2021 apr 14]. Disponível em: http://tabnet.datasus.gov.br/cgi/deftohtm.exe?sim/cnv/obt10uf.def
Ministério da Saúde (BR). Informações de saúde (TABNET) – Indicadores de mortalidade [Internet]. Brasília (DF): Ministério da Saúde; 2020 [acesso em 2021 apr 14]. Disponível em: http://tabnet.datasus.gov.br/cgi/idb2000/fqc12.htm
Santos HG, Andrade SM, Silva AMR, CarvalhoWO, Mesas AE, González AD. Agreement on underlying causes of infant death between original records and after investigation: analysis of two biennia in the years 2000. Rev Bras Epidemiol. 2014;17(2):313-22. doi: 10.1590/1809-4503201400020003eng
Negeliskii C, Bueno ALM, Lima AAA, Scherer JS. Mortality from complications of medical assistance in Brazil from 2000 to 2010. J Health Sci. 2019;21(1):33-8. doi: 10.17921/2447-8938.2019v21n1p33-8
Silva HR, Costa RHF, Pinheiro Neto JC, Macedo Júnior CAA, Nascimento PB, Moraes RA, et al. Analysis of incidents notified to the National Health Surveillance Notification System (NOTIVISA) in Brazil from 2014 to 2019. Res Soc Dev. 2020;9(7):e914974524. doi: 10.33448/rsd-v9i7.4524
Bini R, Pletch AHM, Reis ABO, Souza F, Cuiabano TK. Perfil dos idosos atendidos pela fisioterapia na UTI geral do Hospital Geral Universitário – HGU de Cuiabá/MT. J Health Sci. 2018;20(1):25-8. doi: 10.17921/2447-8938.2018v20n1p25-28
Glusczak L, Lindemann I, Ferro APC, Barduco ES, Ferro MAC, Stobbe JC. Mortalidade pós-cirúrgica em idosos com fratura de fêmur. In: 6° Congresso Internacional em Saúde - CI Saúde. Vigilância em Saúde: Ações de Promoção, Prevenção, Diagnóstico e Tratamento [Internet]. 2019 [acesso em 2021 apr 14]; Disponível em: https://publicacoeseventos.unijui.edu.br/index.php/conintsau/article/view/11417/10016
Vsevolozhskaya OA, Manz KC, Zephyr PM, Waters TM. Measurement matters: changing penalty calculations under the hospital acquired condition reduction program (HACRP) cost hospitals millions. BMC Health Serv Res. 2021;21:131. doi: 10.1186/s12913-021-06108-w
Ranzani OT, Bastos LSL, Gelli JGM, Marchesi JF, Baião F, Hamacher S, et al. Characterisation of the first 250000 hospital admissions for COVID-19 in Brazil: a retrospective analysis of nationwide data. Lancet Respir Med. 2021;9(4):407-18. doi: 10.1016/S2213-2600(20)30560-9
Forster AJ, Huang AH, Lee TC, Jennings A, Choudhri O, Backman C. Study of a multisite prospective adverse event surveillance system. BMJ Qual Saf. 2020;29(4):277-85. doi: 10.1136/bmjqs-2018-008664
Sheikh A, Dhingra-Kumar N, Kelley E, Kienyc MP, Donaldsond LJ. The third global patient safety challenge: tackling medication-related harm. Bull World Health Organ. 2017;95:546-A. doi: 10.2471/BLT.17.198002
Batista J, Cruz EDA, Alpendre FT, Rocha DJM, Brandão MB, Maziero ECS. Prevalência e evitabilidade de eventos adversos cirúrgicos em hospital de ensino do Brasil. Rev Latinoam Enferm. 2019;27:e2939. doi: 10.1590/1518-8345.2939.3171
Uramatsu M, Fujisawa Y, Mizuno S, Souma T, Komatsubara A, Miki T. Do failures in non-technical skills contribute to fatal medical accidents in Japan? A review of the 2010-2013 national accident reports. BMJ Open. 2017;7(2):e013678. doi: 10.1136/bmjopen-2016-013678
Oliveira CG, Rodas ACD. Tecnovigilância no Brasil: panorama das notificações de eventos adversos e queixas técnicas de cateteres vasculares. Cienc Saúde Colet. 2017;22(10):3247-57. doi:10.1590/1413-812320172210.17612017
Gerônimo MS, Leite BCC, Oliveira RD. Gestão da manutenção em equipamentos hospitalares: um estudo de caso. Exacta [Internet]. 2017 [acesso em 2021 abr 14];15(4):167-83. Disponível em: https://www.redalyc.org/pdf/810/81054651013.pdf
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