Review Article
Volume 2 Issue 8 - 2020
Adverse Events in Hospital Care and Nursing
Lisa Antunes Carvalho*
Doctoral Student in Nursing at the Federal University of Rio Grande, Rio Grande, Brazil
*Corresponding Author: Lisa Antunes Carvalho, Doctoral Student in Nursing at the Federal University of Rio Grande, Rio Grande, Brazil.
Received: June 30, 2020; Published: July 31, 2020


The proposed reflection intends to raise awareness among nursing professionals about the safe attitudes in care delivery as well as to know and discuss the occurrence of adverse events in hospital care in the different areas and the most frequent types of errors that occur in the provision of this care. The text has a theoretical-reflective approach, built from the critical reading of articles, in order to evaluate and summarize the information found. The safety culture that requires change of posture and behavior in patient care needs to be implemented with greater solidity, monitored and required in all phases of care. It is considered important to review the conduct in the event of errors and adverse events. Thus, investment in continuing education, the dialogue between medical and other caregivers, should be a constant in hospital care.

Keywords: Adverse Events; Nursing; Patient Safety; Hospital Care


  1. Brasil. Ministry of Health. “Ordinance Institutes the National Patient Safety Program”. Diário Oficial da União, Brasília 529 (2013).
  2. Brazil. Ministry of Health. “Reference document for the National Patient Safety Program/Ministry of Health; Oswaldo Cruz Foundation; National Health Surveillance Agency”. Brasília: Ministry of Health (2014): 40.
  3. Brazil. Ministry of Health. “National Health Surveillance Agency”. Reference document for the National Patient Safety Program. Brasilia (2014).
  4. Rutberg H., et al. “Characterizations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method”. BMJ Open 4.5 (2014). 
  5. Mello JF and Barbosa SF. “Patient safety culture in intensive care: nursing contributions”. Enfer 22.4 (2013): 1124-1133.
  6. Lopes GTA., et al. “Manual for the elaboration of academic works: norms of ABNT, Vancouver style, bioethics”. And quot; Petrópolis, RJ: EPUB (2006).
  7. Minayo MCS. “The knowledge challenge: qualitative health research”. 8th edition. Sao Paulo: Hucitec (2013).
  8. Moreira IA., et al. “Health professionals' knowledge about adverse events in the intensive care unit”. Rev Enferm UERJ, Rio de Janeiro 23.4 (2015): 461-467. 
  9. World Health Organization (WHO). “Conceptual framework for the International Classification for Patient Safety”. Final Technical Report a Geneva (2009). 
  10. Paese F and Sasso GTMD. “Patient safety culture in primary health care”. Context Text Enfer 22.2 (2013): 302-310.
  11. Pereira CDFD., et al. “Medication errors: nursing working on patient safety”. Nursing Journal 14.163 (2011): 650-655.
  12. Romeu GA., et al. “Notification of adverse reactions at a sentinel hospital in Fortaleza, ceara”. R Bras Farm Hosp Serv Health 2.1 (2011): 5-9.
  13. Anacleto TA., et al. “Hospital Pharmacy. Medication errors”. Pharmacia Brazilian (2010): 1-24.
  14. Ventura CMU., et al. “Adverse events in a neonatal intensive care unit”. Revista Brasileira de Enfermagem 65.1 (2012): 49-55.
  15. Beccaria LM., et al. “Adverse events in nursing care in an intensive care unit”. The Revista Brasileira de Terapia Intensiva 21.3 (2009): 276-282.
  16. Noblat ACB., et al. “Prevalence of hospital admission due to adverse drug reactions in Salvador, BA”. Revista da Associacao Medica Brasileria 57.1 (2011): 42-45.
  17. Silva AEBC., et al. “Adverse drug events in a sentinel hospital in the State of Goiás, Brazil”. Rev Latino-Am Enfermagem 19 (2011): 378-386.
  18. Mendes W., et al. “The assessment of adverse events in hospitals in Brazil”. International Journal for Quality in Health Care 21 (2009): 279-284.
  19. Toffoletto MC. “Factors associated with adverse events in an intensive care unit”. [Doctoral thesis] São Paulo: Universidade de São Paulo (2008).
  20. Carneiro FS., et al. “Adverse events in the surgical clinic of a university hospital: quality assessment instrument”. Revista Enfermagem UERJ 19 (2011): 204-211.
  21. Clear CM., et al. “Adverse events in the Intensive Care Unit: nurses' perception of the non-punitive culture”. Revista da Escola de Enfermagem da USP 45 (2011): 167-172.
  22. Paiva MCMS., et al. “Adverse events: analysis of a notification instrument used in nursing management”. Revista da Escola de Enfermagem da USP 44 (2010): 287-294.
  23. Setz VG and D’innocenzo M. “Quality assessment. of nursing records in the medical record through the audit”. Acta Paul Enferm 22 (2009): 313-317.
  24. Bezerra ALQ., et al. “Analysis of technical complaints and adverse events reported at a sentinel hospital”. Revista Enfermagem UERJ 17.4 (2009): 467-472.
  25. World Health Organization (WHO). “Monitoring the safety of medicines: guidelines for the creation and operation of a Pharmacovigilance Center”. Brasília (DF): Pan American Health Organization (2005).
  26. Santos JC and Ceolim MF. “Nursing iatrogenesis in elderly hospitalized patients”. Rev Esc Enfer USP 43 (2009): 810-817.
  27. Akerman M and Fischer A. “National Agenda of Priorities in Health Research in Brazil (ANPPS): focus on sub-agenda 18 - Health Promotion”. Saúde e Sociedade, São Paulo 23.1 (2014): 180-190.
  28. Ant LMF., et al. “Occurrence of adverse events in hospitals: an integrative review”. Rev Interd Ciên Health 4.2 (2017): 1-8.
  29. AX AF., et al. “Adverse events related to the use of peripheral intravenous catheters in children according to dressing regimens”. Rev Latino-Am Enferm 16 (2008): 362-367.
  30. Birth NB and CMR Cranes. “Medical errors and violation of rules and standards in health: a theoretical discussion in the area of patient safety”. Physics 20.2 (2010): 625-651.
Citation: Lisa Antunes Carvalho. “Adverse Events in Hospital Care and Nursing”. EC Nursing and Healthcare 2.8(2020): 103-110.

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