Analysis of Notifications of Incidents Related to Health Care in the State of Pará, during the Covid 19 Pandemic
Dauriane Souza Silva Miranda
University of the Amazon (UNAMA), Ananindeua, Pará, Brazil.
Nayara Oliveira Costa
University of the Amazon (UNAMA), Ananindeua, Pará, Brazil.
Thais Soares da Silva
University of the Amazon (UNAMA), Ananindeua, Pará, Brazil.
Elma Adalgisa Lima Teixeira
University of the Amazon (UNAMA), Ananindeua, Pará, Brazil.
Danielle Iasmim Sarmento Pinheiro
University of the Amazon (UNAMA), Ananindeua, Pará, Brazil.
Elyson Fernanda Ribeiro da Conceição
University of the Amazon (UNAMA), Ananindeua, Pará, Brazil.
Ryane Oliveira Neves
Postgraduate Program in Parasite Biology in the Amazon, (PPGBPA/UEPA), Brazil.
Wênia Gilmara da Silva
University of the Amazon (UNAMA), Ananindeua, Pará, Brazil.
Cielma Amaral da Silva
University of the Amazon (UNAMA), Ananindeua, Pará, Brazil.
Thayrla dos Santos Duarte
University of the Amazon (UNAMA), Ananindeua, Pará, Brazil.
Maria Luisa Freitas Rodrigues Lima
University of the Amazon (UNAMA), Ananindeua, Pará, Brazil.
Acsa Lino Geraldo
University of the Amazon (UNAMA), Ananindeua, Pará, Brazil.
Perla Katheleen Valente Corrêa
Postgraduate Program in Virology. Evandro Chagas Institute (PPGV/IEC), University of the Amazon (UNAMA), Ananindeua, Pará, Brazil.
Natasha Cristina Oliveira Andrade
Postgraduate Program in Parasite Biology in the Amazon, (PPGBPA/UEPA), Brazil.
Mayara Annanda Oliveira Neves Kimura
*
Postgraduate Program in Virology. Evandro Chagas Institute (PPGV/IEC), University of the Amazon (UNAMA), Ananindeua, Pará, Brazil.
*Author to whom correspondence should be addressed.
Abstract
Objective: to analyze the incidents and adverse events related to health care in the State of Pará in the period from 2020 to 2021, registered in the National Notification Program for Health Surveillance (NOTIVISA).
Methods: This is a cross-sectional study with a quantitative approach, using secondary data recorded in NOTIVISA, published and made available on the ANVISA website.
Results: it was possible to verify during the study period that the state of Pará recorded 498 notifications of incidents related to health care in the period from 2020 to 2021 to NOTIVISA. The most notified and highlighted types of events were during health care with 201 notifications (40.36%). Of the incidents recorded, the majority occurred in hospitals, with 199 (42.16%) notifications involving failures during health care. Regarding the outpatient service, we highlight the incident Patients Accidents (3) (0.64%) and Patient Fall (2) (0.42%). In other types of services, failures during health care were the most notified event, with 2 records (0.42%). In the clinics, the reported incidents were Bronchoaspiration and Failures in the administration of O2 or medicinal gases, both with 1 notification (0.21%). In the types of damage, Light Damage stood out with 288 notifications (57.83%), followed by No damage with 82 notifications (16.47%), Moderate damage with 77 records (15.46%), Death with 28 records (5.62%) and Severe with 23 notifications (4.62%). Incidents by age group show that adults aged 56 to 65 years were the most affected, with 85 records (17.07%). In relation to pediatrics, the age group of less than 28 days was the one that obtained the highest number of notifications, with 33 records (6.63%). Reported deaths were highlighted in Failures during Health Care (23) (82.14%). The most notified never events were Stage III Pressure Injury (PPL), with 7 notifications (87.50%).
Conclusion: between 2020 and 2021, NOTIVISA recorded only 498 notifications of health-related incidents in the state. Being a problem of great proportion in Pará, due to the deficit in the recognition of injuries and limitation in the practice of notifying, consequently, the number of records is well below expected.
Keywords: Incidents, adverse events, health care, patient safety