Characterize the main adverse events with harm reported in a Teaching Hospital in Minas Gerais

Background and Objectives: adverse events are a major public health problem. The purpose of the study was to characterize the main adverse events with harm reported in a teaching hospital in Minas Gerais. Methods: this is a retrospective cross-sectional descriptive study with quantitative approach, which assessed the reports on adverse events, carried out between January 2015 and December 2018. Pearson's chi-square test was applied in order to verify the association between categorical variables. Cramer's measure V was calculated to assess the degree of association between the respective variables. In the observation of statistically significant results, the Z test was applied to compare proportions with adjustments by the Bonferroni method. Results: a total of 445 adverse events were reported, being the highest number in 2018 (61.8%) involving "Abrasion and friction" process (44.7%), which correspond to grades 3 and 4 pressure injuries. Most adverse events were reported by the Emergency Unit (29.2%), and serious harm (7.6%) and deaths (1.3%) were more prevalent in this place. There was a statistically significant association between types of harm and types of incidents (p<0.001), types of harm (p<0.001) and years of occurrence, and also between the harm and the hospital sectors (p=0.003). Conclusion: adverse event reports back institutional risk management by strengthening the patient safety culture.(AU)

Health status and the return to work after traffic accidents. / Estado de saúde e retorno ao trabalho após os acidentes de trânsito.

OBJECTIVE: to compare the health status of traffic accident victims, at hospital discharge and after six months, and to analyze the predictive variables of their health status and return to work. METHOD: observational, longitudinal study. Data were collected through interviews and medical records of 102 patients with a mean age of 33 years; with the majority being men and victims of motorcycle accidents. The variables were analyzed by means of validated tools, student's t-test, multiple linear regression, and logistic regression. RESULTS: there was an improvement of perception in the patients' health status six months after hospital discharge and functional capacity. The individuals who returned to work showed better health-related quality of life evaluation. CONCLUSION: improvement of the perceived health status six months after hospital discharge was found. Factors that influenced the patients' return to work were not identified.

Estado de saúde e retorno ao trabalho após os acidentes de trânsito / Estado de salud y retorno al trabajo después de accidentes de tránsito / Health status and the return to work after traffic accidents

RESUMO Objetivo: comparar o estado de saúde de vítimas de acidente de trânsito, na alta hospitalar e após 6 meses, bem como analisar as variáveis preditoras do estado de saúde e retorno ao trabalho. Método: estudo observacional, longitudinal. Dados coletados por entrevistas e consulta aos prontuários, com 102 pacientes com média de idade de 33 anos; a maioria, homens e vítimas de acidente motociclístico. As variáveis foram avaliadas por instrumentos validados, analisadas por teste "t" de Student, regressão linear múltipla e regressão logística. Resultados: houve melhora da percepção do estado de saúde 6 meses após alta associada à idade, medida geral do estado de saúde imediatamente após a alta e capacidade funcional. Os indivíduos que retornaram ao trabalho apresentaram melhor avaliação da qualidade de vida relacionada à saúde. Conclusão: constatou-se melhora da percepção do estado de saúde 6 meses após a alta. Não foram identificados fatores que influenciaram o retorno ao trabalho.

RESUMEN Objetivo: comparar el estado de salud de víctimas de accidentes de tránsito al alta hospitalaria y seis meses después, y analizar las variables predictoras del estado de salud y de retorno al trabajo. Método: estudio observacional, longitudinal. Datos recolectados por entrevistas y consulta de historias clínicas, con 102 pacientes, media etaria de 33 años, mayoritariamente hombres, víctimas de accidente motociclístico. Variables evaluadas por instrumentos validados, analizadas por test "t" de Student, regresión lineal múltiple y regresión logística. Resultados: Hubo mejora de la percepción del estado de salud 6 meses después del alta, asociada a edad, medida general del estado de salud, inmediatamente después del alta y capacidad funcional. Los individuos que retornaron al trabajo presentaron mejor evaluación de calidad de vida relacionada a la salud. Conclusión: se constató mejora de percepción del estado de salud 6 meses después del alta. No fueron identificados factores que influyeron en el regreso laboral.

ABSTRACT Objective: to compare the health status of traffic accident victims, at hospital discharge and after six months, and to analyze the predictive variables of their health status and return to work. Method: observational, longitudinal study. Data were collected through interviews and medical records of 102 patients with a mean age of 33 years; with the majority being men and victims of motorcycle accidents. The variables were analyzed by means of validated tools, student's t-test, multiple linear regression, and logistic regression. Results: there was an improvement of perception in the patients' health status six months after hospital discharge and functional capacity. The individuals who returned to work showed better health-related quality of life evaluation. Conclusion: improvement of the perceived health status six months after hospital discharge was found. Factors that influenced the patients' return to work were not identified.