CHARACTERIZATION OF INCIDENTS OCCURRED IN INTENSIVE CARE UNITS DURING THE PANDEMIC PERIOD

Abstract

The Intensive Care Unit is one of the central sectors of the hospital, characterized by having critically ill patients and, therefore, more likely to suffer Adverse Events. The occurrence of Adverse Events is related to deficiencies in the health care delivery system, in its design, organization and functioning. The context of the covid-19 pandemic exposes the scenario of insufficient supply, qualification and remuneration of the workforce, which can therefore influence the number of Adverse Events. Therefore, the objective was to characterize incident notifications from the Intensive Care Unit of a public teaching hospital during the pandemic period. This is a retrospective, documentary, quantitative and descriptive study. The study scenario refers to all Intensive Care Units of the teaching hospital. Launch spreadsheets were used as a data source, organized by the Patient Safety Center. Of the 2,145 notifications, the highlights are Adverse Event 1,598 (74.50%), Notifiable Circumstance, with 234 (10.91%), No Damage Incident with 213 (9.93%), Near Miss with 67 (3.12%), Incident (Occurrence) with 27 (1.26%) and 6 (0.28%) not applicable. Regarding Adverse Events, 1,222 (76.47%) were characterized as pressure injuries, 128 (8.01%) phlebitis, 57 (3.57%) accidental extubation, 20 (1.25%) falls and as other types of Adverse Events 171 (10.70%). It is concluded that higher rates of Adverse Events characterized as pressure injuries were obtained.