Eventos adversos e fatores associados em maternidades de ensino de Maceió, Alagoas, Brasil

Abstract

Objective: to analyze adverse events and associated factors in teaching maternity hospitals in Maceió, Alagoas. Method: This is a cross-sectional, retrospective and analytical study in which 480 medical records of in-hospital women in maternity hospitals with a surgical delivery outcome in 2016 were evaluated through a retrospective chart review tool adapted and validated from the Global Trigger Tool for maternity hospitals in Brazil. The search for crawler criteria was used to analyze the occurrence of adverse events, a process evaluated in two stages with the verification of the event and the resulting damage. Results: The results evidenced the presence of 1051 screening criteria representing 163 adverse events, which were located in 129 (26.8%) medical records. The damages were temporary with a need for intervention in 28.8% and an increase in hospitalization time in 60.1% of the medical records. Conclusion: The frequency of adverse events was high, with the profile and types of incidents similar to the established causes of maternal morbidity and mortality, being more related to hypertensive disorders, hemorrhagic disorders and infections, being associated with the poor control of clinical situations during pregnancy , childbirth and the puerperium, which permeates the whole network of maternal and child care.