IMPACT OF RISK MANAGEMENT IN THE PREVENTION OF ADVERSE EVENTS DURING INPATIENT TRANSFER PATIENTS

Abstract

In these, the patient's condition can be autonomous or totally disabled, as in the absence of consciousness, presence of venous access routes, catheters or other therapeutic methods, factors that give a greater degree of complexity to the inter movements, threatening occurrence of adverse events. Objective: To determine the impact of risk management in the prevention of adverse events or incidents during the intra-hospital transport of patients. Methods: This research is defined as quantitative, prospective pre and post intervention assessment, and designed in 3 steps: 1) Study of prevalence of adverse events during intra-hospital transport; 2) Intervention through the implementation of a Risk Management Program; 3) Evaluation of the impact. Results: In the first stage a total of 217 transfers were assessed, found that in 123 cases (56.7%) is related to AE "no confirmation of patient identification" So the procedure was performed at this event. After intervention, the default rate was 19.4% (p<0,000010). Conclusions: The data show that the risk management program implemented impacted strongly to avoid post intervention error.