This study was the result of a study entitled: Patient care for CTI patients, free of
adverse events, aimed mainly at monitoring the occurrence of adverse events in
critically ill ICU patients attended at a University Hospital in Belém, State of Pará,
Brazil. This is an exploratory retrospective study, with a quantitative approach. The data
collection was performed using the trigger methodology developed by the Institute for
Healthcare Improvement, with consultation of the medical records of patients admitted
to the ICU on a monthly basis, following an average of 10 patients per month using the
active search worksheet during the months of May to August 2018. The results were
presented and discussed, corroborating with other authors of studies and researches in
the area. The mean length of stay in the intensive care unit was 14.3 days, with patients
predominantly male and> 60 years old. Most of the patients came from the surgical
center. The mortality rate was 45% and the discharge taxax for improvement was 55%.
Regarding the search for triggers, in the data collection, among the 40 patients, 38
triggers were found and 24 adverse events (AE) were confirmed in 25 patients. The AEs
found were: pneumonia associated with mechanical ventilation, primary infection of the
bloodstream, pressure injury and skin infection. It was observed the great importance in
the search for new methodologies to reduce the incidence of adverse events in hospital
environments, to encourage notifications and to create a culture of patient safety that
permeates among managers, health professionals and users.
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