Custos provenientes de eventos adversos: um estudo em um hospital público federal na cidade de Uberlândia-MG

Abstract

Hospitalization is a critical point in patient care. During treatment, errors can occur and cause adverse events (AE) that significantly affect the unified health care system (SUS) and lead to an increase in the cost of interventions needed to mitigate harm. Therefore, continuous measurement of hospital cost information is a strategy to improve patient safety measures and practices to minimize unnecessary costs through economic management. In view of this, the general objective of this study is to identify the costs and explanatory factors of adverse events in a federal public hospital in Uberlândia that occurred in patients admitted to the hospital in the first half of 2019. To this end, tables, descriptive statistics, and regressions were performed with the aim of investigating which independent variables explained cost variation. Data were obtained from the medical records of patients in a public hospital in the first half of 2019. The SIGTAP and SISMAT systems were used to collect the costs. In the end, the result was 75 reported adverse events, which caused total costs to the hospital of BRL 52,714.98. The results show that the costs for women were higher than those for men. In addition, severe and moderate harm was found to affect the cost of AE more than mild harm, with cases of skin lesions causing higher costs compared to other types of AE. In contrast, the cost of EAs that occur at night is lower than the cost of EAs that occur at other times of the day.