“…22 In Southeastern Brazil, a study of hospitals in Rio de Janeiro, RJ, estimated the incidence of these events at 7.6%. 13 Although the Ministry of Health and the Agência Nacional de Vigilância Sanitária (ANVISA -National Health Monitoring Agency) promoted World Alliance for Patient Safety initiatives, such as the campaign to introduce safe surgery protocols in hospitals, adherence on the part of the health care services is low, for the very reason that there is no institutional culture of patient safety. This is reflected in the high incidence of avoidable adverse events in Brazilian hospitals, which account for around 67% of all adverse events.…”