Abstract
Objective: To identify the advances regarding the notification of events in health care and to analyze the fragilities linked to the health professional. Methods: Regarding the methodological guidelines, it is a study of the type bibliographic review, articles were included from the years 2013 to 2017, Portuguese language and full text. Results: We considered those discussed in the literature review, allowing us to consider that patient safety emerges as a way to strengthen the work process and minimize the damages that may occur during care delivery, stressing the importance of event notification. The weaknesses related to the notification of adverse events still permeate patient safety, the fear arising from the fragile safety culture and punitive actions, makes notification impossible, strengthening underreporting. Final considerations: Notification emerges as a potentiating element of Patient Safety, yet fragilities are still identified, the safety culture is not yet a predominant element in the mentality of professionals, and the punitive culture is still a hindrance.