What Ibero-American hospitals do when things go wrong? A cross-sectional international study


Por: Mira JJ, Carrillo I, García-Elorrio E, Andrade-Lourenção DCDE, Pavan-Baptista PC, Franco-Herrera AL, Campos-Castolo EM, Poblete R, Limo J, Siu H and Sousa P

Publicada: 1 jun 2020 Ahead of Print: 31 mar 2020
Resumen:
Objective: To know what hospital managers and safety leaders in Ibero-American countries are doing to respond effectively to the occurrence of adverse events (AEs) with serious consequences for patients. Design: Cross-sectional international study. Setting: Public and private hospitals in Ibero-American countries (Argentina, Brazil, Chile, Colombia, Mexico, Peru, Portugal and Spain). Participants: A convenience sample of hospital managers and safety leaders from eight Ibero-American countries. A minimum of 25 managers/leaders from each country were surveyed. Interventions: A selection of 37 actions for the effective management of AEs was explored. These were related to the safety culture, existence of a crisis plan, communication and transparency processes with the patients and their families, attention to second victims and institutional communication. Main Outcome Measure: Degree of implementation of the actions studied. Results: A total of 190 managers/leaders from 126 (66.3%) public hospitals and 64 (33.7%) private hospitals participated. Reporting systems, in-depth analysis of incidents and non-punitive approaches were the most implemented interventions, while patient information and care for second victims after an AE were the least frequent interventions. Conclusions: The majority of these hospitals have not protocolized how to act after an AE. For this reason, it is urgent to develop and apply a strategic action plan to respond to this imperative safety challenge. This is the first study to identify areas of work and future research questions in Ibero-American countries.

Filiaciones:
:
 Hospital Provincial-Pla Health District, Health Department of Alicante-Sant Joan, C/ Hermanos López de Osaba, s/n, 03013 Alicante, Spain

 Department of Health Psychology, Universidad Miguel Hernández, Avenida de la Universidad, s/n, 03202 Elche, Spain

:
 Department of Health Psychology, Universidad Miguel Hernández, Avenida de la Universidad, s/n, 03202 Elche, Spain

 The Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), Sant Joan, Spain

García-Elorrio E:
 Department of Health Care Quality and Patient Safety Institute for Clinical Effectiveness and Health Policy, Dr. Emilio Ravignani 2024 (C1414CPV), Buenos Aires, Argentina

Andrade-Lourenção DCDE:
 Postgraduate Department Universidade de São Paulo, Rua Alfredo Rodrigues,130. Blumenau, SC. CEP 89045.180 São Paulo, Brazil

Pavan-Baptista PC:
 Postgraduate Department Universidade de São Paulo, Rua Alfredo Rodrigues,130. Blumenau, SC. CEP 89045.180 São Paulo, Brazil

Franco-Herrera AL:
 General Surgery, Centro Médico Imbanaco, Kra 38 a #5 A 100 oficina 2330 Torre A, Cali, Colombia

Campos-Castolo EM:
 Department of Biomedical Informatics, Faculty of Medicine, Universidad Nacional Autónoma de México, Interior Circuitry, University City, Avenida de la Universidad 3000, Basamento Edificio A, Mexico City, Mexico

Poblete R:
 Medicine Department, Pontificia Universidad Católica de Chile, Lira 40, Santiago de Chile, Metropolitan Area Chile

Limo J:
 Quality and Patient Safety, New Medical Leaders, Avenida Emilio Cavenecia, 264, Piso 7, San Isidro District, Lima, Peru

Siu H:
 Quality Department, Clínica Anglo Americana, Avenida Emilio Cavenecia 250, San Isidro District, Lima, Peru

Sousa P:
 NOVA National School of Public Health, Public Health Research Centre, Universidade NOVA de Lisboa, Avenida Padre Cruz, 1600-560 Lisbon, Portugal
ISSN: 13534505





INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
Editorial
OXFORD UNIV PRESS, England, Reino Unido
Tipo de documento: Article
Volumen: 32 Número: 5
Páginas: 313-318
WOS Id: 000544164000005
ID de PubMed: 32232330
imagen Bronze, Green Published

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