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
Bronze, Green Published
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