Avoidable adverse events in primary care. Retrospective cohort study to determine their frequency and severity
Por:
Carrillo I, Mira JJ, Astier-Peña MP, Pérez-Pérez P, Caro-Mendivelso J, Olivera G, Silvestre C, Mula A, Nuin MÁ, Aranaz-Andrés JM and Grupo SOBRINA
Publicada:
1 dic 2020
Ahead of Print:
9 jun 2020
Resumen:
Objective: To determine the frequency of avoidable adverse events (AAEs) in Primary Care (PC).
Design: Retrospective cohort study.
Location: Family medicine and paediatric clinics in Andalusia, Aragon, Castilla-La Mancha, Catalonia, Madrid, Navarre, and Valencia.
Participants: A review was performed on a designated sample of 2,397 medical records (95% confidence level and 2% accuracy). The sample was stratified by age group as regards the frequency of physician consultations and considering equal distribution of male and female patients.
Main measurements: Number and severity of identified AAEs from February 2018 to September 2019.
Results: A total of 2,557 medical records were reviewed (1,928, 75.4% of adult patients, and 629, 24.6% paediatrics). A total of 182 (7.1%, 95% CI 6.1-8.1%) AAEs that affected 168 patients were identified, which included 7.6% (95% CI 6.4-8.8%) in adults and 5.7% (95% CI 3.9-7.5%) in paediatric patients. The number of AAEs in women was higher than in men (P = 0.006). The incidence of AAEs in boys and girls was similar (P = 0.3). Permanent damage was caused by AAEs in 6 (4.1%) adult patients.
Conclusions: Seeking formulas to increase patient safety in PC should remain a priority objective, particularly in female patients and in paediatrics. One in 24 AAEs causes serious and permanent damage in adults. (C) 2020 The Author(s). Published by Elsevier Espana, S.L.U.
Filiaciones:
:
Universidad Miguel Hernández de Elche, Elche, Alicante, España
Fundació per al Foment de la Investigació Sanitària i Biomèdica de la Comunitat Valenciana (FISABIO), Elche, Alicante, España
:
Universidad Miguel Hernández de Elche, Elche, Alicante, España
Centro de Salud Hospital Provincial-Pla, Departamento de Salud Alicante - Sant Joan D'Alacant, San Juan, Alicante, España
Astier-Peña MP:
Centro de Salud La Jota, Servicio Aragonés de Salud, Zaragoza, España
Pérez-Pérez P:
Observatorio para la Seguridad del Paciente, Agencia de Calidad Sanitaria de Andalucía, Sevilla, España
Caro-Mendivelso J:
Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Barcelona, España
Olivera G:
Hospital Clínico San Carlos, Servicio Madrileño de Salud, Madrid, España
Silvestre C:
Servicio de Efectividad y Seguridad Asistencial, Servicio Navarro de Salud-Osasunbidea, Pamplona, España
:
Fundació per al Foment de la Investigació Sanitària i Biomèdica de la Comunitat Valenciana (FISABIO), Elche, Alicante, España
Nuin MÁ:
Instituto de Salud Pública y Laboral de Navarra, Pamplona, España
Aranaz-Andrés JM:
Servicio de Medicina Preventiva y Salud Pública, Hospital Universitario Ramón y Cajal, Madrid, España
Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España
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