dc.contributor | IDIAP Jordi Gol |
dc.contributor.author | Hernández Vidal, Núria |
dc.contributor.author | Vidal, Elisa |
dc.contributor.author | Mengíbar García, Yolanda |
dc.contributor.author | Hospital-Guardiola, Inma |
dc.contributor.author | Oya Girona, Eva María |
dc.contributor.author | Bejarano-Romero, Ferran |
dc.contributor.author | Castro Muniain, Carles |
dc.contributor.author | Martín Luján, Francisco |
dc.contributor.author | Gens Barberà, Montserrat |
dc.contributor.author | Rey-Reñones, Cristina |
dc.contributor.author | Satué-Gracia, Eva |
dc.date.accessioned | 2022-09-20T07:47:16Z |
dc.date.available | 2022-09-20T07:47:16Z |
dc.date.issued | 2021-08-25 |
dc.identifier.citation | Gens-Barberà M, Hernández-Vidal N, Vidal-Esteve E, Mengíbar-García Y, Hospital-Guardiola I, Oya-Girona EM, et al. Analysis of Patient Safety Incidents in Primary Care Reported in an Electronic Registry Application. Int J Environ Res Public Health. 2021 Aug 25;18(17):8941. |
dc.identifier.uri | https://hdl.handle.net/11351/8222 |
dc.description | Incident notification; Patient safety; Risk management |
dc.description.abstract | Objectives: (1) To describe the epidemiology of patient safety (PS) incidents registered in an electronic notification system in primary care (PC) health centres; (2) to define a risk map; and (3) to identify the critical areas where intervention is needed.
Design: Descriptive analytical study of incidents reported from 1 January to 31 December 2018, on the TPSC Cloud™ platform (The Patient Safety Company) accessible from the corporate website (Intranet) of the regional public health service.
Setting: 24 Catalan Institute of Health PC health centres of the Tarragona region (Spain).
Participants: Professionals from the PC health centres and a Patient Safety Functional Unit.
Measurements: Data obtained from records voluntarily submitted to an electronic, standardised and anonymised form. Data recorded: healthcare unit, notifier, type of incident, risk matrix, causal and contributing factors, preventability, level of resolution and improvement actions.
Results: A total of 1544 reports were reviewed and 1129 PS incidents were analysed: 25.0% of incidents did not reach the patient; 66.5% reached the patient without causing harm, and 8.5% caused adverse events. Nurses provided half of the reports (48.5%), while doctors reported more adverse events (70.8%; p < 0.01). Of the 96 adverse events, 46.9% only required observation, 34.4% caused temporary damage that required treatment, 13.5% required (or prolonged) hospitalization, and 5.2% caused severe permanent damage and/or a situation close to death. Notably, 99.2% were considered preventable. The main critical areas were: communication (27.8%), clinical-administrative management (25.1%), care delivery (23.5%) and medicines (18.4%); few incidents were related to diagnosis (3.6%).
Conclusions: PS incident notification applications are adequate for reporting incidents and adverse events associated with healthcare. Approximately 75% and 10% of incidents reach the patient and cause some damage, respectively, and most cases are considered preventable. Adequate and strengthened risk management of critical areas is required to improve PS. |
dc.language.iso | eng |
dc.publisher | MDPI |
dc.relation.ispartofseries | International Journal of Environmental Research and Public Health;18(17) |
dc.rights | Attribution 4.0 International |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ |
dc.source | Scientia |
dc.subject | Pacients - Mesures de seguretat |
dc.subject | Atenció primària |
dc.subject | Aplicacions web |
dc.subject.mesh | Patient Safety |
dc.subject.mesh | Primary Health Care |
dc.subject.mesh | Medical Informatics Applications |
dc.title | Analysis of Patient Safety Incidents in Primary Care Reported in an Electronic Registry Application |
dc.type | info:eu-repo/semantics/article |
dc.identifier.doi | 10.3390/ijerph18178941 |
dc.subject.decs | seguridad del paciente |
dc.subject.decs | atención primaria de la salud |
dc.subject.decs | aplicaciones de la informática médica |
dc.relation.publishversion | https://doi.org/10.3390/ijerph18178941 |
dc.type.version | info:eu-repo/semantics/publishedVersion |
dc.audience | Professionals |
dc.contributor.authoraffiliation | [Gens-Barberà M, Hernández-Vidal N, Vidal-Esteve E, Mengíbar-García I, Castro-Muniain C] Quality and Patient Safety Central Functional Unit, Gerència d'Atenció Primària Camp de Tarragona, Institut Català de la Salut, Tarragona, Spain. [Hospital-Guardiola I, Oya-Girona EM] Quality and Patient Safety Central Functional Unit, Gerència d'Atenció Primària Camp de Tarragona, Institut Català de la Salut, Tarragona, Spain. Primary Health-Care Centre, Institut Català de la Salut, Tarragona, Spain. [Bejarano-Romero F] Quality and Patient Safety Central Functional Unit, Gerència d'Atenció Primària Camp de Tarragona, Institut Català de la Salut, Tarragona, Spain. Pharmacy Unit, Gerència d'Atenció Primària Camp de Tarragona, Institut Català de la Salut, Tarragona, Spain. [Satué-Gracia EM] Research Support Unit Tarragona-Reus, Institut Universitari D'investigació en L'atenció Primària Jordi Gol, (IDIAP Jordi Gol), Institut Català de la Salut, Reus, Spain. [Rey-Reñones C, Martín-Luján FM] Research Support Unit Tarragona-Reus, Institut Universitari D'investigació en L'atenció Primària Jordi Gol, (IDIAP Jordi Gol), Institut Català de la Salut, Reus, Spain. Faculty of Medicine and Health Sciences, Universitat Rovira i Virgili, Reus, Spain |
dc.identifier.pmid | 34501530 |
dc.rights.accessrights | info:eu-repo/semantics/openAccess |