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dc.contributorIDIAP Jordi Gol
dc.contributor.authorGens Barberà, Montserrat
dc.contributor.authorHernández Vidal, Núria
dc.contributor.authorVidal, Elisa
dc.contributor.authorMengíbar García, Yolanda
dc.contributor.authorHospital-Guardiola, Inma
dc.contributor.authorOya Girona, Eva María
dc.contributor.authorBejarano-Romero, Ferran
dc.contributor.authorCastro Muniain, Carles
dc.contributor.authorSatué-Gracia, Eva
dc.contributor.authorRey-Reñones, Cristina
dc.contributor.authorMartín Luján, Francisco
dc.date.accessioned2022-09-20T07:47:16Z
dc.date.available2022-09-20T07:47:16Z
dc.date.issued2021-08-25
dc.identifier.citationGens-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.urihttp://hdl.handle.net/11351/8222
dc.descriptionIncident notification; Patient safety; Risk management
dc.description.abstractObjectives: (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.isoeng
dc.publisherMDPI
dc.relation.ispartofseriesInternational Journal of Environmental Research and Public Health;18(17)
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceScientia
dc.subjectPacients - Mesures de seguretat
dc.subjectAtenció primària
dc.subjectAplicacions web
dc.subject.meshPatient Safety
dc.subject.meshPrimary Health Care
dc.subject.meshMedical Informatics Applications
dc.titleAnalysis of Patient Safety Incidents in Primary Care Reported in an Electronic Registry Application
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.3390/ijerph18178941
dc.subject.decsseguridad del paciente
dc.subject.decsatención primaria de la salud
dc.subject.decsaplicaciones de la informática médica
dc.relation.publishversionhttps://doi.org/10.3390/ijerph18178941
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
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.pmid34501530
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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