Author, as appears in the article.: Gens-Barbera, Montserrat; Hernandez-Vidal, Nuria; Vidal-Esteve, Elisa; Mengibar-Garcia, Yolanda; Hospital-Guardiola, Immaculada; Oya-Girona, Eva M.; Bejarano-Romero, Ferran; Castro-Muniain, Carles; Satue-Gracia, Eva M.; Rey-Renones, Cristina; Martin-Lujan, Francisco M.;
Department: Medicina i Cirurgia
URV's Author/s: Martín Lujan, Francisco Manuel
Keywords: Tarragona [catalonia] System Spain Risk management Risk assessment Registries Register Public health service Primary medical care Primary health care Primary care Patient safety Nurse Medicine Medical errors Medical error Male Major clinical study Intranet Incident notification Humans Human Hospitalization Hospital sector Health-care Health services Health and safety General-practice Female Errors Epidemiology Electronics Drug safety Delphi-survey Culture Controlled study Classification Catalonia Article Analytical framework Adverse events Adult
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 (TM) 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.
Thematic Areas: Zootecnia / recursos pesqueiros Serviço social Saúde coletiva Química Public, environmental & occupational health Public health, environmental and occupational health Psicología Pollution Odontología Nutrição Medicina iii Medicina ii Medicina i Materiais Interdisciplinar Health, toxicology and mutagenesis Geografía Geociências Farmacia Environmental studies Environmental sciences Ensino Engenharias ii Engenharias i Enfermagem Educação física Educação Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciências agrárias i Ciência da computação Biotecnología Biodiversidade Astronomia / física Administração pública e de empresas, ciências contábeis e turismo
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: paco.martin@urv.cat
Author identifier: 0000-0003-0359-3588
Record's date: 2024-07-27
Papper version: info:eu-repo/semantics/publishedVersion
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: International Journal Of Environmental Research And Public Health. 18 (17):
APA: Gens-Barbera, Montserrat; Hernandez-Vidal, Nuria; Vidal-Esteve, Elisa; Mengibar-Garcia, Yolanda; Hospital-Guardiola, Immaculada; Oya-Girona, Eva M.; B (2021). Analysis of Patient Safety Incidents in Primary Care Reported in an Electronic Registry Application. International Journal Of Environmental Research And Public Health, 18(17), -. DOI: 10.3390/ijerph18178941
Entity: Universitat Rovira i Virgili
Journal publication year: 2021
Publication Type: Journal Publications
Repositori URV