Articles producció científica> Medicina i Cirurgia

Analysis of Patient Safety Incidents in Primary Care Reported in an Electronic Registry Application

  • Identification data

    Identifier: imarina:9228389
    Authors:
    Gens-Barbera, MontserratHernandez-Vidal, NuriaVidal-Esteve, ElisaMengibar-Garcia, YolandaHospital-Guardiola, ImmaculadaOya-Girona, Eva M.Bejarano-Romero, FerranCastro-Muniain, CarlesSatue-Gracia, Eva M.Rey-Renones, CristinaMartin-Lujan, Francisco M.
    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 applica
  • Others:

    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
    Link to the original source: https://www.mdpi.com/1660-4601/18/17/8941
    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
    Article's DOI: 10.3390/ijerph18178941
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2021
    Publication Type: Journal Publications
  • Keywords:

    Environmental Sciences,Health, Toxicology and Mutagenesis,Pollution,Public Health, Environmental and Occupational Health,Public, Environmental & Occupational Health
    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
    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
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