Author, as appears in the article.: Gens-Barberà M; Hernández-Vidal N; Castro-Muniain C; Hospital-Guardiola I; Oya-Girona EM; Bejarano-Romero F; Rey-Reñones C; Martín-Luján F; en nombre del grupo de estudio de Calidad y Seguridad del Paciente de Tarragona (QiSP-TAR)
Department: Medicina i Cirurgia
URV's Author/s: Gens Barbera, Montserrat / Martín Lujan, Francisco Manuel
Keywords: Safety management Primary care Patient safety Notification systems Covid-19 Adverse events
Abstract: Objective: To analyse and compare the epidemiology of patient safety incidents reported in Primary Health Care, before and after the start of the COVID-19 pandemic. Design and setting: Analytical descriptive study comparing reported incidents from March 1st 2019 to February 28th 2020, and from March 1st 2020 to February 28th 2021, notified through the TPSC Cloud™ platform accessible from the Intranet corporative in 25 Primary Health Care centres from Tarragona district, in Catalonia (Spain). Measurements: Data obtained from voluntary notifications, through electronic, standardized and anonymized forms. Variables: Centre, professional, incident type, risk matrix, causal factors and contributing factors, and avoidability. Statistical analysis: Every notification was included in descriptive analysis, and another one specifically for adverse events, comparing both periods. Results: 2231 incidents were reported. Comparing both periods, during the pandemic a reduction in the number of reported incidents was observed (only represented 20% of the total). However, the percentage of reported notifications from health care professionals and adverse events that required observation were increased. Causal factors related to attendance and diagnosis were incremented whereas the causal factors related to medication were decreased. In addition, an increase in contributing factors related to the professional was observed. Avoidability was high (>95%) in both periods. Conclusions: During the pandemic, fewer patient safety incidents have been reported, but proportionally more adverse events, most of which are preventable. The professional himself becomes the main contributing factor. © 2021 The Authors
Thematic Areas: Saúde coletiva Primary health care Medicine, general & internal Medicine (miscellaneous) Medicina ii Medicina i Interdisciplinar General medicine Farmacia Family practice Ensino Engenharias i Enfermagem Artes
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: montserrat.gens@estudiants.urv.cat 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.sciencedirect.com/science/article/pii/S0212656721002511?via%3Dihub
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: Atencion Primaria. 53
APA: Gens-Barberà M; Hernández-Vidal N; Castro-Muniain C; Hospital-Guardiola I; Oya-Girona EM; Bejarano-Romero F; Rey-Reñones C; Martín-Luján F; en nombre (2021). Patient safety incidents reported before and after the start of the COVID-19 pandemic in Primary Care in Tarragona [Incidentes de seguridad del paciente notificados antes y después del inicio de la pandemia de COVID-19 en atención primaria en Tarragona]. Atencion Primaria, 53(), -. DOI: 10.1016/j.aprim.2021.102217
Article's DOI: 10.1016/j.aprim.2021.102217
Entity: Universitat Rovira i Virgili
Journal publication year: 2021
Publication Type: Journal Publications