Avoidable adverse events in primary care. Retrospective cohort study to determine their frequency and severity
Copyright © 2020 The Author(s). Publicado por Elsevier España, S.L.U. All rights reserved..
OBJECTIVE: To determine the frequency of avoidable adverse events (AAEs) in Primary Care (PC).
DESIGN: Retrospective cohort study.
LOCATION: Family medicine and paediatric clinics in Andalusia, Aragon, Castilla-La Mancha, Catalonia, Madrid, Navarre, and Valencia.
PARTICIPANTS: A review was performed on a designated sample of 2,397 medical records (95% confidence level and 2% accuracy). The sample was stratified by age group as regards the frequency of physician consultations and considering equal distribution of male and female patients.
MAIN MEASUREMENTS: Number and severity of identified AAEs from February 2018 to September 2019.
RESULTS: A total of 2,557 medical records were reviewed (1,928, 75.4% of adult patients, and 629, 24.6% paediatrics). A total of 182 (7.1%, 95% CI 6.1-8.1%) AAEs that affected 168 patients were identified, which included 7.6% (95% CI 6.4-8.8%) in adults and 5.7% (95% CI 3.9-7.5%) in paediatric patients. The number of AAEs in women was higher than in men (P = 0.006). The incidence of AAEs in boys and girls was similar (P = 0.3). Permanent damage was caused by AAEs in 6 (4.1%) adult patients.
CONCLUSIONS: Seeking formulas to increase patient safety in PC should remain a priority objective, particularly in female patients and in paediatrics. One in 24 AAEs causes serious and permanent damage in adults.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:52 |
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| Enthalten in: |
Atencion primaria - 52(2020), 10 vom: 15. Dez., Seite 705-711 |
| Sprache: |
Spanisch |
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| Weiterer Titel: |
Eventos adversos evitables en atención primaria. Estudio retrospectivo de cohortes para determinar su frecuencia y gravedad |
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| Links: |
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| Anmerkungen: |
Date Completed 29.09.2021 Date Revised 29.09.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.aprim.2020.02.008 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM311067824 |
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| 245 | 1 | 0 | |a Avoidable adverse events in primary care. Retrospective cohort study to determine their frequency and severity |
| 246 | 3 | 3 | |a Eventos adversos evitables en atención primaria. Estudio retrospectivo de cohortes para determinar su frecuencia y gravedad |
| 264 | 1 | |c 2020 | |
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| 500 | |a Date Completed 29.09.2021 | ||
| 500 | |a Date Revised 29.09.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020 The Author(s). Publicado por Elsevier España, S.L.U. All rights reserved. | ||
| 520 | |a OBJECTIVE: To determine the frequency of avoidable adverse events (AAEs) in Primary Care (PC) | ||
| 520 | |a DESIGN: Retrospective cohort study | ||
| 520 | |a LOCATION: Family medicine and paediatric clinics in Andalusia, Aragon, Castilla-La Mancha, Catalonia, Madrid, Navarre, and Valencia | ||
| 520 | |a PARTICIPANTS: A review was performed on a designated sample of 2,397 medical records (95% confidence level and 2% accuracy). The sample was stratified by age group as regards the frequency of physician consultations and considering equal distribution of male and female patients | ||
| 520 | |a MAIN MEASUREMENTS: Number and severity of identified AAEs from February 2018 to September 2019 | ||
| 520 | |a RESULTS: A total of 2,557 medical records were reviewed (1,928, 75.4% of adult patients, and 629, 24.6% paediatrics). A total of 182 (7.1%, 95% CI 6.1-8.1%) AAEs that affected 168 patients were identified, which included 7.6% (95% CI 6.4-8.8%) in adults and 5.7% (95% CI 3.9-7.5%) in paediatric patients. The number of AAEs in women was higher than in men (P = 0.006). The incidence of AAEs in boys and girls was similar (P = 0.3). Permanent damage was caused by AAEs in 6 (4.1%) adult patients | ||
| 520 | |a CONCLUSIONS: Seeking formulas to increase patient safety in PC should remain a priority objective, particularly in female patients and in paediatrics. One in 24 AAEs causes serious and permanent damage in adults | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Atención Primaria | |
| 650 | 4 | |a Calidad asistencial | |
| 650 | 4 | |a Cohort study | |
| 650 | 4 | |a Errores médicos | |
| 650 | 4 | |a Estudio de cohortes | |
| 650 | 4 | |a Medical errors | |
| 650 | 4 | |a Patient safety | |
| 650 | 4 | |a Primary Care | |
| 650 | 4 | |a Quality assurance | |
| 650 | 4 | |a Seguridad del paciente | |
| 700 | 1 | |a Mira, José Joaquín |e verfasserin |4 aut | |
| 700 | 1 | |a Astier-Peña, M Pilar |e verfasserin |4 aut | |
| 700 | 1 | |a Pérez-Pérez, Pastora |e verfasserin |4 aut | |
| 700 | 1 | |a Caro-Mendivelso, Johanna |e verfasserin |4 aut | |
| 700 | 1 | |a Olivera, Guadalupe |e verfasserin |4 aut | |
| 700 | 1 | |a Silvestre, Carmen |e verfasserin |4 aut | |
| 700 | 1 | |a Mula, Aurora |e verfasserin |4 aut | |
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| 700 | 1 | |a Fernández, Ana |e investigator |4 oth | |
| 700 | 1 | |a González de Dios, Javier |e investigator |4 oth | |
| 700 | 1 | |a Nebot, Cristina |e investigator |4 oth | |
| 700 | 1 | |a Vitaller, Julián |e investigator |4 oth | |
| 700 | 1 | |a Caride Miana, Elena |e investigator |4 oth | |
| 700 | 1 | |a Asencio Aznar, Alberto |e investigator |4 oth | |
| 700 | 1 | |a Rodríguez Sempere, Vicente |e investigator |4 oth | |
| 700 | 1 | |a Hervella Durantez, María Isabel |e investigator |4 oth | |
| 700 | 1 | |a Molina Santiago, Antonio |e investigator |4 oth | |
| 700 | 1 | |a Hermida Carbonell, Carmen María |e investigator |4 oth | |
| 700 | 1 | |a Juan Andrés, María |e investigator |4 oth | |
| 700 | 1 | |a Del Mar Bastante Romero, María |e investigator |4 oth | |
| 700 | 1 | |a Puntes Felipe, Blanca |e investigator |4 oth | |
| 700 | 1 | |a Pueyo Gascón, Diego |e investigator |4 oth | |
| 700 | 1 | |a Domínguez García, Marta |e investigator |4 oth | |
| 700 | 1 | |a Ferrer Sorolla, Daniel |e investigator |4 oth | |
| 700 | 1 | |a Hospital Guardiola, Imma |e investigator |4 oth | |
| 700 | 1 | |a Oya Girona, Eva |e investigator |4 oth | |
| 700 | 1 | |a López Suárez, José Manuel |e investigator |4 oth | |
| 700 | 1 | |a de Torre, Amalia Pinilla |e investigator |4 oth | |
| 700 | 1 | |a Centeno García, Irene |e investigator |4 oth | |
| 700 | 1 | |a Sanchez Pina, Bárbara |e investigator |4 oth | |
| 700 | 1 | |a Romero García, Ana |e investigator |4 oth | |
| 700 | 1 | |a Cedeño Benavides, Tania María |e investigator |4 oth | |
| 700 | 1 | |a Corro Castro, Irays Desireé |e investigator |4 oth | |
| 700 | 1 | |a Acosta Acosta, Esther |e investigator |4 oth | |
| 700 | 1 | |a Sánchez Holgado, Javier |e investigator |4 oth | |
| 700 | 1 | |a Alfaro Hernández, Alba Marina |e investigator |4 oth | |
| 700 | 1 | |a Palacios Palomares, Cristina |e investigator |4 oth | |
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