Avoidable adverse events in primary care. Retrospective cohort study to determine their frequency and severity
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...
| Autores: | , , , , , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2020 |
| País: | España |
| Institución: | Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) |
| Repositorio: | r-FISABIO. Repositorio Institucional de Producción Científica |
| OAI Identifier: | oai:fisabio.fundanetsuite.com:p7486 |
| Acceso en línea: | https://fisabio.portalinvestigacion.com/publicaciones/7486 |
| Access Level: | acceso abierto |
| Palabra clave: | Patient safety Medical errors Primary Care Quality assurance Cohort study |
| Sumario: | 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. (C) 2020 The Author(s). Published by Elsevier Espana, S.L.U. |
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