Reattendances in primary care and their association with patient safety events: A cohort study in Spain
Objective: To analyze the frequency of reattendances in PC and their association with adverse events, considering sex-based differences. Design: A retrospective observational study. Site: Five primary care centres in the Valencia Region (Spain). Participants: Patients over 50 years old attended in b...
| Autores: | , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2025 |
| País: | España |
| Institución: | Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL) |
| Repositorio: | r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante |
| OAI Identifier: | oai:dnet:isabial_____::c412cc51b3c4386a9fb845278e9b1ad3 |
| Acceso en línea: | https://isabial.portalinvestigacion.com/publicaciones12508 https://www.sciencedirect.com/science/article/pii/S0212656725000848?pes=vor&utm_source=clarivate&getft_integrator=clarivate |
| Access Level: | acceso abierto |
| Palabra clave: | Quality assurance Primary health care Patient safety Sex factors |
| Sumario: | Objective: To analyze the frequency of reattendances in PC and their association with adverse events, considering sex-based differences. Design: A retrospective observational study. Site: Five primary care centres in the Valencia Region (Spain). Participants: Patients over 50 years old attended in between 2019 and 2024. Main measurements: A review of 541 electronic health records of patients was conducted to identify reattendances occurring within 20 days after an index visit Associated AEs were assessed as well. Results: A total of 2077 reattendances were recorded (0.77 per patient-year), with significantly higher frequency among men (1601 in men vs. 476 in women; P < 0.001). Eighty-five AEs were identified (annual incidence: 3.1; 95% CI: 2.5-3.8), with women experiencing an 18% higher incidence compared to men (OR = 1.18; 95% CI: 1.13-1.24; P < 0.001). No significant sex-based differences were observed in the severity of harm (P = 0.713). Reattendances were associated with AEs (OR = 7.04; P < 0.001), as was cognitive impairment, measured using the Pfeiffer Index (OR = 1.21; P = 0.033). In contrast, low and medium PC utilization were associated with a lower probability of AEs (OR = 0.22 and 0.45; P = 0.003 and 0.043, respectively). Conclusions: Reattendances in PC are frequent and significantly associated with the occurrence of preventable AEs. Sex-based differences and individual patient factors, such as cognitive status and care utilization patterns, should be considered in patient safety strategies. |
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