PMID- 16354861
OWN - NLM
STAT- MEDLINE
DCOM- 20060117
LR  - 20061115
IS  - 0012-3692 (Print)
IS  - 0012-3692 (Linking)
VI  - 128
IP  - 6
DP  - 2005 Dec
TI  - Frequency and correlates of adverse events in a respiratory diseases hospital in 
      Mexico city.
PG  - 3900-5
AB  - OBJECTIVES: To estimate the frequency of severe adverse events (AEs) during 
      hospital stay as well as their type and correlates in a referral hospital for 
      respiratory diseases, using methods similar to those used in the Harvard Medical 
      Malpractice Study. DESIGN: Retrospective review of medical records in a 
      stratified sample of 836 patients drawn from a total of 4,555 hospital admissions 
      registered during the year 2001. SETTING: A referral tertiary-care hospital for 
      patients with respiratory diseases located in Mexico City. MAIN OUTCOME MEASURES: 
      Weighted prevalence of AEs and odds ratios for correlates. RESULTS: The overall 
      weighted prevalence for AEs was 9.1% (95% confidence interval, 7.5 to 10.4%). Of 
      these patients, 17% had a related transient disability, 52% had a prolonged 
      hospital stay, and 26% had an AE that according to the reviewers contributed to 
      their death. Of the total number of AEs, 74% were qualified as potentially 
      preventable. Among all types of AEs, we identified as most relevant for a chest 
      hospital the delayed surgical treatment of empyema, representing 11% of the 
      total. CONCLUSIONS: The frequency of AEs in a tertiary-care respiratory hospital 
      is similar to that reported in general hospitals. A strategy to improve the 
      treatment of empyema is needed.
FAU - Herrera-Kiengelher, Loredmy
AU  - Herrera-Kiengelher L
AD  - National Institute of Respiratory Diseases and National Institute of Public 
      Health, Secretary of Health, Mexico, Tlalpan, Mexico.
FAU - Chi-Lem, Georgina
AU  - Chi-Lem G
FAU - Baez-Saldana, Renata
AU  - Baez-Saldana R
FAU - Torre-Bouscoulet, Luis
AU  - Torre-Bouscoulet L
FAU - Regalado-Pineda, Justino
AU  - Regalado-Pineda J
FAU - Lopez-Cervantes, Malaquias
AU  - Lopez-Cervantes M
FAU - Perez-Padilla, Rogelio
AU  - Perez-Padilla R
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Chest
JT  - Chest
JID - 0231335
SB  - IM
MH  - Adult
MH  - Adverse Drug Reaction Reporting Systems
MH  - Age Distribution
MH  - Aged
MH  - *Cause of Death
MH  - Cohort Studies
MH  - Confidence Intervals
MH  - Female
MH  - Humans
MH  - Iatrogenic Disease/*epidemiology
MH  - Incidence
MH  - Male
MH  - Medical Errors/*statistics & numerical data
MH  - Medical Records
MH  - Mexico/epidemiology
MH  - Middle Aged
MH  - Observer Variation
MH  - Probability
MH  - Respiratory Tract Diseases/diagnosis/mortality/*therapy
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Safety Management/*standards
MH  - Sex Distribution
MH  - Survival Analysis
EDAT- 2005/12/16 09:00
MHDA- 2006/01/18 09:00
CRDT- 2005/12/16 09:00
PHST- 2005/12/16 09:00 [pubmed]
PHST- 2006/01/18 09:00 [medline]
PHST- 2005/12/16 09:00 [entrez]
AID - S0012-3692(15)49634-5 [pii]
AID - 10.1378/chest.128.6.3900 [doi]
PST - ppublish
SO  - Chest. 2005 Dec;128(6):3900-5. doi: 10.1378/chest.128.6.3900.