PMID- 19841027 OWN - NLM STAT- MEDLINE DCOM- 20100202 LR - 20220408 IS - 1464-3677 (Electronic) IS - 1353-4505 (Linking) VI - 21 IP - 6 DP - 2009 Dec TI - Impact and preventability of adverse events in Spanish public hospitals: results of the Spanish National Study of Adverse Events (ENEAS). PG - 408-14 LID - 10.1093/intqhc/mzp047 [doi] AB - OBJECTIVE: To determine the impact and preventability of adverse events (AEs) associated with health care in Spanish hospitals. DESIGN: Retrospective cohort study. SETTING: Twenty-four Spanish hospitals. PARTICIPANTS: Patients of any age with a clinical record indicating an inpatient stay of >24 h and a discharge between 4 and 10 June 2005 (n = 5908). INTERVENTION: None. MAIN OUTCOME MEASURES: Percentage of AEs considered preventable. RESULTS: We were able to identify 525 patients suffering AEs associated directly with medical care, who accumulated 655 AEs with 43% of these AEs considered preventable. Overall, 45% (295 AEs) were considered minor, 39% (255 AEs) moderate and 16% (105 AEs) severe. There were no significant differences in AE severity by hospital size, but AEs associated with surgical services were more likely to be severe than those associated with medical services. Some 31.4% of AEs resulted in a longer stay and 23.4% led to hospital admission. AEs associated with medical care caused 6.1 additional days per patient. Of the patients, 66.3% required additional procedures and 69.9% required additional treatments. Incidence of death in patients with AEs was 4.4% (CI 95%: 2.8-6.5). Age over 65 was associated with a higher incidence of preventable AEs. The highest percentages of preventable AEs were related to diagnosis (84.2%), to nosocomial infections (56.6%) and to care (56%). CONCLUSIONS: In Spanish hospitals, AEs associated with health care cause distress, disability, death, lengthen hospital stay and cause increased consumption of health-care resources. A relatively high percentage of AEs in Spain may be preventable with improvements in medical care. FAU - Aranaz-Andres, Jesus M AU - Aranaz-Andres JM AD - Department of Public Health, Miguel Hernandez University, Carretera de Alicante a Valencia s/n, San Juan de Alicante, Spain. aranaz_jes@gva.es FAU - Aibar-Remon, C AU - Aibar-Remon C FAU - Vitaller-Burillo, J AU - Vitaller-Burillo J FAU - Requena-Puche, J AU - Requena-Puche J FAU - Terol-Garcia, E AU - Terol-Garcia E FAU - Kelley, E AU - Kelley E FAU - Gea-Velazquez de Castro, M T AU - Gea-Velazquez de Castro MT CN - ENEAS work group LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20091019 PL - England TA - Int J Qual Health Care JT - International journal for quality in health care : journal of the International Society for Quality in Health Care JID - 9434628 SB - IM MH - Cohort Studies MH - Hospital Bed Capacity/statistics & numerical data MH - Hospitals, Public/*statistics & numerical data MH - Humans MH - Length of Stay/statistics & numerical data MH - Medical Errors/classification/*prevention & control/*statistics & numerical data MH - Patient Readmission/statistics & numerical data MH - Retrospective Studies MH - Spain/epidemiology FIR - Infante, A IR - Infante A FIR - Polo, M P IR - Polo MP FIR - Casal, J M IR - Casal JM FIR - Sierra, E IR - Sierra E FIR - Garcia, M J IR - Garcia MJ FIR - Agra, Y IR - Agra Y FIR - Palanca, I IR - Palanca I FIR - Zarco, A IR - Zarco A FIR - Soro, C IR - Soro C FIR - Ivorra, F M IR - Ivorra FM FIR - Bartolome, F IR - Bartolome F FIR - Limon, R IR - Limon R FIR - Gomez, J A IR - Gomez JA FIR - Agullo, V IR - Agullo V FIR - Montesinos, M A IR - Montesinos MA FIR - Garcia, J R IR - Garcia JR FIR - Aguado, L R IR - Aguado LR FIR - Cortes, M P IR - Cortes MP FIR - Misiego, A IR - Misiego A FIR - Jimenez, L IR - Jimenez L FIR - Villaverde, M V IR - Villaverde MV FIR - Abadia, M B IR - Abadia MB FIR - Ceballos, C IR - Ceballos C FIR - Garcia, E E IR - Garcia EE FIR - de la Hoz, C A IR - de la Hoz CA FIR - Jaen, P IR - Jaen P FIR - Lechuga, L IR - Lechuga L FIR - Rebull, J IR - Rebull J FIR - Brull, Ll IR - Brull L FIR - Gombau, C IR - Gombau C FIR - Domenech, M F IR - Domenech MF FIR - Gomez, F IR - Gomez F FIR - Becerra, D IR - Becerra D FIR - Donate, C IR - Donate C FIR - Valero, C IR - Valero C FIR - Martinez, M D IR - Martinez MD FIR - Ansede, J C IR - Ansede JC FIR - Albeniz, C IR - Albeniz C FIR - Arias, S IR - Arias S FIR - Carrion, M IR - Carrion M FIR - Lobote, M IR - Lobote M FIR - Vadillo, P IR - Vadillo P FIR - Lameiro, F J IR - Lameiro FJ FIR - Jauregui, M A IR - Jauregui MA FIR - Sarasa, I IR - Sarasa I FIR - Silvestre, C IR - Silvestre C FIR - Cots, F IR - Cots F FIR - Lasso, C IR - Lasso C FIR - Garcia, P IR - Garcia P FIR - Bartolome, N IR - Bartolome N FIR - del Campo, V IR - del Campo V FIR - Felpeto, I IR - Felpeto I FIR - Guimarey, R M IR - Guimarey RM FIR - Homs, E IR - Homs E FIR - Durany, M IR - Durany M FIR - Quintana, M IR - Quintana M FIR - Monteis, J IR - Monteis J FIR - Valenzuela, J C IR - Valenzuela JC FIR - Diaz, M IR - Diaz M FIR - Calonge, M L IR - Calonge ML FIR - Valledor, M IR - Valledor M FIR - Martin, M T IR - Martin MT FIR - Jimenez, R M IR - Jimenez RM FIR - Cabrera, A IR - Cabrera A FIR - Murcia, M J IR - Murcia MJ FIR - Blasco, S IR - Blasco S FIR - Sanchez-Porro, A IR - Sanchez-Porro A FIR - Gamez, M V IR - Gamez MV FIR - Calle, F IR - Calle F FIR - Biurrun, A IR - Biurrun A FIR - Leon, E IR - Leon E FIR - Ovejero, A F IR - Ovejero AF FIR - Martinez, R IR - Martinez R FIR - Rivas, M IR - Rivas M FIR - Tormo, A IR - Tormo A FIR - Gomez- Alferez, C IR - Gomez- Alferez C FIR - Enriquez, F IR - Enriquez F FIR - Cabello, J A IR - Cabello JA FIR - Perez, D IR - Perez D FIR - Lopez, L IR - Lopez L FIR - Amor, J F IR - Amor JF FIR - Gomez, A IR - Gomez A FIR - Martinez, J IR - Martinez J FIR - Celorrio, J M IR - Celorrio JM FIR - Clemente, M E IR - Clemente ME FIR - Garcia, M C IR - Garcia MC FIR - Orobitg, J IR - Orobitg J FIR - Gaig, M T IR - Gaig MT FIR - Viciosa, M IR - Viciosa M FIR - Del Rio, P IR - Del Rio P FIR - Capetillo, M P IR - Capetillo MP FIR - Cuesta, S IR - Cuesta S FIR - Martinez, A IR - Martinez A FIR - Berrozpe, E M IR - Berrozpe EM FIR - Miralles, J J IR - Miralles JJ FIR - Miralles, R IR - Miralles R FIR - Fernandez, E IR - Fernandez E FIR - De la Tassa, J IR - De la Tassa J FIR - Barcelo, F X IR - Barcelo FX FIR - Garcia, P IR - Garcia P FIR - Herrera, P IR - Herrera P FIR - Fernandez, J IR - Fernandez J FIR - Garcia, J M IR - Garcia JM FIR - Torralba, Ll IR - Torralba L FIR - Blanco, M A IR - Blanco MA FIR - Pajuelo, J M IR - Pajuelo JM FIR - Rey, J IR - Rey J FIR - Pardo, A IR - Pardo A FIR - Paredes, J IR - Paredes J FIR - Idoate, M F IR - Idoate MF FIR - Darpon, J IR - Darpon J FIR - Carreras, M IR - Carreras M FIR - Meneu, R IR - Meneu R EDAT- 2009/10/21 06:00 MHDA- 2010/02/03 06:00 CRDT- 2009/10/21 06:00 PHST- 2009/10/21 06:00 [entrez] PHST- 2009/10/21 06:00 [pubmed] PHST- 2010/02/03 06:00 [medline] AID - mzp047 [pii] AID - 10.1093/intqhc/mzp047 [doi] PST - ppublish SO - Int J Qual Health Care. 2009 Dec;21(6):408-14. doi: 10.1093/intqhc/mzp047. Epub 2009 Oct 19.