PMID- 20875536
OWN - NLM
STAT- MEDLINE
DCOM- 20110301
LR  - 20100929
IS  - 0025-7753 (Print)
IS  - 0025-7753 (Linking)
VI  - 135 Suppl 1
DP  - 2010 Jul
TI  - [An adverse event continuous surveillance system in surgical services of the 
      autonomous region of Cantabria (Spain)].
PG  - 12-6
LID - 10.1016/S0025-7753(10)70015-4 [doi]
AB  - OBJECTIVE: To design a continuous surveillance system for adverse events (AEs) in 
      surgical services in the Autonomous Community of Cantabria. Through homogeneous 
      methodology, this system will provide the information needed to prevent and 
      control AEs and avoid their recurrence. MATERIAL AND METHODS: We performed a 
      prospective study of the population undergoing inpatient surgery in our service. 
      The methodology used was an adapted version of the IDEA (Identification of 
      Adverse Events) project. Surgeons had access to an intranet website and 
      introduced the data by using a personal login. A web application allowed feedback 
      through report-generation. RESULTS: During the pilot phase, limited collection of 
      variables requiring calculations and of those related to location and causality 
      was observed. Assessment of the system indicated the need for simplification to 
      obtain valid and useful information, as well as the need to provide help windows. 
      The system was redesigned with two data input screens and currently allows for 
      automatic report generation of registered AEs. Information was gathered on 70% of 
      the patients and an incidence of 11.2 AEs/100 admissions was found. Of these, 47% 
      were defined as surgical complications. CONCLUSIONS: Establishing a continuous 
      surveillance system for AEs is feasible if professionals participate in the 
      process, data input is easy and feedback from the system is rapid and useful for 
      implementing corrective measures. This system can be considered highly useful for 
      obtaining information on AEs and consequently on the potential areas of 
      improvement in surgical activity in Spanish hospitals.
CI  - Copyright (c) 2010 Elsevier Espana S.L. All rights reserved.
FAU - Rebollo-Rodrigo, Henar
AU  - Rebollo-Rodrigo H
AD  - Unidad Central en Seguridad del Paciente, Subdireccion de Desarrollo y Calidad 
      Asistencial del Servicio Cantabro de Salud, Santander, Cantabria, Spain. 
      mprrrh@humv.es
FAU - Madrazo-Leal, Cesar
AU  - Madrazo-Leal C
FAU - Gomez-Fleitas, Manuel
AU  - Gomez-Fleitas M
LA  - spa
PT  - English Abstract
PT  - Journal Article
TT  - Sistema de vigilancia continua de eventos adversos en los servicios quirurgicos 
      de Cantabria.
PL  - Spain
TA  - Med Clin (Barc)
JT  - Medicina clinica
JID - 0376377
SB  - IM
MH  - Humans
MH  - Medical Errors/*prevention & control/statistics & numerical data
MH  - Population Surveillance
MH  - Prospective Studies
MH  - Safety Management/*methods/statistics & numerical data
MH  - Surgery Department, Hospital/*standards
EDAT- 2011/02/09 06:00
MHDA- 2011/03/02 06:00
CRDT- 2010/09/30 06:00
PHST- 2010/09/30 06:00 [entrez]
PHST- 2011/02/09 06:00 [pubmed]
PHST- 2011/03/02 06:00 [medline]
AID - S0025-7753(10)70015-4 [pii]
AID - 10.1016/S0025-7753(10)70015-4 [doi]
PST - ppublish
SO  - Med Clin (Barc). 2010 Jul;135 Suppl 1:12-6. doi: 10.1016/S0025-7753(10)70015-4.