PMID- 22190588 OWN - NLM STAT- MEDLINE DCOM- 20120711 LR - 20161020 IS - 1464-3677 (Electronic) IS - 1353-4505 (Linking) VI - 24 IP - 2 DP - 2012 Apr TI - Adverse events in Spanish intensive care units: the SYREC study. PG - 105-13 LID - 10.1093/intqhc/mzr083 [doi] AB - OBJECTIVE: To estimate the incidence and characteristics of adverse events (AEs) and no-harm events (NHEs) in critically ill patients. DESIGN: Observational, prospective, 24-h cross-sectional study with self-reporting. SETTING: Seventy-nine intensive care units at 76 hospitals. MEASUREMENTS: Number of events, risk of AEs and NHEs, types of incidents, severity and avoidability of incidents. RESULTS: A total of 1017 patients were included in the study; 591 (58%) were affected by one or more incidents. Of the 1424 valid incidents, 943 (66%) were NHEs and 481 (34%) were AEs. The individual risk of suffering at least one incident was 62%, at least one NHE 45% and at least one AE 29%. The median number of incidents, NHEs and AEs was 6, 3 and 2 per 100 patient-hours, respectively. Seventy-four per cent of the incidents were related to medication (24%), equipment (15%), nursing care (14%), accidental withdrawal of vascular accesses and catheters (10%) or airways and mechanical ventilation (10%). AEs resulted in temporary damage in 29% and in permanent damage or damage that compromised patients' lives or contributed to their death in 4%. Incidents were avoidable in 79% of cases (90% in NHEs and 60% in AEs, P < 0.05). CONCLUSIONS: The individual risk for incidents in critical patients is high. Many incidents did not harm patients, some caused damage and a few were related to the patient's death. Most incidents were considered avoidable. FAU - Merino, Paz AU - Merino P AD - Intensive Care Unit, Hospital Can Misses, Ibiza, Spain. pazmerino@telefonica.net FAU - Alvarez, Joaquin AU - Alvarez J FAU - Cruz Martin, Mari AU - Cruz Martin M FAU - Alonso, Angela AU - Alonso A FAU - Gutierrez, Isabel AU - Gutierrez I CN - SYREC Study Investigators LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20111221 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 - Critical Illness MH - Cross-Sectional Studies MH - Health Facility Size MH - Humans MH - Intensive Care Units/*statistics & numerical data MH - Medical Errors/*classification/statistics & numerical data MH - Prospective Studies MH - Quality of Health Care MH - Self Report MH - Spain FIR - Canovas Robles, J IR - Canovas Robles J FIR - Perales Pastor, R IR - Perales Pastor R FIR - Sanchez Ortega, D IR - Sanchez Ortega D FIR - Serrano Calvache, J A IR - Serrano Calvache JA FIR - De Rojas Roman, J P IR - De Rojas Roman JP FIR - Ramos Carbonero, Y IR - Ramos Carbonero Y FIR - Gutierrez Fernandez, M J IR - Gutierrez Fernandez MJ FIR - Fernandez Alvarez, V IR - Fernandez Alvarez V FIR - Umaran Sarachu, M I IR - Umaran Sarachu MI FIR - Monguillo Martiregui IR - Monguillo Martiregui FIR - Fernandez Dorado, F IR - Fernandez Dorado F FIR - Figueras Coloma, E IR - Figueras Coloma E FIR - Morillas Perez, J IR - Morillas Perez J FIR - Portillo Jaurena, E IR - Portillo Jaurena E FIR - Sanchez Segura, J M IR - Sanchez Segura JM FIR - Sola Sole, N IR - Sola Sole N FIR - Zavala Zegarra, E IR - Zavala Zegarra E FIR - Cirerea, A IR - Cirerea A FIR - Vazquez Sanchez, A IR - Vazquez Sanchez A FIR - Abad Peruga, V IR - Abad Peruga V FIR - Robles Gonzalez, A IR - Robles Gonzalez A FIR - Borja Garcia, M I IR - Borja Garcia MI FIR - Bellot Iglesias, J L IR - Bellot Iglesias JL FIR - Martinez Molina, M IR - Martinez Molina M FIR - Romero Pellerrejo, J IR - Romero Pellerrejo J FIR - Campillo Temino, C IR - Campillo Temino C FIR - Martinez Hernandez, J IR - Martinez Hernandez J FIR - Alarcon Simarro, N IR - Alarcon Simarro N FIR - Alvaro Sanchez, R IR - Alvaro Sanchez R FIR - Bernat Adell, A IR - Bernat Adell A FIR - Molina Dominguez, E IR - Molina Dominguez E FIR - Ortega Carnicer, J IR - Ortega Carnicer J FIR - Alcala Lopez, A IR - Alcala Lopez A FIR - Pastor, M IR - Pastor M FIR - Palomeque Rico, A IR - Palomeque Rico A FIR - Nicolas Zambudio, G IR - Nicolas Zambudio G FIR - Alonso Ovies, A IR - Alonso Ovies A FIR - Balugo Huertas, S IR - Balugo Huertas S FIR - Audicana Uriarte, J IR - Audicana Uriarte J FIR - Sanchez Villamar, A M IR - Sanchez Villamar AM FIR - Alvarez Villuendas, A IR - Alvarez Villuendas A FIR - Garfingou Llenas, D IR - Garfingou Llenas D FIR - Roca Guiseris, J IR - Roca Guiseris J FIR - Garcia, R IR - Garcia R FIR - Fernandez del Campo, R IR - Fernandez del Campo R FIR - Buendia, F IR - Buendia F FIR - Bartual Lobato, E IR - Bartual Lobato E FIR - Garcia Verdejo, J A IR - Garcia Verdejo JA FIR - Verduras Ruiz, M A IR - Verduras Ruiz MA FIR - Rodrigo Frontelo, R IR - Rodrigo Frontelo R FIR - Pavia Pesquera, M C IR - Pavia Pesquera MC FIR - Pardos Peiros, E IR - Pardos Peiros E FIR - Blanco Perez, J IR - Blanco Perez J FIR - Murado Bouso, A M IR - Murado Bouso AM FIR - Gomez Tello, V IR - Gomez Tello V FIR - del Pozo, Y IR - del Pozo Y FIR - Reyes Garcia, A IR - Reyes Garcia A FIR - Toledano Pena, J IR - Toledano Pena J FIR - Ramos Polo, J IR - Ramos Polo J FIR - Suay Ojalvo, C IR - Suay Ojalvo C FIR - Menendez de Suso, J J IR - Menendez de Suso JJ FIR - Segovia Gaitan, M IR - Segovia Gaitan M FIR - Saenz Casco, L IR - Saenz Casco L FIR - Andres Sarria, M IR - Andres Sarria M FIR - Jimenez Lendinez, M IR - Jimenez Lendinez M FIR - Romero, C IR - Romero C FIR - Arias Verdu, M D IR - Arias Verdu MD FIR - Garcia Santana, J L IR - Garcia Santana JL FIR - Arboleda Sanchez, J A IR - Arboleda Sanchez JA FIR - Velasco Bueno, J M IR - Velasco Bueno JM FIR - Solsona Perlasia, M IR - Solsona Perlasia M FIR - Vilalta Llibre, M IR - Vilalta Llibre M FIR - Garcia Fernandez, A M IR - Garcia Fernandez AM FIR - Morales Adeva, L IR - Morales Adeva L FIR - Galdos Anuncibay, P IR - Galdos Anuncibay P FIR - Arias Castro, I IR - Arias Castro I FIR - Gomez Ramos, M J IR - Gomez Ramos MJ FIR - Cevidanes, M IR - Cevidanes M FIR - Martinez Fresneda, M IR - Martinez Fresneda M FIR - Banacloche Cano, C IR - Banacloche Cano C FIR - Carrillo Alcaraz, A IR - Carrillo Alcaraz A FIR - Penalver, F IR - Penalver F FIR - Iglesias Fraile, L IR - Iglesias Fraile L FIR - Alvarez Mendez, B IR - Alvarez Mendez B FIR - Rialp Cervera, G IR - Rialp Cervera G FIR - Bestard Socias, C IR - Bestard Socias C FIR - Rodriguez Albarran, F IR - Rodriguez Albarran F FIR - Ballester Belcos, R IR - Ballester Belcos R FIR - Ramos Castro, J IR - Ramos Castro J FIR - Herranz Ayesa, M V IR - Herranz Ayesa MV FIR - Martinez Urionabarrenetxea, K IR - Martinez Urionabarrenetxea K FIR - Elizondo Soto, A IR - Elizondo Soto A FIR - Gil Cebrian, J IR - Gil Cebrian J FIR - Delgado Poullet, N IR - Delgado Poullet N FIR - Prieto Valderrey, F IR - Prieto Valderrey F FIR - Nieto Galeano, J IR - Nieto Galeano J FIR - Rovira Angles, C IR - Rovira Angles C FIR - Cerrillo, E IR - Cerrillo E FIR - Dominguez Lopez, S IR - Dominguez Lopez S FIR - Malnero Lopez, M IR - Malnero Lopez M FIR - Baigorri Gonzalez, F IR - Baigorri Gonzalez F FIR - Jam Gatell, R IR - Jam Gatell R FIR - Lacueva Moya, V IR - Lacueva Moya V FIR - Hernandez Santamaria, F IR - Hernandez Santamaria F FIR - Gonzalez Robledo, J IR - Gonzalez Robledo J FIR - Coca Hernandez, M A IR - Coca Hernandez MA FIR - Azkarate Ayerdi, B IR - Azkarate Ayerdi B FIR - Marcos, A IR - Marcos A FIR - Rull Rodriguez, V E IR - Rull Rodriguez VE FIR - Morras Pineda, B IR - Morras Pineda B FIR - Gilavert Cuevas, M C IR - Gilavert Cuevas MC FIR - Aragones, M IR - Aragones M FIR - Jurado Castro, M T IR - Jurado Castro MT FIR - Bell Ribatallada, M IR - Bell Ribatallada M FIR - Perez-Pedrero Sanchez-Belmonte, M J IR - Perez-Pedrero Sanchez-Belmonte MJ FIR - Pinilla Lopez, A IR - Pinilla Lopez A FIR - Vazquez Casas, J R IR - Vazquez Casas JR FIR - Herrero Gomez, E IR - Herrero Gomez E FIR - Soto Ibanez, J M IR - Soto Ibanez JM FIR - Romero Moran, M A IR - Romero Moran MA FIR - Garcia Galiana, E IR - Garcia Galiana E FIR - Fernandez Martinez, A IR - Fernandez Martinez A FIR - Dominguez Quintero, L A IR - Dominguez Quintero LA FIR - Acebes Sancho, B E IR - Acebes Sancho BE FIR - Dominguez Quintero, L A IR - Dominguez Quintero LA FIR - Palencia Garcia, M A IR - Palencia Garcia MA FIR - Tizon Varela, A I IR - Tizon Varela AI FIR - de Castro Rodriguez, P IR - de Castro Rodriguez P FIR - Manzano Ramirez, A IR - Manzano Ramirez A FIR - Ruiz de Ofenda, E IR - Ruiz de Ofenda E FIR - Marcos Gutierrez, A IR - Marcos Gutierrez A FIR - Larruscain Leon, M V IR - Larruscain Leon MV FIR - Temino Palomera, S IR - Temino Palomera S FIR - Lasheras Palomero, L IR - Lasheras Palomero L FIR - Gutierrez Cia, I IR - Gutierrez Cia I FIR - Moreno, M A IR - Moreno MA FIR - Tirado Angles, G IR - Tirado Angles G FIR - Gonzalez Caballero, M IR - Gonzalez Caballero M FIR - Valero Garcia, R IR - Valero Garcia R FIR - Casa Venta, J IR - Casa Venta J FIR - Garcia Mangas, P IR - Garcia Mangas P FIR - Mahave Carrasco, R IR - Mahave Carrasco R FIR - Olmos Perez, F IR - Olmos Perez F FIR - Villabona Resano, J IR - Villabona Resano J FIR - Williams, L IR - Williams L FIR - Patino, Y IR - Patino Y FIR - Margarit Ribas, A IR - Margarit Ribas A FIR - Flamarique Zaratiegui, M T IR - Flamarique Zaratiegui MT FIR - Ortega, R A IR - Ortega RA FIR - Sanchez Reinoso, J IR - Sanchez Reinoso J FIR - Diosdado Iraola Ferrer, M IR - Diosdado Iraola Ferrer M FIR - Mora Perez, Y IR - Mora Perez Y FIR - Carrazana Ososrio, V IR - Carrazana Ososrio V FIR - Prieto Fuentemayor, J R IR - Prieto Fuentemayor JR FIR - Diaz Aguila, H IR - Diaz Aguila H FIR - Companioni Sola, Y IR - Companioni Sola Y FIR - Morales Valderas, A IR - Morales Valderas A FIR - Solis Sotero, M IR - Solis Sotero M EDAT- 2011/12/23 06:00 MHDA- 2012/07/12 06:00 CRDT- 2011/12/23 06:00 PHST- 2011/12/23 06:00 [entrez] PHST- 2011/12/23 06:00 [pubmed] PHST- 2012/07/12 06:00 [medline] AID - mzr083 [pii] AID - 10.1093/intqhc/mzr083 [doi] PST - ppublish SO - Int J Qual Health Care. 2012 Apr;24(2):105-13. doi: 10.1093/intqhc/mzr083. Epub 2011 Dec 21.