PMID- 22230785
OWN - NLM
STAT- MEDLINE
DCOM- 20130111
LR  - 20131106
IS  - 1887-1364 (Electronic)
IS  - 1134-282X (Linking)
VI  - 27
IP  - 4
DP  - 2012 Jul-Aug
TI  - [Clinical safety plan in a university hospital complex. Initial diagnosis: study 
      of adverse events].
PG  - 189-96
LID - 10.1016/j.cali.2011.10.005 [doi]
AB  - OBJECTIVES: To establish the incidence of adverse events (AEs) and incidence of 
      patients with AEs in the University Hospital Complex of Albacete (CHUA); to 
      identify and define the AEs which are linked to health care; to analyse avoidable 
      AE and determine their impact; to plan improvement actions. DESIGN: Retrospective 
      cohort study. SAMPLE: Patients registered from 5 November to 19 November, 2007. 
      CASE DEFINITION: Any accident or incident reported in the medical record which 
      injured or may have injured the patient. MATERIAL: Adverse Events Screening 
      Guide, adapted from the Harvard study. Spanish version of the Modular Review Form 
      (MRF2) for retrospective case record review. STATISTICAL ANALYSIS: Univariate and 
      bivariate analysis and logistic regression model. RESULTS: The incidence of 
      patients with AEs linked to hospital care was 6.8%. The incidence was 
      significantly different depending on: age, presence of intrinsic or extrinsic 
      risk factors (excluding peripheral venous catheter); 8.2% of AE was linked to 
      care; 14.3% to medication; 26.5% to nosocomial infections; 35.7% to technical 
      problems in procedures; 11.2% to diagnosis, and the remaining 4.1% to other types 
      of AEs. In these incidences, 12.2% were considered mild, 78.6% moderate and 8.2% 
      serious. Half (50%) of AEs caused an increase in hospital stay, and in 34.7% 
      cases determined hospitalisation. A total of 63.3% of AEs were considered 
      avoidable. CONCLUSIONS: The study of AEs in the CHUA represents an improvement 
      within the hospital quality program. Incidences of patients with AEs and those 
      related to health care fall within the range of those found in the studies where 
      the objective was quality improvement.
CI  - Copyright (c) 2011 SECA. Published by Elsevier Espana. All rights reserved.
FAU - Lucas-Imbernon, F J
AU  - Lucas-Imbernon FJ
AD  - Complejo Hospitalario Universitario de Albacete, Albacete, Espana. 
      javierlucas@ono.com
FAU - Aranaz-Andres, J M
AU  - Aranaz-Andres JM
FAU - Gea-Velazquez de Castro, M T
AU  - Gea-Velazquez de Castro MT
FAU - Gallardo-Martinez, D
AU  - Gallardo-Martinez D
FAU - Limon-Ramirez, R
AU  - Limon-Ramirez R
FAU - Garcia-Fernandez, C
AU  - Garcia-Fernandez C
LA  - spa
PT  - English Abstract
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
TT  - Plan de seguridad clinica del Complejo Hospitalario Universitario de Albacete 
      (CHUA). Diagnostico inicial: estudio de eventos adversos.
DEP - 20120109
PL  - Spain
TA  - Rev Calid Asist
JT  - Revista de calidad asistencial : organo de la Sociedad Espanola de Calidad 
      Asistencial
JID - 9601664
SB  - IM
MH  - Accidents/statistics & numerical data
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cross Infection/epidemiology
MH  - Diagnostic Errors/statistics & numerical data
MH  - Female
MH  - Hospitals, University/*statistics & numerical data
MH  - Humans
MH  - Incidence
MH  - Inpatients/statistics & numerical data
MH  - Male
MH  - Medical Errors/statistics & numerical data
MH  - Middle Aged
MH  - Quality Assurance, Health Care
MH  - Quality Improvement
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Risk Management/*organization & administration
MH  - Spain/epidemiology
MH  - Young Adult
EDAT- 2012/01/11 06:00
MHDA- 2013/01/12 06:00
CRDT- 2012/01/11 06:00
PHST- 2011/04/19 00:00 [received]
PHST- 2011/09/13 00:00 [revised]
PHST- 2011/10/28 00:00 [accepted]
PHST- 2012/01/11 06:00 [entrez]
PHST- 2012/01/11 06:00 [pubmed]
PHST- 2013/01/12 06:00 [medline]
AID - S1134-282X(11)00198-9 [pii]
AID - 10.1016/j.cali.2011.10.005 [doi]
PST - ppublish
SO  - Rev Calid Asist. 2012 Jul-Aug;27(4):189-96. doi: 10.1016/j.cali.2011.10.005. Epub 
      2012 Jan 9.