PMID- 24304602
OWN - NLM
STAT- MEDLINE
DCOM- 20141201
LR  - 20140311
IS  - 1365-2753 (Electronic)
IS  - 1356-1294 (Linking)
VI  - 20
IP  - 2
DP  - 2014 Apr
TI  - Effect of patient safety strategies on the incidence of adverse events.
PG  - 184-90
LID - 10.1111/jep.12105 [doi]
AB  - OBJECTIVE: This study aims to estimate the incidence of adverse events (AEs) and 
      avoidable AE in four hospital services before and after applying strategies for 
      patient safety. DESIGN: Retrospective study of two cohorts (2006 and 2009). 
      SETTING: General Surgery, Internal Medicine, Intensive Care Unit and Oncology 
      services. PARTICIPANTS: A sample of 365 patients (2006) and 232 in 2009 randomly 
      selected from the services previously cited. INTERVENTIONS: Strategies to improve 
      patient safety (e.g. hand-hygiene campaign). MAIN OUTCOME MEASURES: Analyses were 
      made of the change in the incidence and type of AE and avoidable AE, number of 
      procedures and additional days of hospital stay, and the concordance between two 
      recording systems. RESULTS: The incidence of patients with AE was 20.8% in 2006 
      compared with 28.9% in 2009 (P < 0.05). Oncology had twofold more AE than did 
      General Surgery [odds ratio (OR) = 2.07, 95% confidence interval (CI): 1.12-3.86] 
      for the same length of stay and number of extrinsic risk factors. In 2006, 84.6% 
      were considered avoidable, compared with 57.1% of 2009 (P < 0.001). There was no 
      difference in the average length of additional stay. In 2006, there were more 
      additional procedures compared to 2009 (OR = 2.75, 95% CI: 1.28-6.06). A 
      concordance of 61% was found for the detection of AE with the two recording 
      systems. CONCLUSIONS: An increased incidence in AEs was found after the 
      strategies, while avoidable AE decreased, as did additional treatments and 
      procedures. The measures implemented constitute a further step in reducing 
      avoidance and a greater awareness of recording AEs in the discharge report.
CI  - (c) 2013 John Wiley & Sons, Ltd.
FAU - Fernandez Sierra, M Amelia
AU  - Fernandez Sierra MA
AD  - UGC Medicina Preventiva, Vigilancia y Promocion de la Salud, Granada, Spain.
FAU - Rodriguez del Aguila, M del Mar
AU  - Rodriguez del Aguila Mdel M
FAU - Navarro Espigares, Jose Luis
AU  - Navarro Espigares JL
FAU - Enriquez Maroto, M Francisca
AU  - Enriquez Maroto MF
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20131204
PL  - England
TA  - J Eval Clin Pract
JT  - Journal of evaluation in clinical practice
JID - 9609066
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Communication
MH  - Documentation
MH  - Female
MH  - Humans
MH  - Incidence
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - *Patient Safety
MH  - Quality of Health Care/*organization & administration
MH  - Risk Factors
OTO - NOTNLM
OT  - adverse events
OT  - avoidable effects
OT  - comparative-effectiveness research
OT  - hospital
OT  - patient safety
EDAT- 2013/12/07 06:00
MHDA- 2014/12/15 06:00
CRDT- 2013/12/06 06:00
PHST- 2013/11/05 00:00 [accepted]
PHST- 2013/12/06 06:00 [entrez]
PHST- 2013/12/07 06:00 [pubmed]
PHST- 2014/12/15 06:00 [medline]
AID - 10.1111/jep.12105 [doi]
PST - ppublish
SO  - J Eval Clin Pract. 2014 Apr;20(2):184-90. doi: 10.1111/jep.12105. Epub 2013 Dec 
      4.