PMID- 25609774
OWN - NLM
STAT- MEDLINE
DCOM- 20151120
LR  - 20161020
IS  - 1464-3677 (Electronic)
IS  - 1353-4505 (Linking)
VI  - 27
IP  - 1
DP  - 2015 Feb
TI  - Frequency of ambulatory care adverse events in Latin American countries: the 
      AMBEAS/PAHO cohort study.
PG  - 52-9
LID - 10.1093/intqhc/mzu100 [doi]
AB  - OBJECTIVE: Determine the frequency and preventability of adverse events (AEs) 
      from available information sources in selected ambulatory care (AC) sites in 
      Latin America (LA). DESIGN: Multinational observational cohort was conducted to 
      determine the period prevalence (retrospective focus) and the cumulative 
      incidence (prospective focus) of AEs. SETTING: Outpatient clinics in Mexico, 
      Peru, Brazil and Colombia. PARTICIPANTS: A random selection of 2080 patients. 
      INTERVENTIONS: The existence of AE was decided based on trigger information 
      provided by the patient and crossing the data with each patient's medical 
      history. MAIN OUTCOME MEASURES: AE occurrences 6 months prior (prevalence) and 42 
      days after (incidence) the patient receiving AC were identified. AE type and 
      preventability were also described. RESULTS: Two thousand eighty patients 
      participated in the study. AEs prevalence was 5.2% (108/2080) [95% confidence 
      interval (CI) 4.2-6.1%], and cumulative incidence was 2.4% (42/1757) (95% CI 
      1.7-3.1%). AEs considered preventable were 44% (55/108) of prevalence period, and 
      52.4% (22/42) of incidence period. Preventability was associated with patient 
      socioeconomic status (OR 3.5, 95% CI 1.4-8.8), medication error (OR 0.1, 95% CI 
      0.0-0.4), diagnostic error (OR 0.1, 95% CI 0.0-0.8) and a minor impact on the 
      patient (OR 0.2 95% CI 0.1-0.9). CONCLUSION: The frequency of AE in ambulatory 
      settings in LA is in the high-frequency range of research focused on the 
      prevalence of AEs. Fifty percent was preventable. This study provides an approach 
      for assessing the frequency and preventability of AE in order to enhance patient 
      safety in LA.
CI  - (c) The Author 2015. Published by Oxford University Press in association with the 
      International Society for Quality in Health Care; all rights reserved.
FAU - Montserrat-Capella, Dolors
AU  - Montserrat-Capella D
AD  - Department of Quality Assurance, Hospital Puerta de Hierro, Madrid, Spain.
FAU - Suarez, Manuel
AU  - Suarez M
AD  - Medical, Eye, and Dental International Care Organization (Medico), Austin, TX, 
      USA.
FAU - Ortiz, Lidia
AU  - Ortiz L
AD  - Department of Statistics, Mathematics and Informatics, Universidad Miguel 
      Hernandez, Elche, Spain.
FAU - Mira, Jose Joaquin
AU  - Mira JJ
AD  - Alicante-Sant Joan Health District, Alicante, Spain Department of Health 
      Psychology, Universidad Miguel Hernandez, Elche, Spain.
FAU - Duarte, Hernando Gaitan
AU  - Duarte HG
AD  - Department of Obstetrics and Gynecological, Clinical Research Institute, 
      Universidad Nacional de Colombia, Bogota, Colombia.
FAU - Reveiz, Ludovic
AU  - Reveiz L
AD  - Department of Knowledge Management, Bioethics and Research, Pan American Health 
      Organization, Washington, DC, USA.
CN  - AMBEAS Group
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20150121
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  - Ambulatory Care/*statistics & numerical data
MH  - Drug-Related Side Effects and Adverse Reactions/epidemiology
MH  - Female
MH  - Humans
MH  - Incidence
MH  - Latin America/epidemiology
MH  - Male
MH  - Medical Errors/classification/prevention & control/*statistics & numerical data
MH  - Patient Harm/statistics & numerical data
MH  - Patient Safety
MH  - Prevalence
MH  - Quality of Health Care
MH  - Socioeconomic Factors
OTO - NOTNLM
OT  - Latin America
OT  - adverse events
OT  - ambulatory care
OT  - patient safety
OT  - primary care
FIR - Cho, Malhi
IR  - Cho M
FIR - Rodriguez, Hernan
IR  - Rodriguez H
FIR - Milberg, Matias
IR  - Milberg M
FIR - Dieguez, Marcelo Garcia
IR  - Dieguez MG
FIR - Tristan, Mario
IR  - Tristan M
FIR - Granados, Ramon
IR  - Granados R
FIR - Puertas, Benjamin
IR  - Puertas B
FIR - Artaza, Oswaldo
IR  - Artaza O
FIR - Varella, Danila Augusta Accioly
IR  - Varella DA
FIR - FitzGerald, James
IR  - FitzGerald J
FIR - Torres, Francisco Hernandez
IR  - Torres FH
FIR - Iglesias, Claudia
IR  - Iglesias C
FIR - Garcia, Luis Humberto Legua
IR  - Garcia LH
FIR - da Silva Lima, Rogerio
IR  - da Silva Lima R
FIR - Munoz, Sergio
IR  - Munoz S
FIR - Oliveira, Diana Carmen
IR  - Oliveira DC
FIR - Valdes, Martha Yolanda Ruiz
IR  - Valdes MY
FIR - Sagastuy, Begona
IR  - Sagastuy B
FIR - Varela, Javier Santacruz
IR  - Varela JS
FIR - de Sousa, Fabiana Cristina
IR  - de Sousa FC
FIR - Souza, Fabio
IR  - Souza F
FIR - Torres, Ruben
IR  - Torres R
EDAT- 2015/01/23 06:00
MHDA- 2015/12/15 06:00
CRDT- 2015/01/23 06:00
PHST- 2015/01/23 06:00 [entrez]
PHST- 2015/01/23 06:00 [pubmed]
PHST- 2015/12/15 06:00 [medline]
AID - mzu100 [pii]
AID - 10.1093/intqhc/mzu100 [doi]
PST - ppublish
SO  - Int J Qual Health Care. 2015 Feb;27(1):52-9. doi: 10.1093/intqhc/mzu100. Epub 
      2015 Jan 21.