PMID- 29183678
OWN - NLM
STAT- MEDLINE
DCOM- 20191018
LR  - 20191121
IS  - 1578-1275 (Electronic)
IS  - 0212-6567 (Print)
IS  - 0212-6567 (Linking)
VI  - 50
IP  - 8
DP  - 2018 Oct
TI  - [Description of contributing factors in adverse events related to patient safety 
      and their preventability].
PG  - 486-492
LID - S0212-6567(16)30307-9 [pii]
LID - 10.1016/j.aprim.2017.05.013 [doi]
AB  - OBJECTIVE: To assess the extent of healthcare related adverse events (AEs), their 
      effect on patients, and their seriousness. To analyse the factors leading to the 
      development of AEs, their relationship with the damage caused, and their degree 
      of preventability. DESIGN: Retrospective descriptive study. LOCATION: Porrino, 
      Pontevedra, Spain, Primary Care Service, from January-2014 to April-2016. 
      PARTICIPANTS AND/OR CONTEXT: Reported AEs were entered into the Patient Safety 
      Reporting and Learning System (SiNASP). METHOD: The variables measured were: Near 
      Incident (NI) an occurrence with no effect or harm on the patient; Adverse Event 
      (AE) an occurrence that affects or harms a patient. The level of harm is 
      classified as minimal, minor, moderate, critical, and catastrophic. 
      Preventability was classified as little evidence of being preventable, 50% 
      preventable, and sound evidence of being preventable. DATA ANALYSIS: percentages 
      and Chi-squared test for qualitative variables; P<.05 with SPSS.15. DATA SOURCE: 
      SiNASP. Ethical considerations: approved by the Research Ethics Committee 
      (2016/344). RESULTS: There were 166 recorded AEs (50.6% in males, and 46.4% in 
      women. The mean age was 60.80years). Almost two-thirds 62.7% of AEs affected the 
      patient, with 45.8% causing minimal damage, while 2.4% caused critical damages. 
      Healthcare professionals were a contributing factor in 71.7% of the AEs, with the 
      trend showing that poor communication and lack of protocols were related to the 
      damage caused. Degree of preventability: 96.4%. CONCLUSIONS: Most AEs affected 
      the patient, and were related to medication, diagnostic tests, and laboratory 
      errors. The level of harm was related to communication problems, lack of, or 
      deficient, protocols and a poor safety culture.
CI  - Copyright (c) 2017 Elsevier Espana, S.L.U. All rights reserved.
FAU - Guerra-Garcia, Maria Mercedes
AU  - Guerra-Garcia MM
AD  - Farmacia de Atencion Primaria, Servizo de Atencion Primaria de Porrino, 
      Estructura Organizativa de Xestion Integrada de Vigo, Servizo Galego de Saude, O 
      Porrino, Pontevedra, Espana. Electronic address: 
      maria.mercedes.guerra.garcia@sergas.es.
FAU - Campos-Rivas, Beatriz
AU  - Campos-Rivas B
AD  - Medicina Familiar y Comunitaria, Hospital Alvaro Cunqueiro, Estructura 
      Organizativa de Xestion Integrada de Vigo, Servizo Galego de Saude, Vigo, 
      Pontevedra, Espana.
FAU - Sanmarful-Schwarz, Alexandra
AU  - Sanmarful-Schwarz A
AD  - Medicina Familiar y Comunitaria, Servizo de Atencion Primaria de Porrino, 
      Estructura Organizativa de Xestion Integrada de Vigo, Servizo Galego de Saude, O 
      Porrino, Pontevedra, Espana.
FAU - Virseda-Sacristan, Alicia
AU  - Virseda-Sacristan A
AD  - Medicina Familiar y Comunitaria, Servizo de Atencion Primaria de Porrino, 
      Estructura Organizativa de Xestion Integrada de Vigo, Servizo Galego de Saude, O 
      Porrino, Pontevedra, Espana.
FAU - Dorrego-Lopez, M Aranzazu
AU  - Dorrego-Lopez MA
AD  - Medicina Familiar y Comunitaria, Hospital Alvaro Cunqueiro, Estructura 
      Organizativa de Xestion Integrada de Vigo, Servizo Galego de Saude, Vigo, 
      Pontevedra, Espana.
FAU - Charle-Crespo, Angeles
AU  - Charle-Crespo A
AD  - Medicina Familiar y Comunitaria, Servizo de Atencion Primaria de Porrino, 
      Estructura Organizativa de Xestion Integrada de Vigo, Servizo Galego de Saude, O 
      Porrino, Pontevedra, Espana.
LA  - spa
PT  - Journal Article
PT  - Multicenter Study
TT  - Descripcion de factores contribuyentes en sucesos adversos relacionados con la 
      seguridad del paciente y su evitabilidad.
DEP - 20171126
PL  - Spain
TA  - Aten Primaria
JT  - Atencion primaria
JID - 9111075
SB  - IM
MH  - Communication
MH  - Drug-Related Side Effects and Adverse Reactions/complications/epidemiology
MH  - Female
MH  - Health Personnel/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Medical Errors/*adverse effects/classification/prevention & control/statistics & 
      numerical data
MH  - Middle Aged
MH  - *Patient Safety
MH  - Primary Health Care
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Spain
PMC - PMC6836922
OTO - NOTNLM
OT  - Atencion primaria de salud
OT  - Calidad asistencial
OT  - Dano sobre el paciente
OT  - Patient harm
OT  - Patient safety
OT  - Primary health care
OT  - Quality Health Care
OT  - Riesgos sanitarios
OT  - Risk management
OT  - Seguridad del paciente
EDAT- 2017/12/01 06:00
MHDA- 2019/10/19 06:00
PMCR- 2017/11/26
CRDT- 2017/11/30 06:00
PHST- 2016/09/01 00:00 [received]
PHST- 2017/05/18 00:00 [revised]
PHST- 2017/05/24 00:00 [accepted]
PHST- 2017/12/01 06:00 [pubmed]
PHST- 2019/10/19 06:00 [medline]
PHST- 2017/11/30 06:00 [entrez]
PHST- 2017/11/26 00:00 [pmc-release]
AID - S0212-6567(16)30307-9 [pii]
AID - 10.1016/j.aprim.2017.05.013 [doi]
PST - ppublish
SO  - Aten Primaria. 2018 Oct;50(8):486-492. doi: 10.1016/j.aprim.2017.05.013. Epub 
      2017 Nov 26.