PMID- 30153990
OWN - NLM
STAT- MEDLINE
DCOM- 20191107
LR  - 20210527
IS  - 2341-1929 (Electronic)
IS  - 2341-1929 (Linking)
VI  - 65
IP  - 9
DP  - 2018 Nov
TI  - Continuous improvement of safety in the Intensive Care and Surgical environment 
      according to UNE 179003:2013 standard: 8 years experience.
PG  - 486-494
LID - S0034-9356(18)30140-3 [pii]
LID - 10.1016/j.redar.2018.07.005 [doi]
AB  - INTRODUCTION: The UNE 179003:2013 standard requires compliance with protocols to 
      reduce the risks of patients from adverse events. METHODS: A description is 
      presented of the procedure used in the Hospital Povisa to achieve UNE 179003:2010 
      certification for the intensive care unit, surgical division, and 
      post-anaesthesia recovery unit (PARU). This was based on a risk management 
      system, focusing on pro-active analysis using failure modes and effects analysis 
      (FMEA) with the description of causes, consequences, risk weighting, and specific 
      risk-minimising measures. A description is also presented of the analysis of 
      reported adverse events (reactive analysis) in the Safety in Anesthesia and 
      Resuscitation (SENSAR) notification system and the measures implemented over an 
      eight-year period. RESULTS: The UNE 179003:2010 certification was obtained in 
      July 2012, and the re-certification was achieved in July 2015. A total of 66 
      potential risks were established, which were weighted using a risk probability 
      index (RPI), and measures were implemented that reduced this RPI by half. It also 
      reflects the analysis of 1114 events declared in the SENSAR system over the past 
      eight years, allowing for the introduction of 2681 measures, of which 98.4% are 
      fully implemented. CONCLUSION: The application of the risk management methodology 
      allowed (a) to improve safety in the area of action by reducing the risk to which 
      the patients are subject, and (b) to gain certification in the UNE 179003 
      standard.
CI  - Copyright (c) 2018 Sociedad Espanola de Anestesiologia, Reanimacion y Terapeutica 
      del Dolor. Publicado por Elsevier Espana, S.L.U. All rights reserved.
FAU - Cabadas Avion, R
AU  - Cabadas Avion R
AD  - Servicio de Anestesiologia y Cuidados Intensivos, Hospital Povisa, Vigo, 
      Pontevedra, Espana. Electronic address: rcabadas@povisa.es.
FAU - Leal Ruiloba, M S
AU  - Leal Ruiloba MS
AD  - Servicio de Anestesiologia y Cuidados Intensivos, Hospital Povisa, Vigo, 
      Pontevedra, Espana.
FAU - Munoz Mella, M A
AU  - Munoz Mella MA
AD  - Direccion de enfermeria y calidad, Hospital Povisa, Vigo, Espana.
FAU - Vazquez Lima, A
AU  - Vazquez Lima A
AD  - Servicio de Anestesiologia y Cuidados Intensivos, Hospital Povisa, Vigo, 
      Pontevedra, Espana.
FAU - Ojea Cendon, M
AU  - Ojea Cendon M
AD  - Servicio de Anestesiologia y Cuidados Intensivos, Hospital Povisa, Vigo, 
      Pontevedra, Espana.
FAU - Enriquez de Salamanca, I
AU  - Enriquez de Salamanca I
AD  - Unidad de Calidad, Hospital Povisa, Vigo, Pontevedra, Espana.
LA  - eng
LA  - spa
PT  - Journal Article
TT  - Mejora continua de la seguridad en el ambito de un Servicio de Anestesiologia y 
      Cuidados Intensivos a traves de la certificacion segun la norma de UNE 
      179003:2013: 8 anos de experiencia.
DEP - 20180825
PL  - Spain
TA  - Rev Esp Anestesiol Reanim (Engl Ed)
JT  - Revista espanola de anestesiologia y reanimacion
JID - 101778594
SB  - IM
MH  - Anesthesia Department, Hospital/*standards
MH  - *Certification
MH  - Critical Care/*standards
MH  - Humans
MH  - Intensive Care Units/*standards
MH  - Patient Safety/*standards
MH  - *Quality Improvement
MH  - Risk Management/*standards
MH  - Spain
MH  - Surgery Department, Hospital/*standards
MH  - Time Factors
OTO - NOTNLM
OT  - Adverse events
OT  - Certificacion UNE
OT  - Eventos adversos
OT  - Riesgos
OT  - Risks
OT  - Safety
OT  - Seguridad
OT  - UNE certification
EDAT- 2018/08/30 06:00
MHDA- 2019/11/08 06:00
CRDT- 2018/08/30 06:00
PHST- 2018/06/06 00:00 [received]
PHST- 2018/07/13 00:00 [revised]
PHST- 2018/07/16 00:00 [accepted]
PHST- 2018/08/30 06:00 [pubmed]
PHST- 2019/11/08 06:00 [medline]
PHST- 2018/08/30 06:00 [entrez]
AID - S0034-9356(18)30140-3 [pii]
AID - 10.1016/j.redar.2018.07.005 [doi]
PST - ppublish
SO  - Rev Esp Anestesiol Reanim (Engl Ed). 2018 Nov;65(9):486-494. doi: 
      10.1016/j.redar.2018.07.005. Epub 2018 Aug 25.