PMID- 32232330
OWN - NLM
STAT- MEDLINE
DCOM- 20210201
LR  - 20210201
IS  - 1464-3677 (Electronic)
IS  - 1353-4505 (Linking)
VI  - 32
IP  - 5
DP  - 2020 Jun 17
TI  - What Ibero-American hospitals do when things go wrong? A cross-sectional 
      international study.
PG  - 313-318
LID - 10.1093/intqhc/mzaa031 [doi]
AB  - OBJECTIVE: To know what hospital managers and safety leaders in Ibero-American 
      countries are doing to respond effectively to the occurrence of adverse events 
      (AEs) with serious consequences for patients. DESIGN: Cross-sectional 
      international study. SETTING: Public and private hospitals in Ibero-American 
      countries (Argentina, Brazil, Chile, Colombia, Mexico, Peru, Portugal and Spain). 
      PARTICIPANTS: A convenience sample of hospital managers and safety leaders from 
      eight Ibero-American countries. A minimum of 25 managers/leaders from each 
      country were surveyed. INTERVENTIONS: A selection of 37 actions for the effective 
      management of AEs was explored. These were related to the safety culture, 
      existence of a crisis plan, communication and transparency processes with the 
      patients and their families, attention to second victims and institutional 
      communication. MAIN OUTCOME MEASURE: Degree of implementation of the actions 
      studied. RESULTS: A total of 190 managers/leaders from 126 (66.3%) public 
      hospitals and 64 (33.7%) private hospitals participated. Reporting systems, 
      in-depth analysis of incidents and non-punitive approaches were the most 
      implemented interventions, while patient information and care for second victims 
      after an AE were the least frequent interventions. CONCLUSIONS: The majority of 
      these hospitals have not protocolized how to act after an AE. For this reason, it 
      is urgent to develop and apply a strategic action plan to respond to this 
      imperative safety challenge. This is the first study to identify areas of work 
      and future research questions in Ibero-American countries.
CI  - (c) The Author(s) 2020. Published by Oxford University Press in association with 
      the International Society for Quality in Health Care. All rights reserved. For 
      permissions, please e-mail: journals.permissions@oup.com.
FAU - Mira, Jose Joaquin
AU  - Mira JJ
AD  - Hospital Provincial-Pla Health District, Health Department of Alicante-Sant Joan, 
      C/ Hermanos Lopez de Osaba, s/n, 03013 Alicante, Spain.
AD  - Department of Health Psychology, Universidad Miguel Hernandez, Avenida de la 
      Universidad, s/n, 03202 Elche, Spain.
FAU - Carrillo, Irene
AU  - Carrillo I
AD  - Department of Health Psychology, Universidad Miguel Hernandez, Avenida de la 
      Universidad, s/n, 03202 Elche, Spain.
AD  - The Foundation for the Promotion of Health and Biomedical Research of Valencia 
      Region (FISABIO), Sant Joan, Spain.
FAU - Garcia-Elorrio, Ezequiel
AU  - Garcia-Elorrio E
AD  - Department of Health Care Quality and Patient Safety Institute for Clinical 
      Effectiveness and Health Policy, Dr. Emilio Ravignani 2024 (C1414CPV), Buenos 
      Aires, Argentina.
FAU - Andrade-Lourencao, Daniela Campos D E
AU  - Andrade-Lourencao DCDE
AD  - Postgraduate Department Universidade de Sao Paulo, Rua Alfredo Rodrigues,130. 
      Blumenau, SC. CEP 89045.180 Sao Paulo, Brazil.
FAU - Pavan-Baptista, Patricia Campos
AU  - Pavan-Baptista PC
AD  - Postgraduate Department Universidade de Sao Paulo, Rua Alfredo Rodrigues,130. 
      Blumenau, SC. CEP 89045.180 Sao Paulo, Brazil.
FAU - Franco-Herrera, Astolfo Leon
AU  - Franco-Herrera AL
AD  - General Surgery, Centro Medico Imbanaco, Kra 38 a #5 A 100 oficina 2330 Torre A, 
      Cali, Colombia.
FAU - Campos-Castolo, Esther Mahuina
AU  - Campos-Castolo EM
AD  - Department of Biomedical Informatics, Faculty of Medicine, Universidad Nacional 
      Autonoma de Mexico, Interior Circuitry, University City, Avenida de la 
      Universidad 3000, Basamento Edificio A, Mexico City, Mexico.
FAU - Poblete, Rodrigo
AU  - Poblete R
AD  - Medicine Department, Pontificia Universidad Catolica de Chile, Lira 40, Santiago 
      de Chile, Metropolitan Area Chile.
FAU - Limo, Juan
AU  - Limo J
AD  - Quality and Patient Safety, New Medical Leaders, Avenida Emilio Cavenecia, 264, 
      Piso 7, San Isidro District, Lima, Peru.
FAU - Siu, Hugo
AU  - Siu H
AD  - Quality Department, Clinica Anglo Americana, Avenida Emilio Cavenecia 250, San 
      Isidro District, Lima, Peru.
FAU - Sousa, Paulo
AU  - Sousa P
AD  - NOVA National School of Public Health, Public Health Research Centre, 
      Universidade NOVA de Lisboa, Avenida Padre Cruz, 1600-560 Lisbon, Portugal.
LA  - eng
PT  - Journal Article
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  - Cross-Sectional Studies
MH  - Family/psychology
MH  - Hospital Administration/*methods
MH  - Hospitals
MH  - Humans
MH  - Latin America
MH  - Medical Errors/*adverse effects/*prevention & control
MH  - Patient Safety
MH  - Personnel, Hospital/psychology
MH  - Portugal
MH  - Safety Management
MH  - Spain
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - adverse event
OT  - hospital
OT  - open disclosure
OT  - patient safety
OT  - second victims
EDAT- 2020/04/02 06:00
MHDA- 2021/02/02 06:00
CRDT- 2020/04/02 06:00
PHST- 2019/12/05 00:00 [received]
PHST- 2020/02/05 00:00 [revised]
PHST- 2020/03/02 00:00 [accepted]
PHST- 2020/04/02 06:00 [pubmed]
PHST- 2021/02/02 06:00 [medline]
PHST- 2020/04/02 06:00 [entrez]
AID - 5813849 [pii]
AID - 10.1093/intqhc/mzaa031 [doi]
PST - ppublish
SO  - Int J Qual Health Care. 2020 Jun 17;32(5):313-318. doi: 10.1093/intqhc/mzaa031.