PMID- 34246648
OWN - NLM
STAT- MEDLINE
DCOM- 20211203
LR  - 20211214
IS  - 2603-6479 (Electronic)
IS  - 2603-6479 (Linking)
VI  - 36
IP  - 6
DP  - 2021 Nov-Dec
TI  - Frequency of outpatient care adverse events in an occupational mutual insurance 
      company in Spain.
PG  - 340-344
LID - S2603-6479(21)00054-3 [pii]
LID - 10.1016/j.jhqr.2021.05.005 [doi]
AB  - BACKGROUND: Occupational mutual insurance companies (OMICs), in collaboration 
      with the Spanish Social Security System, provide healthcare and manage the 
      economic benefits for the workers in Spain. They have ambulatory care centers 
      that attend outpatient trauma pathology, although most of the studies published 
      have focused on surgical and hospital activity. The aim of this study was to 
      detect adverse events (AEs) in outpatient trauma care in the context of an OMIC. 
      METHODS: A cohort study designed to identify harmful safety incidents (adverse 
      events, AEs) in 2017 was conducted. A random sample of 313 medical records among 
      patients who were visited more than 3 medical and nursing attendances during 
      their outpatient process. The AEs detected were classified according to category, 
      severity and preventability. RESULTS: We identified 48 AEs (15.3% of medical 
      records, 95% CI 11.3-19.3), most of them procedure-related, while 27 (56.2%) were 
      preventable and 46 mild (95.8%). CONCLUSIONS: The AEs identified are double than 
      those found in primary care general consultations in Spain and are close to the 
      lower range of studies on surgical AEs in traumatology and orthopedics. 
      Preventable AEs were within expected limits. Over half of AEs are preventable, 
      within that group, the mild AEs have an increased rate of preventability. These 
      results highlight the relevance of research of patient safety in the outpatient 
      care of trauma and orthopaedic procedures in an OMIC for patient safety and 
      contribute to introduce improvements in outpatient care.
CI  - Copyright (c) 2021 FECA. Publicado por Elsevier Espana, S.L.U. All rights reserved.
FAU - Ortner, J
AU  - Ortner J
AD  - MC Mutual, C/ Provenca, 321, 08037 Barcelona, Spain. Electronic address: 
      jortner@mc-mutual.com.
FAU - Vives, A
AU  - Vives A
AD  - MC Mutual, C/ Provenca, 321, 08037 Barcelona, Spain.
FAU - Moya, D
AU  - Moya D
AD  - MC Mutual, C/ Provenca, 321, 08037 Barcelona, Spain.
FAU - Torres, M
AU  - Torres M
AD  - MC Mutual, C/ Provenca, 321, 08037 Barcelona, Spain.
FAU - Grau, N
AU  - Grau N
AD  - MC Mutual, C/ Provenca, 321, 08037 Barcelona, Spain.
FAU - Farrus, X
AU  - Farrus X
AD  - MC Mutual, C/ Provenca, 321, 08037 Barcelona, Spain.
FAU - Manzanera, R
AU  - Manzanera R
AD  - MC Mutual, C/ Provenca, 321, 08037 Barcelona, Spain.
FAU - Mira, J J
AU  - Mira JJ
AD  - Universidad Miguel Hernandez, Avinguda de la Universitat d'Elx, s/n, 03202 Elche, 
      Alicante, Spain; Departamento de Salud de Alicante-Sant Joan, Alicante, Spain.
LA  - eng
PT  - Journal Article
DEP - 20210708
PL  - Spain
TA  - J Healthc Qual Res
JT  - Journal of healthcare quality research
JID - 101735273
SB  - IM
MH  - Ambulatory Care
MH  - Cohort Studies
MH  - Humans
MH  - *Insurance
MH  - *Medical Errors
MH  - Spain
OTO - NOTNLM
OT  - Adverse effects
OT  - Adverse events
OT  - Calidad asistencial
OT  - Efectos adversos
OT  - Errores medicos
OT  - Eventos adversos
OT  - Medical errors
OT  - Mutuas laborales
OT  - Occupational Health Services
OT  - Quality of health care
OT  - Safety patient
OT  - Seguridad del paciente
EDAT- 2021/07/12 06:00
MHDA- 2021/12/15 06:00
CRDT- 2021/07/11 20:33
PHST- 2021/02/17 00:00 [received]
PHST- 2021/04/15 00:00 [revised]
PHST- 2021/05/23 00:00 [accepted]
PHST- 2021/07/12 06:00 [pubmed]
PHST- 2021/12/15 06:00 [medline]
PHST- 2021/07/11 20:33 [entrez]
AID - S2603-6479(21)00054-3 [pii]
AID - 10.1016/j.jhqr.2021.05.005 [doi]
PST - ppublish
SO  - J Healthc Qual Res. 2021 Nov-Dec;36(6):340-344. doi: 10.1016/j.jhqr.2021.05.005. 
      Epub 2021 Jul 8.