A study of the prevalence of adverse events in primary healthcare in Spain
Healthcare practices involve risks for patients, but there has been little research to date on the occurrence of adverse events (AE) in primary care (PC). The frequency of AE in PC in Spain, the factors that contribute to their occurrence, their severity and their preventability, were analysed. Obse...
Gespeichert in:
| Veröffentlicht in: | European journal of public health 2012-12, Vol.22 (6), p.921-925 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 925 |
|---|---|
| container_issue | 6 |
| container_start_page | 921 |
| container_title | European journal of public health |
| container_volume | 22 |
| creator | Aranaz-Andrés, Jesús María Aibar, Carlos Limón, Ramón Mira, José Joaquín Vitaller, Julián Agra, Yolanda Terol, Enrique |
| description | Healthcare practices involve risks for patients, but there has been little research to date on the occurrence of adverse events (AE) in primary care (PC). The frequency of AE in PC in Spain, the factors that contribute to their occurrence, their severity and their preventability, were analysed.
Observational cross-sectional study was carried out in 48 PC centres in 16 regions of Spain. PC professionals were asked to assess whether the AE was caused by the healthcare or if it was an expectable consequence of the patient's underlying condition. A total of 452 healthcare professionals who attended 96 047 consultations were involved.
A total of 773 AE were identified, so that the point prevalence of AE was 0.8% [95% confidence interval (CI) 0.76-0.85]. A majority of AE (64.3%) were considered preventable and only 5.9% were severe, usually related to medication [odds ratio (OR) = 4.6; 95% CI 2.1-10.3]. The most frequent causal factor of the AE was associated with medication (adverse drug reactions and medication errors), but problems in communication and management were at the root of many of the AE. Nurses reported more preventable AE (OR = 1.9; 95% CI 1.2-2.8).
In spite of an AE being less damaging in PC, large numbers of patients and professionals suffer their consequences each year. An awareness of the magnitude and impact of AE is the first step on the road to the cultural change necessary for achieving safer healthcare. |
| doi_str_mv | 10.1093/eurpub/ckr168 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1448773316</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2827513001</sourcerecordid><originalsourceid>FETCH-LOGICAL-c426t-d0cbabec3d27e9f3dd62dd20e7d73a3e062bb0d3ccddd015a9203e647dcac51e3</originalsourceid><addsrcrecordid>eNqN0T1PwzAQBmALgWgpjKwoEgtL6PmjdjJWFZ-qxABIbJFjX9SUNCl2Uqn_HpcUBqYutnV-dNLdS8glhVsKKR9j59ZdPjafjsrkiAypkCLmEj6Ow5sCjSmTbEDOvF8CwEQl7JQMGKcJJMCH5Hka-baz26gponaB0drhRldYG9xVtN2g8xjhBuvWR2Ud_suVdttogbpqF0Y73FVf17qsz8lJoSuPF_t7RN7v795mj_H85eFpNp3HRjDZxhZMrnM03DKFacGtlcxaBqis4pojSJbnYLkx1lqgE50y4CiFskabCUU-Ijd937Vrvjr0bbYqvcGq0jU2nc-oEIlSnFN5AOUCmOLqAMpY2B5LgQV6_Y8um87VYeYfJQULZ1Bxr4xrvHdYZPvdZRSyXXRZH13WRxf81b5rl6_Q_unfrPg36oaVuQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1220642220</pqid></control><display><type>article</type><title>A study of the prevalence of adverse events in primary healthcare in Spain</title><source>Oxford Journals Open Access Collection</source><source>MEDLINE</source><source>PAIS Index</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Aranaz-Andrés, Jesús María ; Aibar, Carlos ; Limón, Ramón ; Mira, José Joaquín ; Vitaller, Julián ; Agra, Yolanda ; Terol, Enrique</creator><creatorcontrib>Aranaz-Andrés, Jesús María ; Aibar, Carlos ; Limón, Ramón ; Mira, José Joaquín ; Vitaller, Julián ; Agra, Yolanda ; Terol, Enrique</creatorcontrib><description>Healthcare practices involve risks for patients, but there has been little research to date on the occurrence of adverse events (AE) in primary care (PC). The frequency of AE in PC in Spain, the factors that contribute to their occurrence, their severity and their preventability, were analysed.
Observational cross-sectional study was carried out in 48 PC centres in 16 regions of Spain. PC professionals were asked to assess whether the AE was caused by the healthcare or if it was an expectable consequence of the patient's underlying condition. A total of 452 healthcare professionals who attended 96 047 consultations were involved.
A total of 773 AE were identified, so that the point prevalence of AE was 0.8% [95% confidence interval (CI) 0.76-0.85]. A majority of AE (64.3%) were considered preventable and only 5.9% were severe, usually related to medication [odds ratio (OR) = 4.6; 95% CI 2.1-10.3]. The most frequent causal factor of the AE was associated with medication (adverse drug reactions and medication errors), but problems in communication and management were at the root of many of the AE. Nurses reported more preventable AE (OR = 1.9; 95% CI 1.2-2.8).
In spite of an AE being less damaging in PC, large numbers of patients and professionals suffer their consequences each year. An awareness of the magnitude and impact of AE is the first step on the road to the cultural change necessary for achieving safer healthcare.</description><identifier>ISSN: 1101-1262</identifier><identifier>EISSN: 1464-360X</identifier><identifier>DOI: 10.1093/eurpub/ckr168</identifier><identifier>PMID: 23180803</identifier><identifier>CODEN: EJPHF6</identifier><language>eng</language><publisher>England: Oxford Publishing Limited (England)</publisher><subject>Adolescent ; Causality ; Communication ; Confidence Intervals ; Cross-Sectional Studies ; Cultural change ; Drug-Related Side Effects and Adverse Reactions - epidemiology ; Drug-Related Side Effects and Adverse Reactions - prevention & control ; Drugs ; Errors ; Female ; Health care management ; Health policy ; Humans ; Logistic Models ; Male ; Medical Errors - prevention & control ; Medical Errors - statistics & numerical data ; Medical personnel ; Medical service ; Nurses ; Patients ; Prevalence ; Preventive medicine ; Primary care ; Primary Health Care - organization & administration ; Primary Health Care - standards ; Referral and Consultation - statistics & numerical data ; Risk ; Rural Population ; Spain ; Spain - epidemiology ; Urban Population</subject><ispartof>European journal of public health, 2012-12, Vol.22 (6), p.921-925</ispartof><rights>Copyright Oxford Publishing Limited(England) Dec 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c426t-d0cbabec3d27e9f3dd62dd20e7d73a3e062bb0d3ccddd015a9203e647dcac51e3</citedby><cites>FETCH-LOGICAL-c426t-d0cbabec3d27e9f3dd62dd20e7d73a3e062bb0d3ccddd015a9203e647dcac51e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27842,27843,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23180803$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aranaz-Andrés, Jesús María</creatorcontrib><creatorcontrib>Aibar, Carlos</creatorcontrib><creatorcontrib>Limón, Ramón</creatorcontrib><creatorcontrib>Mira, José Joaquín</creatorcontrib><creatorcontrib>Vitaller, Julián</creatorcontrib><creatorcontrib>Agra, Yolanda</creatorcontrib><creatorcontrib>Terol, Enrique</creatorcontrib><title>A study of the prevalence of adverse events in primary healthcare in Spain</title><title>European journal of public health</title><addtitle>Eur J Public Health</addtitle><description>Healthcare practices involve risks for patients, but there has been little research to date on the occurrence of adverse events (AE) in primary care (PC). The frequency of AE in PC in Spain, the factors that contribute to their occurrence, their severity and their preventability, were analysed.
Observational cross-sectional study was carried out in 48 PC centres in 16 regions of Spain. PC professionals were asked to assess whether the AE was caused by the healthcare or if it was an expectable consequence of the patient's underlying condition. A total of 452 healthcare professionals who attended 96 047 consultations were involved.
A total of 773 AE were identified, so that the point prevalence of AE was 0.8% [95% confidence interval (CI) 0.76-0.85]. A majority of AE (64.3%) were considered preventable and only 5.9% were severe, usually related to medication [odds ratio (OR) = 4.6; 95% CI 2.1-10.3]. The most frequent causal factor of the AE was associated with medication (adverse drug reactions and medication errors), but problems in communication and management were at the root of many of the AE. Nurses reported more preventable AE (OR = 1.9; 95% CI 1.2-2.8).
In spite of an AE being less damaging in PC, large numbers of patients and professionals suffer their consequences each year. An awareness of the magnitude and impact of AE is the first step on the road to the cultural change necessary for achieving safer healthcare.</description><subject>Adolescent</subject><subject>Causality</subject><subject>Communication</subject><subject>Confidence Intervals</subject><subject>Cross-Sectional Studies</subject><subject>Cultural change</subject><subject>Drug-Related Side Effects and Adverse Reactions - epidemiology</subject><subject>Drug-Related Side Effects and Adverse Reactions - prevention & control</subject><subject>Drugs</subject><subject>Errors</subject><subject>Female</subject><subject>Health care management</subject><subject>Health policy</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical Errors - prevention & control</subject><subject>Medical Errors - statistics & numerical data</subject><subject>Medical personnel</subject><subject>Medical service</subject><subject>Nurses</subject><subject>Patients</subject><subject>Prevalence</subject><subject>Preventive medicine</subject><subject>Primary care</subject><subject>Primary Health Care - organization & administration</subject><subject>Primary Health Care - standards</subject><subject>Referral and Consultation - statistics & numerical data</subject><subject>Risk</subject><subject>Rural Population</subject><subject>Spain</subject><subject>Spain - epidemiology</subject><subject>Urban Population</subject><issn>1101-1262</issn><issn>1464-360X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><recordid>eNqN0T1PwzAQBmALgWgpjKwoEgtL6PmjdjJWFZ-qxABIbJFjX9SUNCl2Uqn_HpcUBqYutnV-dNLdS8glhVsKKR9j59ZdPjafjsrkiAypkCLmEj6Ow5sCjSmTbEDOvF8CwEQl7JQMGKcJJMCH5Hka-baz26gponaB0drhRldYG9xVtN2g8xjhBuvWR2Ud_suVdttogbpqF0Y73FVf17qsz8lJoSuPF_t7RN7v795mj_H85eFpNp3HRjDZxhZMrnM03DKFacGtlcxaBqis4pojSJbnYLkx1lqgE50y4CiFskabCUU-Ijd937Vrvjr0bbYqvcGq0jU2nc-oEIlSnFN5AOUCmOLqAMpY2B5LgQV6_Y8um87VYeYfJQULZ1Bxr4xrvHdYZPvdZRSyXXRZH13WRxf81b5rl6_Q_unfrPg36oaVuQ</recordid><startdate>201212</startdate><enddate>201212</enddate><creator>Aranaz-Andrés, Jesús María</creator><creator>Aibar, Carlos</creator><creator>Limón, Ramón</creator><creator>Mira, José Joaquín</creator><creator>Vitaller, Julián</creator><creator>Agra, Yolanda</creator><creator>Terol, Enrique</creator><general>Oxford Publishing Limited (England)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope></search><sort><creationdate>201212</creationdate><title>A study of the prevalence of adverse events in primary healthcare in Spain</title><author>Aranaz-Andrés, Jesús María ; Aibar, Carlos ; Limón, Ramón ; Mira, José Joaquín ; Vitaller, Julián ; Agra, Yolanda ; Terol, Enrique</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-d0cbabec3d27e9f3dd62dd20e7d73a3e062bb0d3ccddd015a9203e647dcac51e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Causality</topic><topic>Communication</topic><topic>Confidence Intervals</topic><topic>Cross-Sectional Studies</topic><topic>Cultural change</topic><topic>Drug-Related Side Effects and Adverse Reactions - epidemiology</topic><topic>Drug-Related Side Effects and Adverse Reactions - prevention & control</topic><topic>Drugs</topic><topic>Errors</topic><topic>Female</topic><topic>Health care management</topic><topic>Health policy</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical Errors - prevention & control</topic><topic>Medical Errors - statistics & numerical data</topic><topic>Medical personnel</topic><topic>Medical service</topic><topic>Nurses</topic><topic>Patients</topic><topic>Prevalence</topic><topic>Preventive medicine</topic><topic>Primary care</topic><topic>Primary Health Care - organization & administration</topic><topic>Primary Health Care - standards</topic><topic>Referral and Consultation - statistics & numerical data</topic><topic>Risk</topic><topic>Rural Population</topic><topic>Spain</topic><topic>Spain - epidemiology</topic><topic>Urban Population</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aranaz-Andrés, Jesús María</creatorcontrib><creatorcontrib>Aibar, Carlos</creatorcontrib><creatorcontrib>Limón, Ramón</creatorcontrib><creatorcontrib>Mira, José Joaquín</creatorcontrib><creatorcontrib>Vitaller, Julián</creatorcontrib><creatorcontrib>Agra, Yolanda</creatorcontrib><creatorcontrib>Terol, Enrique</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><jtitle>European journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aranaz-Andrés, Jesús María</au><au>Aibar, Carlos</au><au>Limón, Ramón</au><au>Mira, José Joaquín</au><au>Vitaller, Julián</au><au>Agra, Yolanda</au><au>Terol, Enrique</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A study of the prevalence of adverse events in primary healthcare in Spain</atitle><jtitle>European journal of public health</jtitle><addtitle>Eur J Public Health</addtitle><date>2012-12</date><risdate>2012</risdate><volume>22</volume><issue>6</issue><spage>921</spage><epage>925</epage><pages>921-925</pages><issn>1101-1262</issn><eissn>1464-360X</eissn><coden>EJPHF6</coden><abstract>Healthcare practices involve risks for patients, but there has been little research to date on the occurrence of adverse events (AE) in primary care (PC). The frequency of AE in PC in Spain, the factors that contribute to their occurrence, their severity and their preventability, were analysed.
Observational cross-sectional study was carried out in 48 PC centres in 16 regions of Spain. PC professionals were asked to assess whether the AE was caused by the healthcare or if it was an expectable consequence of the patient's underlying condition. A total of 452 healthcare professionals who attended 96 047 consultations were involved.
A total of 773 AE were identified, so that the point prevalence of AE was 0.8% [95% confidence interval (CI) 0.76-0.85]. A majority of AE (64.3%) were considered preventable and only 5.9% were severe, usually related to medication [odds ratio (OR) = 4.6; 95% CI 2.1-10.3]. The most frequent causal factor of the AE was associated with medication (adverse drug reactions and medication errors), but problems in communication and management were at the root of many of the AE. Nurses reported more preventable AE (OR = 1.9; 95% CI 1.2-2.8).
In spite of an AE being less damaging in PC, large numbers of patients and professionals suffer their consequences each year. An awareness of the magnitude and impact of AE is the first step on the road to the cultural change necessary for achieving safer healthcare.</abstract><cop>England</cop><pub>Oxford Publishing Limited (England)</pub><pmid>23180803</pmid><doi>10.1093/eurpub/ckr168</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1101-1262 |
| ispartof | European journal of public health, 2012-12, Vol.22 (6), p.921-925 |
| issn | 1101-1262 1464-360X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1448773316 |
| source | Oxford Journals Open Access Collection; MEDLINE; PAIS Index; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adolescent Causality Communication Confidence Intervals Cross-Sectional Studies Cultural change Drug-Related Side Effects and Adverse Reactions - epidemiology Drug-Related Side Effects and Adverse Reactions - prevention & control Drugs Errors Female Health care management Health policy Humans Logistic Models Male Medical Errors - prevention & control Medical Errors - statistics & numerical data Medical personnel Medical service Nurses Patients Prevalence Preventive medicine Primary care Primary Health Care - organization & administration Primary Health Care - standards Referral and Consultation - statistics & numerical data Risk Rural Population Spain Spain - epidemiology Urban Population |
| title | A study of the prevalence of adverse events in primary healthcare in Spain |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-05T14%3A44%3A34IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20study%20of%20the%20prevalence%20of%20adverse%20events%20in%20primary%20healthcare%20in%20Spain&rft.jtitle=European%20journal%20of%20public%20health&rft.au=Aranaz-Andr%C3%A9s,%20Jes%C3%BAs%20Mar%C3%ADa&rft.date=2012-12&rft.volume=22&rft.issue=6&rft.spage=921&rft.epage=925&rft.pages=921-925&rft.issn=1101-1262&rft.eissn=1464-360X&rft.coden=EJPHF6&rft_id=info:doi/10.1093/eurpub/ckr168&rft_dat=%3Cproquest_cross%3E2827513001%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1220642220&rft_id=info:pmid/23180803&rfr_iscdi=true |