Incidencia e impacto de los efectos adversos en dos hospitales

Jesús María Aranaz; Ramón Limón; Juana Requena; María Teresa Gea; Valentín Núñez; María Isabel Bermúdez; Julián Vitaller; Carlos Aibar; Pedro Ruis; V. Aguilella; V. Agulló; C. Aibar; J. Alcalde; E. E. Álvarez; L. Álvarez; J. I. Barrasa; I. Belda; J. Beltrán; M. J. Bermejo; M. A. Bielsa; T. A. Brennan; M. J. Castillo; A. Castro; A. F. Conpañ; M. Corberá; F. Denia; M. Díaz; M. Elía; F. Enríquez; J. M. Esarte; M. A. Fernández; J. A. García; J. I. García; J. J. García; J. R. García; M. T. Gea; J. A. Gómez; C. González; J. A. Gracia; I. Gutiérrez; J. F. Herrero; A. Jiménez; G. Jiménez; J. Jiménez; J. Jiménez; M. A. Jiménez; D. Judez; R. Jurado; M. T. Léon; E. D. Leutscher; R. Limón; M. Lomas; J. R. Maldonado; R. Mareca; G. Marín; M. Marín; A. Martínez; J. C. Martínez; R. Martínez; M. Martínez; P. Massó; J. Medina; F. J. Moliner; J. B. Mollar; M. Morales; K. Muffak; V. Núñez; J. J. Pacheco; A. Palomeque; A. Prados; S. Peiró; E. Pérez; J. M. Ramírez; J. Requena; M. Rey; J. F. Rodríguez; M. Romero; P. Ruiz; M. Serradilla; L. Sordo; M. C. Ubago; J. Villar; J. Vitaller; M. Woloshynowych; A. Zarco; M. Ziadi

doi:10.1016/s1134-282x(08)74723-7

Incidencia e impacto de los efectos adversos en dos hospitales

Translated title of the contribution: Incidence and impact of adverse events in two hospitals

Jesús María Aranaz, Ramón Limón, Juana Requena, María Teresa Gea, Valentín Núñez, María Isabel Bermúdez, Julián Vitaller, Carlos Aibar, Pedro Ruis, V. Aguilella, V. Agulló, C. Aibar, J. Alcalde, E. E. Álvarez, L. Álvarez, J. I. Barrasa, I. Belda, J. Beltrán, M. J. Bermejo, M. A. BielsaT. A. Brennan, M. J. Castillo, A. Castro, A. F. Conpañ, M. Corberá, F. Denia, M. Díaz, M. Elía, F. Enríquez, J. M. Esarte, M. A. Fernández, J. A. García, J. I. García, J. J. García, J. R. García, M. T. Gea, J. A. Gómez, C. González, J. A. Gracia, I. Gutiérrez, J. F. Herrero, A. Jiménez, G. Jiménez, J. Jiménez, J. Jiménez, M. A. Jiménez, D. Judez, R. Jurado, M. T. Léon, E. D. Leutscher, R. Limón, M. Lomas, J. R. Maldonado, R. Mareca, G. Marín, M. Marín, A. Martínez, J. C. Martínez, R. Martínez, M. Martínez, P. Massó, J. Medina, F. J. Moliner, J. B. Mollar, M. Morales, K. Muffak, V. Núñez, J. J. Pacheco, A. Palomeque, A. Prados, S. Peiró, E. Pérez, J. M. Ramírez, J. Requena, M. Rey, J. F. Rodríguez, M. Romero, P. Ruiz, M. Serradilla, L. Sordo, M. C. Ubago, J. Villar, J. Vitaller, M. Woloshynowych, A. Zarco, M. Ziadi

Research output: Articles / Notes › Scientific Article › peer-review

15 Scopus citations

Abstract

Objectives: To present the preliminary results of the IDEA project relating to the effect and impact of adverse events in two of the hospitals included in the study. Material and method: Design: prospective cohort study carried out in the first quarter of 2004 in two wards of two hospitals of the Autonomous Community of Valencia (Spain). Sampling: consecutive. Subjects: patients more than 14 years old, hospitalized for more than 24 hours in the selected wards. The total number of subjects was 673. Main measurements: proportion of adverse event alerts (positive detection questionnaire) and the accumulated incidence of identified adverse events (modular questionnaire for confirmation of AE and their characterization). Results: The incidence of alerts was 34.7% in hospital A (general surgery ward) and 31% in hospital B (internal medicine ward). The incidence of adverse events was 16.1% and 5.6% respectively. A total of 42.1% of the adverse events in hospital A and 16.7% of those in hospital B were avoidable, independently of the seriousness of their consequences. Conclusions: The adverse event surveillance systems differed between the two wards studied. Variability in clinical practice affects identification of adverse events on reviewing medical records.

Translated title of the contribution	Incidence and impact of adverse events in two hospitals
Original language	Spanish
Pages (from-to)	53-60
Number of pages	8
Journal	Revista de Calidad Asistencial
Volume	20
Issue number	2
DOIs	https://doi.org/10.1016/s1134-282x(08)74723-7
State	Published - Mar 2005

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/s1134-282x(08)74723-7

Cite this

Aranaz, J. M., Limón, R., Requena, J., Gea, M. T., Núñez, V., Bermúdez, M. I., Vitaller, J., Aibar, C., Ruis, P., Aguilella, V., Agulló, V., Aibar, C., Alcalde, J., Álvarez, E. E., Álvarez, L., Barrasa, J. I., Belda, I., Beltrán, J., Bermejo, M. J., ... Ziadi, M. (2005). Incidencia e impacto de los efectos adversos en dos hospitales. Revista de Calidad Asistencial, 20(2), 53-60. https://doi.org/10.1016/s1134-282x(08)74723-7

@article{8c606a5b22384cbcbc398e4373dc0d4c,

title = "Incidencia e impacto de los efectos adversos en dos hospitales",

abstract = "Objectives: To present the preliminary results of the IDEA project relating to the effect and impact of adverse events in two of the hospitals included in the study. Material and method: Design: prospective cohort study carried out in the first quarter of 2004 in two wards of two hospitals of the Autonomous Community of Valencia (Spain). Sampling: consecutive. Subjects: patients more than 14 years old, hospitalized for more than 24 hours in the selected wards. The total number of subjects was 673. Main measurements: proportion of adverse event alerts (positive detection questionnaire) and the accumulated incidence of identified adverse events (modular questionnaire for confirmation of AE and their characterization). Results: The incidence of alerts was 34.7% in hospital A (general surgery ward) and 31% in hospital B (internal medicine ward). The incidence of adverse events was 16.1% and 5.6% respectively. A total of 42.1% of the adverse events in hospital A and 16.7% of those in hospital B were avoidable, independently of the seriousness of their consequences. Conclusions: The adverse event surveillance systems differed between the two wards studied. Variability in clinical practice affects identification of adverse events on reviewing medical records.",

keywords = "Adverse event, Positive detection, Risk management",

author = "Aranaz, {Jes{\'u}s Mar{\'i}a} and Ram{\'o}n Lim{\'o}n and Juana Requena and Gea, {Mar{\'i}a Teresa} and Valent{\'i}n N{\'u}{\~n}ez and Berm{\'u}dez, {Mar{\'i}a Isabel} and Juli{\'a}n Vitaller and Carlos Aibar and Pedro Ruis and V. Aguilella and V. Agull{\'o} and C. Aibar and J. Alcalde and {\'A}lvarez, {E. E.} and L. {\'A}lvarez and Barrasa, {J. I.} and I. Belda and J. Beltr{\'a}n and Bermejo, {M. J.} and Bielsa, {M. A.} and Brennan, {T. A.} and Castillo, {M. J.} and A. Castro and Conpa{\~n}, {A. F.} and M. Corber{\'a} and F. Denia and M. D{\'i}az and M. El{\'i}a and F. Enr{\'i}quez and Esarte, {J. M.} and Fern{\'a}ndez, {M. A.} and Garc{\'i}a, {J. A.} and Garc{\'i}a, {J. I.} and Garc{\'i}a, {J. J.} and Garc{\'i}a, {J. R.} and Gea, {M. T.} and G{\'o}mez, {J. A.} and C. Gonz{\'a}lez and Gracia, {J. A.} and I. Guti{\'e}rrez and Herrero, {J. F.} and A. Jim{\'e}nez and G. Jim{\'e}nez and J. Jim{\'e}nez and J. Jim{\'e}nez and Jim{\'e}nez, {M. A.} and D. Judez and R. Jurado and L{\'e}on, {M. T.} and Leutscher, {E. D.} and R. Lim{\'o}n and M. Lomas and Maldonado, {J. R.} and R. Mareca and G. Mar{\'i}n and M. Mar{\'i}n and A. Mart{\'i}nez and Mart{\'i}nez, {J. C.} and R. Mart{\'i}nez and M. Mart{\'i}nez and P. Mass{\'o} and J. Medina and Moliner, {F. J.} and Mollar, {J. B.} and M. Morales and K. Muffak and V. N{\'u}{\~n}ez and Pacheco, {J. J.} and A. Palomeque and A. Prados and S. Peir{\'o} and E. P{\'e}rez and Ram{\'i}rez, {J. M.} and J. Requena and M. Rey and Rodr{\'i}guez, {J. F.} and M. Romero and P. Ruiz and M. Serradilla and L. Sordo and Ubago, {M. C.} and J. Villar and J. Vitaller and M. Woloshynowych and A. Zarco and M. Ziadi",

note = "Funding Information: Desde el Departamento de Salud P{\'u}blica de la Universidad Miguel Hern{\'a}ndez naci{\'o} una iniciativa para estimar la incidencia de acontecimientos adversos en un servicio de cirug{\'i}a general y de aparato digestivo, cuyos objetivos principales eran: a) identificar y definir los EA que se derivan de la asistencia hospitalaria; b) estimar la incidencia de EA; c) analizar las caracter{\'i}sticas del paciente y las de la asistencia que se asocian a la aparici{\'o}n de EA, y d) estimar el impacto de la asistencia en los EA distinguiendo los evitables de los que no lo son. El proyecto inicial ha derivado en un estudio multic{\'e}ntrico que, a su vez, ha dado origen al Proyecto IDEA (Identificaci{\'o}n de EA), que nace con vocaci{\'o}n de observatorio, estructura de red y como foro de discusi{\'o}n cient{\'i}fica para facilitar la investigaci{\'o}n y la mejora de la calidad de la asistencia. Anidados dentro de este proyecto, se han dise{\~n}ado otros estudios para conocer la incidencia de EA en otras fases de la asistencia y referidos a otro tipo de pacientes, en los servicios de pediatr{\'i}a, ginecolog{\'i}a y urgencias, ya que en un modelo con una atenci{\'o}n primaria desarrollada es esperable la aparici{\'o}n de EA en el per{\'i}odo de prehospitalizaci{\'o}n.",

year = "2005",

month = mar,

doi = "10.1016/s1134-282x(08)74723-7",

language = "Espa{\~n}ol",

volume = "20",

pages = "53--60",

journal = "Revista de Calidad Asistencial",

issn = "1134-282X",

publisher = "Ediciones Doyma, S.L.",

number = "2",

}

Aranaz, JM, Limón, R, Requena, J, Gea, MT, Núñez, V, Bermúdez, MI, Vitaller, J, Aibar, C, Ruis, P, Aguilella, V, Agulló, V, Aibar, C, Alcalde, J, Álvarez, EE, Álvarez, L, Barrasa, JI, Belda, I, Beltrán, J, Bermejo, MJ, Bielsa, MA, Brennan, TA, Castillo, MJ, Castro, A, Conpañ, AF, Corberá, M, Denia, F, Díaz, M, Elía, M, Enríquez, F, Esarte, JM, Fernández, MA, García, JA, García, JI, García, JJ, García, JR, Gea, MT, Gómez, JA, González, C, Gracia, JA, Gutiérrez, I, Herrero, JF, Jiménez, A, Jiménez, G, Jiménez, J, Jiménez, J, Jiménez, MA, Judez, D, Jurado, R, Léon, MT, Leutscher, ED, Limón, R, Lomas, M, Maldonado, JR, Mareca, R, Marín, G, Marín, M, Martínez, A, Martínez, JC, Martínez, R, Martínez, M, Massó, P, Medina, J, Moliner, FJ, Mollar, JB, Morales, M, Muffak, K, Núñez, V, Pacheco, JJ, Palomeque, A, Prados, A, Peiró, S, Pérez, E, Ramírez, JM, Requena, J, Rey, M, Rodríguez, JF, Romero, M, Ruiz, P, Serradilla, M, Sordo, L, Ubago, MC, Villar, J, Vitaller, J, Woloshynowych, M, Zarco, A & Ziadi, M 2005, 'Incidencia e impacto de los efectos adversos en dos hospitales', Revista de Calidad Asistencial, vol. 20, no. 2, pp. 53-60. https://doi.org/10.1016/s1134-282x(08)74723-7

TY - JOUR

T1 - Incidencia e impacto de los efectos adversos en dos hospitales

AU - Aranaz, Jesús María

AU - Limón, Ramón

AU - Requena, Juana

AU - Gea, María Teresa

AU - Núñez, Valentín

AU - Bermúdez, María Isabel

AU - Vitaller, Julián

AU - Aibar, Carlos

AU - Ruis, Pedro

AU - Aguilella, V.

AU - Agulló, V.

AU - Aibar, C.

AU - Alcalde, J.

AU - Álvarez, E. E.

AU - Álvarez, L.

AU - Barrasa, J. I.

AU - Belda, I.

AU - Beltrán, J.

AU - Bermejo, M. J.

AU - Bielsa, M. A.

AU - Brennan, T. A.

AU - Castillo, M. J.

AU - Castro, A.

AU - Conpañ, A. F.

AU - Corberá, M.

AU - Denia, F.

AU - Díaz, M.

AU - Elía, M.

AU - Enríquez, F.

AU - Esarte, J. M.

AU - Fernández, M. A.

AU - García, J. A.

AU - García, J. I.

AU - García, J. J.

AU - García, J. R.

AU - Gea, M. T.

AU - Gómez, J. A.

AU - González, C.

AU - Gracia, J. A.

AU - Gutiérrez, I.

AU - Herrero, J. F.

AU - Jiménez, A.

AU - Jiménez, G.

AU - Jiménez, J.

AU - Jiménez, M. A.

AU - Judez, D.

AU - Jurado, R.

AU - Léon, M. T.

AU - Leutscher, E. D.

AU - Limón, R.

AU - Lomas, M.

AU - Maldonado, J. R.

AU - Mareca, R.

AU - Marín, G.

AU - Marín, M.

AU - Martínez, A.

AU - Martínez, J. C.

AU - Martínez, R.

AU - Martínez, M.

AU - Massó, P.

AU - Medina, J.

AU - Moliner, F. J.

AU - Mollar, J. B.

AU - Morales, M.

AU - Muffak, K.

AU - Núñez, V.

AU - Pacheco, J. J.

AU - Palomeque, A.

AU - Prados, A.

AU - Peiró, S.

AU - Pérez, E.

AU - Ramírez, J. M.

AU - Requena, J.

AU - Rey, M.

AU - Rodríguez, J. F.

AU - Romero, M.

AU - Ruiz, P.

AU - Serradilla, M.

AU - Sordo, L.

AU - Ubago, M. C.

AU - Villar, J.

AU - Vitaller, J.

AU - Woloshynowych, M.

AU - Zarco, A.

AU - Ziadi, M.

N1 - Funding Information: Desde el Departamento de Salud Pública de la Universidad Miguel Hernández nació una iniciativa para estimar la incidencia de acontecimientos adversos en un servicio de cirugía general y de aparato digestivo, cuyos objetivos principales eran: a) identificar y definir los EA que se derivan de la asistencia hospitalaria; b) estimar la incidencia de EA; c) analizar las características del paciente y las de la asistencia que se asocian a la aparición de EA, y d) estimar el impacto de la asistencia en los EA distinguiendo los evitables de los que no lo son. El proyecto inicial ha derivado en un estudio multicéntrico que, a su vez, ha dado origen al Proyecto IDEA (Identificación de EA), que nace con vocación de observatorio, estructura de red y como foro de discusión científica para facilitar la investigación y la mejora de la calidad de la asistencia. Anidados dentro de este proyecto, se han diseñado otros estudios para conocer la incidencia de EA en otras fases de la asistencia y referidos a otro tipo de pacientes, en los servicios de pediatría, ginecología y urgencias, ya que en un modelo con una atención primaria desarrollada es esperable la aparición de EA en el período de prehospitalización.

PY - 2005/3

Y1 - 2005/3

N2 - Objectives: To present the preliminary results of the IDEA project relating to the effect and impact of adverse events in two of the hospitals included in the study. Material and method: Design: prospective cohort study carried out in the first quarter of 2004 in two wards of two hospitals of the Autonomous Community of Valencia (Spain). Sampling: consecutive. Subjects: patients more than 14 years old, hospitalized for more than 24 hours in the selected wards. The total number of subjects was 673. Main measurements: proportion of adverse event alerts (positive detection questionnaire) and the accumulated incidence of identified adverse events (modular questionnaire for confirmation of AE and their characterization). Results: The incidence of alerts was 34.7% in hospital A (general surgery ward) and 31% in hospital B (internal medicine ward). The incidence of adverse events was 16.1% and 5.6% respectively. A total of 42.1% of the adverse events in hospital A and 16.7% of those in hospital B were avoidable, independently of the seriousness of their consequences. Conclusions: The adverse event surveillance systems differed between the two wards studied. Variability in clinical practice affects identification of adverse events on reviewing medical records.

AB - Objectives: To present the preliminary results of the IDEA project relating to the effect and impact of adverse events in two of the hospitals included in the study. Material and method: Design: prospective cohort study carried out in the first quarter of 2004 in two wards of two hospitals of the Autonomous Community of Valencia (Spain). Sampling: consecutive. Subjects: patients more than 14 years old, hospitalized for more than 24 hours in the selected wards. The total number of subjects was 673. Main measurements: proportion of adverse event alerts (positive detection questionnaire) and the accumulated incidence of identified adverse events (modular questionnaire for confirmation of AE and their characterization). Results: The incidence of alerts was 34.7% in hospital A (general surgery ward) and 31% in hospital B (internal medicine ward). The incidence of adverse events was 16.1% and 5.6% respectively. A total of 42.1% of the adverse events in hospital A and 16.7% of those in hospital B were avoidable, independently of the seriousness of their consequences. Conclusions: The adverse event surveillance systems differed between the two wards studied. Variability in clinical practice affects identification of adverse events on reviewing medical records.

KW - Adverse event

KW - Positive detection

KW - Risk management

UR - http://www.scopus.com/inward/record.url?scp=20944434992&partnerID=8YFLogxK

U2 - 10.1016/s1134-282x(08)74723-7

DO - 10.1016/s1134-282x(08)74723-7

M3 - Artículo Científico

AN - SCOPUS:20944434992

SN - 1134-282X

VL - 20

SP - 53

EP - 60

JO - Revista de Calidad Asistencial

JF - Revista de Calidad Asistencial

IS - 2

ER -

Incidencia e impacto de los efectos adversos en dos hospitales

Abstract

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this