De la anestesia a la seguridad de la atención: experiencia de 6 años en el análisis de reportes de incidentes en un hospital universitario / Analysis of incident reports in an anesthesiology unit of a university hospital
Rev. méd. Chile
;
145(4): 441-448, abr. 2017. graf, tab
Artigo
em Espanhol
| LILACS
| ID: biblio-902497
ABSTRACT
Background:
Incident reporting is an effective strategy used to enhance patient safety. An incident is an event that could eventually result in harm to a patient.Aim:
To classify and analyze incidents reported by an Anesthesiology division at a University hospital in Chile. Material andMethods:
A retrospective analysis of the reported incidents registered in our institutional database from January 2008 to January 2014. They were classified according to three variables proposed by the World Health Organization system to determine the type of incident and patients potential harm.Results:
There were 297 reports registered. Etiologic classification according to the WHO system showed that 29% (n = 85) were related with management, 20% (59) with drugs, 20% (59) with medical devices, 16% (48) with procedures and 15% (46) with human factors. Seventy two percent (58) of incidents caused low or moderate harm and 28% (22) resulted in a severe adverse event or death.Conclusions:
Our analysis highlights that a high rate of incidents are associated with management, the leading cause of reports in our center. Due to the low incident report rate in our country, it is difficult to perform appropriate comparisons with other centers. In the future, local incident reporting systems should be improved.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Gestão de Riscos
/
Hospitais Universitários
/
Anestesia
Tipo de estudo:
Estudo de etiologia
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
América do Sul
/
Chile
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2017
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Pontificia Universidad Católica de Chile/CL
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