Prevalencia, gravedad, evitabilidad y factores contribuyentes de los incidentes de seguridad en centros docentes de atención primaria

  1. González, Clara
  2. Martín, María Victoria
  3. Lago, Fernando 1
  4. Fernández, María José 2
  5. Pérez, Margarita 3
  6. Ramil, Luis 4
  7. Rial, Antonio 5
  8. Clavería, Ana 6
  1. 1 Centro de Saúde Sárdoma (Vigo
  2. 2 Centro de Saúde Leiro (Ourense)
  3. 3 Centro de Saúde Lalín (Pontevedra)
  4. 4 Centro de Saúde Abente y Lago (A Coruña)
  5. 5 Universidade de Santiago de Compostela
    info

    Universidade de Santiago de Compostela

    Santiago de Compostela, España

    ROR https://ror.org/030eybx10

  6. 6 Instituto de Investigación Sanitaria Galicia Sur
    info

    Instituto de Investigación Sanitaria Galicia Sur

    Vigo, España

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Journal:
Cadernos de atención primaria

ISSN: 1134-3583

Year of publication: 2021

Volume: 27

Issue: 3

Pages: 28-38

Type: Article

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More publications in: Cadernos de atención primaria

Abstract

Objective: To analyze the frequency of incidents in Primary Care reported by Family and Community Medicine residents and their tutors, the factors contributing to their occurrence, severity and preventability. Methodology: Multicenter observational study of incidents reported by residents in their last year of residency and their tutors from all teaching units in Galicia. They were asked to assess whether the incident was caused by health care or whether it was an expected consequence of the patient’s underlying pathology. A total of 70 professionals who attended 2,059 consultations participated. Results: 117 incidents were identified, with a prevalence of 1.3% (95% CI: 1.08-1.55), 42.9% were considered avoidable and 5.1% were serious and related to the diagnosis. The most frequent causal factor of incidents was associated with communication problems 1, followed by medication 2 and management 3; in adverse event notifications it was medication 4, communication 5 and care [(20.0%) (95%CI: 19.9-20.1)]. Conclusions: Almost 50% of incidents were considered preventable, reaching totality in the case of serious incidents. Acquiring safety competence by integrating risk assessment, incident detection and reporting, and adverse event analysis into daily care activities should continue to be a priority in primary care.

Data source: Dialnet