Análisis de la implantación de un sistema de notificación y registro de eventos adversos en el proceso asistencial de una mutua de accidentes de trabajo / Analysis of a register for reporting adverse events to a mutual insurance society for accidents at work. Adverse event reporting of occupational injuries

Objetivos. Describir los resultados de un sistema voluntario de notificación de eventos adversos, dentro de un programa de Seguridad de Pacientes en el proceso asistencial de una Mutua de Accidentes de Trabajo. Método. En 2008 se implantó un sistema de notificación y registro de eventos adversos (reales o potenciales) en Unión de Mutuas, mutua de accidentes de trabajo, con 36 centros asistenciales, que da cobertura a 259.922 trabajadores. El cuestionario de notificación, contempla todos los ámbitos de la asistencia sanitaria prestada por la Mutua. El acceso al cuestionario se realizó a través de la intranet, fue voluntario, anónimo. Se describen las notificaciones registradas entre el 1 de enero de 2009 y el 31 de diciembre de 2010. Resultados. Se cumplimentaron 116 cuestionarios, con un total de 205 incidentes. El perfil del notificador fue médico del primer nivel asistencial (57,7%), y una antigüedad en su puesto de trabajo entre 5-10 años. Del total de notificaciones, la asistencia sanitaria se consideró causante del incidente en el 43,5% de los casos, de los que el 85,9% de los incidentes hubieran podido evitarse. Del total de eventos notificados, un 71,7% estaban relacionados con cuidados en centro asistencial ambulatorio, y solo un 2,4% fue relacionado con procedimiento quirúrgico. Conclusiones. La mayoría de las notificaciones fueron incidentes evitables, y registrados por médicos del primer nivel asistencial. El cuestionario de notificación se mostró como una herramienta válida en nuestro entorno de trabajo para la detección de eventos adversos en el proceso asistencial(AU)

Objectives. To describe the results of a voluntary reporting system for adverse events in a Patient Safety Program of an occupational injuries mutual insurance company. Method. In 2008 a system of notification and registration of adverse events (actual or potential) was introduced in 2008 by the Union de Mutuas, an occupational injuries insurance company with 36 health centres, and provides coverage for 259,922 workers. The reporting questionnaire covers all areas of health care provided by the mutual company. Access to the questionnaire was conducted through the intranet, was voluntary and anonymous. The notifications registered between 1 January 2009 and 31 December 2010 are analysed. Results. A total of 16 questionnaires were completed, with a total of 205 incidents. The profile of the reporter was first-level health care (57.7%), and seniority in their job for 5-10 years. Of all the notifications, a health care cause of the incident was seen in 43.5% of cases, of which 85.9% of the incidents were preventable. Of all reported events, 71.7% were related to an ambulatory care medical centre, and only 2.4% was related to a surgical procedure. Conclusions. Most of the notifications were preventable incidents, and recorded by first-level medical care. The reporting questionnaire was shown to be a valid tool in our work environment for the detection of adverse events in the care process(AU)

[Analysis of a register for reporting adverse events to a mutual insurance society for accidents at work. Adverse event reporting of occupational injuries]. / Análisis de la implantación de un sistema de notificación y registro de eventos adversos en el proceso asistencial de una mutua de accidentes de trabajo.

OBJECTIVES: To describe the results of a voluntary reporting system for adverse events in a Patient Safety Program of an occupational injuries mutual insurance company. METHOD: In 2008 a system of notification and registration of adverse events (actual or potential) was introduced in 2008 by the Union de Mutuas, an occupational injuries insurance company with 36 health centres, and provides coverage for 259,922 workers. The reporting questionnaire covers all areas of health care provided by the mutual company. Access to the questionnaire was conducted through the intranet, was voluntary and anonymous. The notifications registered between 1 January 2009 and 31 December 2010 are analysed. RESULTS: A total of 16 questionnaires were completed, with a total of 205 incidents. The profile of the reporter was first-level health care (57.7%), and seniority in their job for 5-10 years. Of all the notifications, a health care cause of the incident was seen in 43.5% of cases, of which 85.9% of the incidents were preventable. Of all reported events, 71.7% were related to an ambulatory care medical centre, and only 2.4% was related to a surgical procedure. CONCLUSIONS: Most of the notifications were preventable incidents, and recorded by first-level medical care. The reporting questionnaire was shown to be a valid tool in our work environment for the detection of adverse events in the care process.