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2.
Rev. calid. asist ; 31(5): 285-292, sept.-oct. 2016. tab
Artigo em Espanhol | IBECS | ID: ibc-155942

RESUMO

OBJETIVO: Evaluar los incidentes de seguridad del paciente en los servicios de urgencias de nuestra región. MATERIAL Y MÉTODO. Estudio observacional en todos los servicios de urgencias hospitalarios del Servicio Murciano de Salud. Tras muestreo aleatorio sistemático, se recogieron datos durante la asistencia y una semana después por encuesta telefónica. La recogida de información se realizó tras formación previa, por trabajadores de cada servicio, siguiendo la metodología del Estudio Nacional sobre los Eventos Adversos ligados a la hospitalización –ENEAS– y el Estudio sobre Eventos Adversos en Urgencias –EVADUR–. Resultados. Se tomó una muestra de 393 casos, proporcional a las asistencias de cada hospital. En 10 casos (3,1%) el motivo de consulta fue un incidente de seguridad previo. En 47 pacientes (11,9%; 8,7-15,1%) se ha detectado al menos un incidente. En 3 casos ha habido 2 (total 50 incidentes). Respecto al impacto, el 51% de los incidentes causaron daño al paciente. Los eventos más frecuentes fueron la necesidad de repetir visita (9 casos) y el mal manejo del dolor (8 casos). En 24 casos (51,1%) la atención sanitaria no se vio afectada, en 3 casos requirió una prueba adicional, en 11 casos requirió nueva consulta y en 2 motivó el ingreso. Los factores causales más frecuentes están relacionados con la medicación (14) y los cuidados (12). El 60% se han considerado evitables. Conclusiones. Se ha obtenido una tasa de incidentes en Urgencias representativa de toda la comunidad autónoma. La inferencia de los resultados a la población significa que 12 de cada 100 pacientes atendidos en Urgencias tendrán un evento adverso, de los cuales 7 serán evitables


OBJECTIVE: Evaluate the patient safety incidents that occur in the emergency departments of our region. MATEIRAL AND METHOD: Observational study conducted in all the hospital emergency departments in the Regional Health Service of Murcia. After systematic random sampling, data were collected during care and a week later by telephone survey. Health professionals of each service were trained and collected the information, following the methodology of the National Study of Adverse Events Related to Hospitalization -ENEAS- and the Adverse Events Related to Spanish Hospital Emergency Department Care -EVADUR-. RESULTS: A total of 393 samples were collected, proportional to the cases treated in each hospital. In 10 cases (3.1%) the complaint was a previous safety incident. At least one incident was detected in 47 patients (11.95%; 8.7 to 15.1%). In 3 cases there were 2 incidents, bringing the number of incidents to 50. Regarding the impact, the 51% of incidents caused harm to the PATIENTS: The effects more frequent in patients were the need for repeat visits (9 cases), and mismanagement of pain (8 cases). In 24 cases (51.1%) health care was not affected, although 3 cases required an additional test, 11 cases required further consultation, and led to hospitalisation in 2 cases. The most frequent causal factors of these incidents were medication (14) and care (12). The incidents were considered preventable in 60% of cases. CONCLUSIONS: A rate of incidents in the emergency departments, representative of the region, has been obtained. The implications of the results for the population means that 12 out of every 100 patients treated in emergency departments have an adverse event, and 7 of these are avoidable (AU)


Assuntos
Humanos , Gestão da Segurança/estatística & dados numéricos , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/epidemiologia , Tratamento de Emergência/estatística & dados numéricos , Segurança do Paciente/estatística & dados numéricos , Riscos Ambientais , 35436 , Melhoria de Qualidade , Serviço Hospitalar de Emergência/estatística & dados numéricos
3.
Rev Calid Asist ; 31(5): 285-92, 2016.
Artigo em Espanhol | MEDLINE | ID: mdl-27068392

RESUMO

OBJECTIVE: Evaluate the patient safety incidents that occur in the emergency departments of our region. MATERIAL AND METHOD: Observational study conducted in all the hospital emergency departments in the Regional Health Service of Murcia. After systematic random sampling, data were collected during care and a week later by telephone survey. Health professionals of each service were trained and collected the information, following the methodology of the National Study of Adverse Events Related to Hospitalization -ENEAS- and the Adverse Events Related to Spanish Hospital Emergency Department Care -EVADUR-. RESULTS: A total of 393 samples were collected, proportional to the cases treated in each hospital. In 10 cases (3.1%) the complaint was a previous safety incident. At least one incident was detected in 47 patients (11.95%; 8.7 to 15.1%). In 3 cases there were 2 incidents, bringing the number of incidents to 50. Regarding the impact, the 51% of incidents caused harm to the patients. The effects more frequent in patients were the need for repeat visits (9 cases), and mismanagement of pain (8 cases). In 24 cases (51.1%) health care was not affected, although 3 cases required an additional test, 11 cases required further consultation, and led to hospitalisation in 2 cases. The most frequent causal factors of these incidents were medication (14) and care (12). The incidents were considered preventable in 60% of cases. CONCLUSIONS: A rate of incidents in the emergency departments, representative of the region, has been obtained. The implications of the results for the population means that 12 out of every 100 patients treated in emergency departments have an adverse event, and 7 of these are avoidable.


Assuntos
Serviços Médicos de Emergência , Segurança do Paciente , Gestão de Riscos , Serviço Hospitalar de Emergência , Hospitais , Humanos
4.
Enferm Infecc Microbiol Clin ; 10(6): 323-7, 1992.
Artigo em Espanhol | MEDLINE | ID: mdl-1391013

RESUMO

AIM: To analyze the epidemiologic and clinical features, the survival as well as length of stay of the first 40 AIDS cases seen at the internal Medicine Department of the Virgen de la Arrixaca Hospital (Murcia, Spain). METHODS: Prospective study from September 1988 through July 1991. AIDS criteria used were the CDC (1987) ones. The survival analysis was performed using the Kaplan-Meier method. RESULTS: Thirty-four patients were male (85%) and six female (15%), with a mean age of 39 years. Eighteen (45%) were homo or bisexual, 11 drug addicts (27.5%), 8 (20%) had sexual contacts with prostitutes and/or drug addicts. Two patients were recipients of blood products and in one case no risk could be determined. Opportunistic infections were the first AIDS criteria in 75% of cases. Among the most frequent are P. carinii pneumonia (17.5%), CNS toxoplasmosis (15%) and cryptosporidiosis (12.5%). In 20% of cases a Kaposi's sarcoma developed. The probability of survival after three months was 91% +/- 9.6, at 7 months 79.5% +/- 15.0 and at 15 months 72.5 +/- 18. Overall, 90% of patients had at least one hospital admission, and 27.7% were hospitalized for 50% of more of their survival time. CONCLUSIONS: We recorded an increased number of AIDS cases since 1988, being most of them homo-bisexual male patients, with opportunistic infections as first manifestation. We noticed also high proportion of cases of heterosexual transmission.


Assuntos
Síndrome da Imunodeficiência Adquirida/epidemiologia , Síndrome da Imunodeficiência Adquirida/complicações , Síndrome da Imunodeficiência Adquirida/mortalidade , Adulto , Idoso , Feminino , Homossexualidade , Humanos , Tempo de Internação , Tábuas de Vida , Masculino , Pessoa de Meia-Idade , Infecções Oportunistas/complicações , Infecções Oportunistas/epidemiologia , Estudos Prospectivos , Fatores de Risco , Comportamento Sexual , Espanha/epidemiologia , Abuso de Substâncias por Via Intravenosa/complicações , Análise de Sobrevida
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