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1.
Int J Qual Health Care ; 27(1): 52-9, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25609774

RESUMO

OBJECTIVE: Determine the frequency and preventability of adverse events (AEs) from available information sources in selected ambulatory care (AC) sites in Latin America (LA). DESIGN: Multinational observational cohort was conducted to determine the period prevalence (retrospective focus) and the cumulative incidence (prospective focus) of AEs. SETTING: Outpatient clinics in Mexico, Peru, Brazil and Colombia. PARTICIPANTS: A random selection of 2080 patients. INTERVENTIONS: The existence of AE was decided based on trigger information provided by the patient and crossing the data with each patient's medical history. MAIN OUTCOME MEASURES: AE occurrences 6 months prior (prevalence) and 42 days after (incidence) the patient receiving AC were identified. AE type and preventability were also described. RESULTS: Two thousand eighty patients participated in the study. AEs prevalence was 5.2% (108/2080) [95% confidence interval (CI) 4.2-6.1%], and cumulative incidence was 2.4% (42/1757) (95% CI 1.7-3.1%). AEs considered preventable were 44% (55/108) of prevalence period, and 52.4% (22/42) of incidence period. Preventability was associated with patient socioeconomic status (OR 3.5, 95% CI 1.4-8.8), medication error (OR 0.1, 95% CI 0.0-0.4), diagnostic error (OR 0.1, 95% CI 0.0-0.8) and a minor impact on the patient (OR 0.2 95% CI 0.1-0.9). CONCLUSION: The frequency of AE in ambulatory settings in LA is in the high-frequency range of research focused on the prevalence of AEs. Fifty percent was preventable. This study provides an approach for assessing the frequency and preventability of AE in order to enhance patient safety in LA.


Assuntos
Assistência Ambulatorial/estatística & dados numéricos , Erros Médicos/estatística & dados numéricos , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/epidemiologia , Feminino , Humanos , Incidência , América Latina/epidemiologia , Masculino , Erros Médicos/classificação , Erros Médicos/prevenção & controle , Dano ao Paciente/estatística & dados numéricos , Segurança do Paciente , Prevalência , Qualidade da Assistência à Saúde , Fatores Socioeconômicos
2.
Recurso educacional aberto em Espanhol | CVSP - Argentina | ID: oer-1119

RESUMO

El 5 de octubre del 2007 durante la 27.ª Conferencia Sanitaria Panamericana, se emite la Resolución CSP27/10 sobre Política y Estrategia Regional para la Garantía de la Calidad de la Atención Sanitaria, incluyendo la Seguridad del Paciente (CASP). Esta Resolución se basa en el documento presentado el 17 de julio del mismo año (CSP27/16), que define la calidad de la atención, incluyendo la seguridad del paciente, como la cualidad de la atención sanitaria esencial para la consecución de los objetivos nacionales de salud, la mejora de la salud de la población y el futuro sostenible del sistema de atención en salud.


Assuntos
17550 , América Latina , Assistência ao Paciente , Segurança , Qualidade da Assistência à Saúde , Pacientes , Espanha
3.
Rev. calid. asist ; 23(2): 57-64, mar. 2008. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-64870

RESUMO

Objetivo: Evaluar, desde la perspectiva de los pacientes, la evolución de la calidad en los últimos 5 años con el fin de acercarnos a sus expectativas en el nuevo hospital. Método: El procedimiento utiliza como referencia los resultados de un estudio de opinión realizado en el hospital, en el año 2001, para contrastar con los resultados de las encuestas anuales y complementar con información procedente de reclamaciones escritas y demandas de responsabilidad patrimonial. Resultados: Se han recibido y procesado, en el período considerado, 821 encuestas (tasa de respuesta del 22,3%), 3.756 reclamaciones y 105 demandas de responsabilidad administrativa. Las encuestas han mostrado un grado de satisfacción del 96% y el estudio de evolución ha detectado diferencias significativas en confortabilidad y capacidad de respuesta. Los motivos de reclamación más frecuentes han sido: transporte sanitario (15,3%), demora en la asistencia (12,6%) y lista de espera (9,3%). Las demandas, estimadas positivamente sólo el 20%, destacan como motivo final principal la muerte o el resultado secundario grave (59%), y como causas primordiales, la omisión de acción (42,9%) y la práctica no adecuada (22,9%). Discusión: Se ha detectado un ligero empeoramiento de la opinión del paciente en los últimos 5 años, que se relaciona con un incremento de las expectativas del paciente. Los motivos de reclamaciones y demandas son independientes de los problemas destacados en el aspecto de opinión y evidencian dimensiones distintas pero coinciden en ciertos aspectos. Queda pendiente una nota de atención en el área de urgencias y, por supuesto, los problemas relacionados con el confort, cuya mejoría es fácil y evidente con la inauguración del nuevo hospital


Objective: To evaluate changes in quality over a 5-year period from the perspective of patients, in an attempt to meet their expectations in a new hospital. Method: The procedure takes as a reference the results of an opinion survey carried out in the hospital in 2001 and compares these results with those of annual surveys and completes them with information from written complaints and demands for accountability. Results: During the period studied, 821 surveys (a response rate of 22.3%), 3,756 complaints and 105 demands for administrative accountability were received and processed. The surveys revealed a degree of satisfaction of 96%, and study of the changes detected significant differences in comfort and response capacity. The most common reasons for complaints were medical transport (15.3%), delays in receiving care (12.6%), and waiting lists (9.3%). The main reasons for demands for accountability (only 20% of which were accepted) were death or serious secondary outcomes (59%), and the principal causes were related to omissions (42.9%) or malpractice (22.9%). Discussion: Patients' opinions tended to worsen slightly over the 5-year period studied, related to their increased expectations. Although the reasons for making complaints and demands were independent of the problems identified in patients' opinions and showed different dimensions, there were certain areas of overlap. Greater efforts are required in the area of emergency services and, of course, in problems related to comfort, improvement of which is easily achievable and evident with the inauguration of the new hospital


Assuntos
Humanos , Administração dos Cuidados ao Paciente/tendências , Satisfação do Paciente , Qualidade da Assistência à Saúde , Pesquisas sobre Serviços de Saúde/estatística & dados numéricos , Responsabilidade Legal
4.
Rev Calid Asist ; 23(2): 57-64, 2008 Mar.
Artigo em Espanhol | MEDLINE | ID: mdl-23040092

RESUMO

OBJECTIVE: To evaluate changes in quality over a 5-year period from the perspective of patients, in an attempt to meet their expectations in a new hospital. METHOD: The procedure takes as a reference the results of an opinion survey carried out in the hospital in 2001 and compares these results with those of annual surveys and completes them with information from written complaints and demands for accountability. RESULTS: During the period studied, 821 surveys (a response rate of 22.3%), 3,756 complaints and 105 demands for administrative accountability were received and processed. The surveys revealed a degree of satisfaction of 96%, and study of the changes detected significant differences in comfort and response capacity. The most common reasons for complaints were medical transport (15.3%), delays in receiving care (12.6%), and waiting lists (9.3%). The main reasons for demands for accountability (only 20% of which were accepted) were death or serious secondary outcomes (59%), and the principal causes were related to omissions (42.9%) or malpractice (22.9%). DISCUSSION: Patients' opinions tended to worsen slightly over the 5-year period studied, related to their increased expectations. Although the reasons for making complaints and demands were independent of the problems identified in patients' opinions and showed different dimensions, there were certain areas of overlap. Greater efforts are required in the area of emergency services and, of course, in problems related to comfort, improvement of which is easily achievable and evident with the inauguration of the new hospital.

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