Impact of the COVID-19 pandemic on patient safety incident and medication error reporting systems

被引:5
|
作者
Macias Maroto, M. [1 ]
Garzon Gonzalez, G. [2 ]
Navarro Royo, C. [3 ]
Navea Martin, A. [3 ]
Diaz Redondo, A. [4 ]
Santiago Saez, A. [5 ]
Pardo Hernandez, A. [3 ]
机构
[1] Hosp Univ Principe Asturias, Unidad Calidad, Madrid, Spain
[2] Consejeria Sanidad, SERMAS, Gerencia Asistencial Atenc Primaria, Area Proc & Calidad, Madrid, Spain
[3] Consejeria Sanidad, Subdirecc Gen Calidad Asistencial, Madrid, Spain
[4] Hosp Gen Univ Gregorio Maranon, Serv Med Prevent & Gest Calidad, Madrid, Spain
[5] Hosp Clin San Carlos, Serv Med Legal, Madrid, Spain
关键词
Incident reporting; COVID-19; Patient safety; Risk management;
D O I
10.1016/j.jhqr.2022.03.003
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background and aim: To determine the impact of the COVID-19 pandemic on the epidemiology of safety incidents (SI) and medication errors (ME) reported to the CISEMadrid notification system in the hospital and primary care settings of the Madrid Health Service (SERMAS).Materials and methods: Observational and descriptive study with a retrospective analysis of data including all CISEMadrid notifications from 01-Jan-2018 to 31-Dec-2020, from 33 hospitals and 262 health care centres of the SERMAS. The two periods in 2020 with the greatest increase in COVID-19 cases were identified to compare incidents reported in the pre-pandemic and pandemic periods.Results: 36,494 incidents were reported. Comparing both periods, an overall decrease in pande-mic notifications of 60.7% was observed, being higher in primary care, falling to 33% of previous levels. The reduction in notifications was similar in the peaks and valleys of the waves. The three most frequent SIs in both periods and care settings were: diagnostic tests, medical devi-ces/equipment/clinical furniture and organisational management/citations. In ME, dose failure and inappropriate selection were the most frequent in both settings and periods. There were no relevant differences in patient consequences in both periods.Conclusions: During the pandemic, patient safety notifications decreased although the most frequent types remained the same, as did their impact on the patient, both in hospitals and in primary care. The safety culture of organisations is a critical aspect for the maintenance of reporting systems.(c) 2022 FECA. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:397 / 407
页数:11
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