title: [Analysis of a register for reporting adverse events to a mutual insurance society for accidents at work. Adverse event reporting of occupational injuries].
abstract: OBJECTIVE
  To describe the results of a voluntary reporting system for adverse events in a Patient Safety Program of an occupational injuries mutual insurance company.
  
  
  METHODS
  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.
authors.affiliation: Unión de Mutuas, MATEPSS n° 267, Corporación Mutua, Castellón, España. vpallares@uniondemutuas.es
authors.forename: Vicente
authors.initials: V
authors.lastname: Pallarés-Carratalá
authors.forename: José
authors.initials: J
authors.lastname: Gil-Alcamí
authors.forename: Fernando
authors.initials: F
authors.lastname: Marzá-Albalate
authors.forename: Julián
authors.initials: J
authors.lastname: Vitaller-Burillo
authors.forename: Vicente
authors.initials: V
authors.lastname: Gil-Guillén
authors.forename: Leopoldo
authors.initials: L
authors.lastname: Segarra-Castelló
authors.forename: Serafín
authors.initials: S
authors.lastname: Oliva-García
authors.forename: Juan
authors.initials: J
authors.lastname: Gala-Fernández
authors.forename: Jesús M A
authors.initials: JM
authors.lastname: Aranaz-Andrés
mesh_terms: D000062:Accidents, Occupational / Q000517:prevention & control / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data*; D057210:Delayed Diagnosis / Q000517:prevention & control / Q000706:statistics & numerical data; D003951:Diagnostic Errors / Q000517:prevention & control / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007344:Insurance Claim Reporting; D007346:Insurance, Accident; D007431:Intraoperative Complications / Q000453:epidemiology; D008297:Male; D019300:Medical Errors / Q000517:prevention & control / Q000706:statistics & numerical data*; D008875:Middle Aged; D060051:Occupational Injuries / Q000453:epidemiology* / Q000517:prevention & control; D061214:Patient Safety / Q000706:statistics & numerical data; D012042:Registries / Q000706:statistics & numerical data*; D012308:Risk Management / Q000706:statistics & numerical data*; D017751:Safety Management; D013030:Spain / Q000453:epidemiology; D011795:Surveys and Questionnaires; D035141:Voluntary Programs; D055815:Young Adult