title: [Identifying and prioritising adverse episodes and failures related to patient safety in Pain Treatment Units].
abstract: OBJECTIVE
  An expert group coordinated by the Andalusian School of Public Health identified the most serious and frequent adverse events in Pain Treatment Units (PTU), as well the failures and underlying causes, as a prior step to preparing preventive actions. The aims of the project were to identify potential adverse events in Pain Treatment Units, identify failures and their underlying causes, and prioritise these failures according to a failure modes and effects analysis (FMEA) tool.
  
  
  METHODS
  The method employed consisted of a literature search, the selection of an expert group with experience in PTU, creating a catalogue of adverse events using the generation of ideas technique, and putting the FMEA and Risk Priority Index tools into practice.
  
  
  RESULTS
  Up to 66 types of adverse events were identified associated with; medication (30), invasive techniques (15), care process (10), patient information and education (6), and clinical practice (5). It was found that up to 101 failures could be triggered by these adverse events, and that 242 causes could lead to these failures.
  
  
  CONCLUSIONS
  The results indicated the need to work principally in two directions, improving the care process in the PTU (the health care organisation), and the professional work, this latter having two aspects, improving the clinical practice, and increase professional skills by means of specific training. Communication, whether inter-professional or inter-department, or with the patient and their family, is identified as a key aspect for improvement.
authors: Área de Evaluación y Calidad, Escuela Andaluza de Salud Pública, Granada, España. juanjose.perez.easp@juntadeandalucia.es
authors: J J
authors: JJ
authors: Pérez Lázaro
authors: I
authors: I
authors: Fernández Ruiz
authors: M
authors: M
authors: Tejedor Fernández
authors: J A
authors: JA
authors: Guerra de Hoyos
authors: M
authors: M
authors: Jiménez Rodríguez
authors: M
authors: M
authors: de Pazzis Die de Ortega
authors: J
authors: J
authors: Insausti Valdivia
authors: M
authors: M
authors: Rodríguez López
authors: J
authors: J
authors: Romero Cotelo
authors: R
authors: R
authors: Gálvez Mateos
mesh_terms: D000698:Analgesia / Q000009:adverse effects / Q000401:mortality; D000700:Analgesics / Q000009:adverse effects; D003428:Cross Infection / Q000453:epidemiology / Q000209:etiology / Q000635:transmission; D006292:Health Priorities; D006801:Humans; D008508:Medication Errors; D009422:Nervous System Diseases / Q000139:chemically induced / Q000453:epidemiology / Q000209:etiology; D018710:Pain Clinics / Q000458:organization & administration / Q000706:statistics & numerical data; D059408:Pain Management / Q000009:adverse effects; D010353:Patient Education as Topic; D061214:Patient Safety; D018570:Risk Assessment; D012308:Risk Management / Q000458:organization & administration / Q000706:statistics & numerical data; D017211:Treatment Failure
chemical_list: D000700:Analgesics