title: [An approach to care indicators benchmarking. Learning to improve patient safety].
abstract: Improvements in clinical safety can be achieved by promoting a safety culture, professional training, and learning through benchmarking. The aim of this study was to identify areas for improvement after analysing the safety indicators in two public Hospitals in North-West Madrid Region.
  
  
  METHODS
  Descriptive study performed during 2011 in Hospital Universitario Puerta de Hierro Majadahonda (HUPHM) and Hospital de Guadarrama (HG). The variables under study were 40 indicators on nursing care related to patient safety. Nineteen of them were defined in the SENECA project as care quality standards in order to improve patient safety in the hospitals. The data collected were clinical history, Madrid Health Service assessment reports, care procedures, and direct observation
  
  
  RESULTS
  Within the 40 indicators: 22 of them were structured (procedures), HUPHM had 86%, and HG 95% 14 process indicators (training and protocols compliance) with similar results in both hospitals, apart from the care continuity reports and training in hand hygiene. The 4 results indicators (pressure ulcer, falls and pain) showed different results.
  
  
  CONCLUSIONS
  The analysis of the indicators allowed the following actions to be taken: to identify improvements to be made in each hospital, to develop joint safety recommendations in nursing care protocols in prevention and treatment of chronic wound, to establish systematic pain assessments, and to prepare continuity care reports on all patients transferred from HUPHM to HG.
authors.affiliation: Unidad de Calidad, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, España. Electronic address: bandresg@salud.madrid.org.
authors.forename: B
authors.initials: B
authors.lastname: de Andrés Gimeno
authors.affiliation: Unidad de Enfermería, Hospital de Guadarrama, Madrid, España.
authors.forename: R M
authors.initials: RM
authors.lastname: Salazar de la Guerra
authors.affiliation: Unidad de Enfermería, Hospital de Guadarrama, Madrid, España.
authors.forename: C
authors.initials: C
authors.lastname: Ferrer Arnedo
authors.affiliation: Formación Continuada, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, España.
authors.forename: M
authors.initials: M
authors.lastname: Revuelta Zamorano
authors.affiliation: Unidad de Enfermería, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, España.
authors.forename: D
authors.initials: D
authors.lastname: Ayuso Murillo
authors.affiliation: Unidad de Enfermería, Hospital de Guadarrama, Madrid, España.
authors.forename: J
authors.initials: J
authors.lastname: González Soria
mesh_terms: D019985:Benchmarking; D006801:Humans; D009729:Nursing / Q000592:standards*; D061214:Patient Safety / Q000592:standards*; D058996:Quality Improvement; D019984:Quality Indicators, Health Care
keywords: Benchmarking; Cuidados de enfermería; Nursing care; Patient safety; Seguridad del paciente