title: Analysis of contributing factors associated to related patients safety incidents in Intensive Care Medicine.
abstract: OBJECTIVE
  To explore contributing factors (CF) associated to related critical patients safety incidents.
  
  
  METHODS
  SYREC study pos hoc analysis.
  
  
  METHODS
  A total of 79 Intensive Care Departments were involved.
  
  
  METHODS
  The study sample consisted of 1.017 patients; 591 were affected by one or more incidents.
  
  
  METHODS
  The CF were categorized according to a proposed model by the National Patient Safety Agency from United Kingdom that was modified. Type, class and severity of the incidents was analyzed.
  
  
  RESULTS
  A total 2,965 CF were reported (1,729 were associated to near miss and 1,236 to adverse events). The CF group more frequently reported were related patients factors. Individual factors were reported more frequently in near miss and task related CF in adverse events. CF were reported in all classes of incidents. The majority of CF were reported in the incidents classified such as less serious, even thought CF patients factors were associated to serious incidents. Individual factors were considered like avoidable and patients factors as unavoidable.
  
  
  CONCLUSIONS
  The CF group more frequently reported were patient factors and was associated to more severe and unavoidable incidents. By contrast, individual factors were associated to less severe and avoidable incidents. In general, CF most frequently reported were associated to near miss.
authors: Servicio de Medicina Intensiva, Hospital Universitario de Torrejón, Torrejón de Ardoz, Madrid, España. Electronic address: mmartin@torrejonsalud.com.
authors: M C
authors: MC
authors: Martín Delgado
authors: Servicio de Medicina Intensiva, Hospital Can Misses, Ibiza, España.
authors: P
authors: P
authors: Merino de Cos
authors: Unidad de Cuidados Intensivos, Hospital Universitario Joan XXIII, Instituto de Investigación Sanitaria Pere Virgili, Universidad Rovira i Virgili, Tarragona, España.
authors: G
authors: G
authors: Sirgo Rodríguez
authors: Servicio de Medicina Intensiva, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España.
authors: J
authors: J
authors: Álvarez Rodríguez
authors: Servicio de Medicina Intensiva, Hospital Clínico Universitario, Zaragoza, España.
authors: I
authors: I
authors: Gutiérrez Cía
authors: Servicio de Medicina Preventiva y Salud Pública, Hospital Clínico Universitario, Zaragoza, España.
authors: B
authors: B
authors: Obón Azuara
authors: Servicio de Medicina Intensiva, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España.
authors: Á
authors: Á
authors: Alonso Ovies
mesh_terms: D015984:Causality; D005500:Follow-Up Studies; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data; D008962:Models, Theoretical; D015337:Multicenter Studies as Topic / Q000706:statistics & numerical data; D000067491:Near Miss, Healthcare / Q000706:statistics & numerical data; D064887:Observational Studies as Topic / Q000706:statistics & numerical data; D064406:Patient Harm / Q000517:prevention & control / Q000706:statistics & numerical data; D061214:Patient Safety / Q000706:statistics & numerical data; D011446:Prospective Studies; D012307:Risk Factors; D012308:Risk Management; D013030:Spain / Q000453:epidemiology; D011795:Surveys and Questionnaires
keywords: Adverse events; Eventos adversos; Gestión del riesgo; Incidentes; Incidents; Intensive Care Medicine; Medicina Intensiva; Patient safety; Risk management; Seguridad del paciente