title: [Epidemiology of the hospital adverse events in Catalonia, Spain: a first step for the patient safety improvement].
abstract: It has been published that hospital adverse events are an important source of morbidity and mortality in different countries and settings. The aim of this study was to evaluate the frequency, magnitude, distribution and degree of preventability of adverse events in the Autonomous Community of Catalonia (Spain). We conducted a retrospective cohort study of 4,790 hospital discharges that were selected by simple random sampling after stratified multistage sampling in 15 hospitals in Catalonia. 38.25% of patients had positive risk criteria (screening phase). We identified 356 cases of adverse events, which represent a 7.4% (95%CI: 6.7% to 8.1%). Of these, 43.5% (155 cases) were considered preventable. This study confirms that adverse events in hospitals in Catalonia are frequent, and generate a significant impact on morbidity and mortality. As in other studies, corroborated that a high proportion of these adverse events are considered preventable. It was possible to identify priority areas to focus improvement efforts.
authors.affiliation: Instituto Universitario Avedis Donabedian-Universidad Autónoma de Barcelona y Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC). Electronic address: jbaneres@fadq.org.
authors.forename: Joaquim
authors.initials: J
authors.lastname: Bañeres
authors.affiliation: Instituto Universitario Avedis Donabedian-Universidad Autónoma de Barcelona y Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC).
authors.forename: Carola
authors.initials: C
authors.lastname: Orrego
authors.affiliation: Servei de Promoció de la Seguretat de Pacients, Subdirecció General de Serveis Sanitaris, Departament de Salut, Barcelona, España.
authors.forename: Laura
authors.initials: L
authors.lastname: Navarro
authors.affiliation: Centro de Investigación en Epidemiología Ambiental (CREAL), Instituto Municipal de Investigación médica (IMIM) y CIBER Epidemiología y Salud Pública (CIBERESP), España.
authors.forename: Lidia
authors.initials: L
authors.lastname: Casas
authors.affiliation: Servicio de Medicina Preventiva, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
authors.forename: Marta
authors.initials: M
authors.lastname: Banqué
authors.affiliation: Instituto Universitario Avedis Donabedian-Universidad Autónoma de Barcelona y Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC).
authors.forename: Rosa
authors.initials: R
authors.lastname: Suñol
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003953:Diagnosis-Related Groups; D005260:Female; D006742:Hospital Bed Capacity; D006748:Hospital Departments / Q000706:statistics & numerical data; D006753:Hospital Records / Q000706:statistics & numerical data; D016304:Hospitals, Private / Q000706:statistics & numerical data; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D019300:Medical Errors / Q000517:prevention & control / Q000706:statistics & numerical data*; D008875:Middle Aged; D061214:Patient Safety / Q000706:statistics & numerical data; D010865:Pilot Projects; D058996:Quality Improvement; D012189:Retrospective Studies; D012307:Risk Factors; D012308:Risk Management; D012494:Sampling Studies; D013030:Spain / Q000453:epidemiology; D055815:Young Adult
keywords: Adverse events; Eventos adversos; Patient safety; Prevención; Prevention; Seguridad del paciente