title: [Impact on the improvement of paediatric emergency services using a standardised model for the declaration and analysis of incidents].
abstract: BACKGROUND
  The aim of this study is to analyse changes in the incidents reported after the implementation of a new model, and study its results on patient safety.
  
  
  METHODS
  In 2012 an observational study with prospective collection of incidents reported between 2007 and 2011 was conducted. In May 2012 a model change was made in order to increase the number of reports, analyse their causes, and improve the feedback to the service. Professional safety representatives were assigned to every department, information and diffusion sessions were held, and a new incident reporting system was implemented. With the new model, a new observational study with prospective collection of the reports during one year was initiated, and the results compared between models.
  
  
  RESULTS
  In 2011, only 19 incidents were reported in the Emergency Department, and between June 1, 2012 to June 1, 2013, 106 incidents (5.6 times more). The incidents reported were medication incidents (57%), identification (26%), and procedures (7%). The most frequent causes were human (70.7%), lack of training (22.6%), and working conditions (15.1%). Some measures were implemented as a result of these incidents: a surgical checklist, unit doses of salbutamol, tables of weight-standardised doses of drugs for cardiopulmonary resuscitation.
  
  
  CONCLUSIONS
  The new model of reporting incidents has enhanced the reports and has allowed improvements and the implementation of preventive measures, increasing the patient safety in the Emergency Department.
authors.affiliation: Servicio de Urgencias, Hospital Sant Joan de Déu, Universitat de Barcelona, Esplugues de Llobregat, Barcelona, España.
authors.forename: M
authors.initials: M
authors.lastname: Vilà de Muga
authors.affiliation: Servicio de Pediatría, Hospital Sant Joan de Déu, Universitat de Barcelona, Esplugues de Llobregat, Barcelona, España.
authors.forename: A
authors.initials: A
authors.lastname: Serrano Llop
authors.affiliation: Servicio de Urgencias, Hospital Sant Joan de Déu, Universitat de Barcelona, Esplugues de Llobregat, Barcelona, España.
authors.forename: E
authors.initials: E
authors.lastname: Rifé Escudero
authors.affiliation: Área de Seguridad, Hospital Sant Joan de Déu, Universitat de Barcelona, Esplugues de Llobregat, Barcelona, España.
authors.forename: M
authors.initials: M
authors.lastname: Jabalera Contreras
authors.affiliation: Servicio de Urgencias, Hospital Sant Joan de Déu, Universitat de Barcelona, Esplugues de Llobregat, Barcelona, España. Electronic address: cluaces@hsjdbcn.org.
authors.forename: C
authors.initials: C
authors.lastname: Luaces Cubells
mesh_terms: D002648:Child; D002675:Child, Preschool; D004632:Emergency Medical Services / Q000592:standards*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011446:Prospective Studies; D058996:Quality Improvement; D011996:Records; D012308:Risk Management / Q000592:standards*
keywords: Declaración de incidentes; Incident reporting; Incidentes; Incidents; Patient safety; Seguridad del paciente