title: [Towards a safety culture in the neonatal unit: Six years experience].
abstract: BACKGROUND
  A safety culture is the collective effort of an institution to direct its resources toward the goal of safety.
  
  
  METHODS
  An analysis is performed on the six years of experience of the Committee on the Safety of Neonatal Patient. A mailbox was created for the declaration of adverse events, and measures for their correction were devised, such as case studies, continuous education, prevention of nosocomial infections, as well as information on the work done and its assessment.
  
  
  RESULTS
  A total of 1287 reports of adverse events were received during the six years, of which 600 (50.8%) occurred in the neonatal ICU, with 15 (1.2%) contributing to death, and 1282 (99.6%) considered preventable. Simple corrective measures (notification, security alerts, etc.) were applied in 559 (43.4%), intermediate measures (protocols, monthly newsletter, etc.) in 692 (53.8%), and more complex measures (causal analysis, scripts, continuous education seminars, prospective studies, etc.) in 66 (5.1%). As regards nosocomial infections, the prevention strategies implemented (hand washing, insertion and maintenance of catheters) directly affected their improvement. Two surveys were conducted to determine the level of satisfaction with the Committee on the Safety of Neonatal Patient. A rating 7.5/10 was obtained in the local survey, while using the Spanish version of the Hospital Survey on Patient Safety Culture the rate was 7.26/10.
  
  
  CONCLUSIONS
  A path to a culture of safety has been successfully started and carried out. Reporting the adverse events is the key to obtaining information on their nature, etiology and evolution, and to undertake possible prevention strategies.
authors: Departamento de Neonatología, Institut Clínic Ginecologia Obstetrícia i Neonatologia, Hospital Clínic sede Maternitat, Barcelona, España. Electronic address: mtesque@clinic.ub.es.
authors: M T
authors: MT
authors: Esqué Ruiz
authors: Departamento de Neonatología, Institut Clínic Ginecologia Obstetrícia i Neonatologia, Hospital Clínic sede Maternitat, Barcelona, España.
authors: M G
authors: MG
authors: Moretones Suñol
authors: Departamento de Neonatología, Institut Clínic Ginecologia Obstetrícia i Neonatologia, Hospital Clínic sede Maternitat, Barcelona, España.
authors: J M
authors: JM
authors: Rodríguez Miguélez
authors: Departamento de Neonatología, Institut Clínic Ginecologia Obstetrícia i Neonatologia, Hospital Clínic sede Maternitat, Barcelona, España.
authors: S
authors: S
authors: Parés Tercero
authors: Departamento de Neonatología, Institut Clínic Ginecologia Obstetrícia i Neonatologia, Hospital Clínic sede Maternitat, Barcelona, España.
authors: R
authors: R
authors: Cortés Albuixech
authors: Departamento de Neonatología, Institut Clínic Ginecologia Obstetrícia i Neonatologia, Hospital Clínic sede Maternitat, Barcelona, España.
authors: E M
authors: EM
authors: Varón Ramírez
authors: Departamento de Neonatología, Institut Clínic Ginecologia Obstetrícia i Neonatologia, Hospital Clínic sede Maternitat, Barcelona, España.
authors: J
authors: J
authors: Figueras Aloy
mesh_terms: D003428:Cross Infection; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal / Q000592:standards*; D061214:Patient Safety; D012308:Risk Management; D017751:Safety Management; D013997:Time Factors
keywords: Acontecimientos adversos; Adverse events; Calidad asistencial; Care quality; Critical incident reporting; Cultura de seguridad; Culture of safety; Declaración de acontecimientos adversos; Newborn; Prevención; Prevention; Recién nacido