title: [Design of a plan for patient safety in pediatric surgery service].
abstract: BACKGROUND
  Patient safety is a key priority in quality management for healthcare services providers. Every patient is entitled to receive safe and effective healthcare.
  
  
  OBJECTIVE
  The aim of this study was to design a patient safety plan for a Paediatric Surgery Department.
  
  
  METHODS
  We carried out a literature review and we established a work group that included healthcare professionals from the Paediatric Surgery Department and the Quality and Medical Records Department. The group identified potential adverse events, failures and causes and established a rating using Failure Mode Effects Analysis. Potential risks were mapped out and a plan was designed establishing actions to reduce risks. We designated leaders to ensure the effective implementation of the plan.
  
  
  RESULTS
  A total of 58 adverse events were identified in the Paediatric Surgery Department. We detected 128 failures that were produced by 211 different causes. The group developed a proposal with 424 specific measures to carry out preventive and/or remedial actions that were then narrowed down to 322. The group designed a plan to apply the programme, which is currently being implemented.
  
  
  CONCLUSIONS
  The methodology used enabled obtaining key information for improvement of patient safety and developing preventive and/or remedial actions. These measures are applicable in practice, as they were designed using proposals and agreements with professionals that take active part in the care of children with surgical conditions.
authors.forename: R M
authors.initials: RM
authors.lastname: Paredes Esteban
authors.forename: A L
authors.initials: AL
authors.lastname: Castillo Fernández
authors.forename: R
authors.initials: R
authors.lastname: Miñarro del Moral
authors.forename: J I
authors.initials: JI
authors.lastname: Garrido Pérez
authors.forename: R
authors.initials: R
authors.lastname: Granero Cendón
authors.forename: O
authors.initials: O
authors.lastname: Gómez Beltrán
authors.forename: M J
authors.initials: MJ
authors.lastname: Berenguer Garcia
authors.forename: M
authors.initials: M
authors.lastname: Tejedor Fernández
mesh_terms: D002648:Child; D006801:Humans; D061214:Patient Safety; D010372:Pediatrics / Q000592:standards; D011787:Quality of Health Care; D013030:Spain; D013503:Surgery Department, Hospital; D013514:Surgical Procedures, Operative / Q000379:methods* / Q000592:standards