title: [Regional Study of Patient Safety Incidents (ERIDA) in the Emergency Services].
abstract: OBJECTIVE
  Evaluate the patient safety incidents that occur in the emergency departments of our region.
  
  
  METHODS
  Observational study conducted in all the hospital emergency departments in the Regional Health Service of Murcia. After systematic random sampling, data were collected during care and a week later by telephone survey. Health professionals of each service were trained and collected the information, following the methodology of the National Study of Adverse Events Related to Hospitalization -ENEAS- and the Adverse Events Related to Spanish Hospital Emergency Department Care -EVADUR-.
  
  
  RESULTS
  A total of 393 samples were collected, proportional to the cases treated in each hospital. In 10 cases (3.1%) the complaint was a previous safety incident. At least one incident was detected in 47 patients (11.95%; 8.7 to 15.1%). In 3 cases there were 2 incidents, bringing the number of incidents to 50. Regarding the impact, the 51% of incidents caused harm to the patients. The effects more frequent in patients were the need for repeat visits (9 cases), and mismanagement of pain (8 cases). In 24 cases (51.1%) health care was not affected, although 3 cases required an additional test, 11 cases required further consultation, and led to hospitalisation in 2 cases. The most frequent causal factors of these incidents were medication (14) and care (12). The incidents were considered preventable in 60% of cases.
  
  
  CONCLUSIONS
  A rate of incidents in the emergency departments, representative of the region, has been obtained. The implications of the results for the population means that 12 out of every 100 patients treated in emergency departments have an adverse event, and 7 of these are avoidable.
authors.affiliation: Unidad de Calidad, Servicio de Urgencias, Hospital Universitario J. M. Morales Meseguer, Murcia, España. Electronic address: julian.alcaraz2@carm.es.
authors.forename: J
authors.initials: J
authors.lastname: Alcaraz-Martínez
authors.affiliation: Servicio de Medicina Preventiva y Salud Pública, Hospital Universitario Ramón y Cajal, Centro de Investigación Biomédica en Red en Epidemiología y Salud Pública (CIBERESP), Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS) , Madrid, España.
authors.forename: J M
authors.initials: JM
authors.lastname: Aranaz-Andrés
authors.affiliation: Servicio de Urgencias, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
authors.forename: C
authors.initials: C
authors.lastname: Martínez-Ros
authors.affiliation: Servicio de Urgencias, Hospital Universitario J. M. Morales Meseguer, Murcia, España.
authors.forename: S
authors.initials: S
authors.lastname: Moreno-Reina
authors.affiliation: Servicio de Urgencias, Hospital del Mar Menor, San Javier, Murcia, España.
authors.forename: L
authors.initials: L
authors.lastname: Escobar-Álvaro
authors.affiliation: Servicio de Urgencias, Hospital Universitario Rafael Méndez, Lorca, Murcia, España.
authors.forename: J V
authors.initials: JV
authors.lastname: Ortega-Liarte
mesh_terms: D004632:Emergency Medical Services; D004636:Emergency Service, Hospital; D006761:Hospitals; D006801:Humans; D061214:Patient Safety; D012308:Risk Management
keywords: Emergency Department; Mejora de la calidad; Patient safety; Quality improvement; Seguridad del paciente; Servicio de Urgencias