title: [What are hospitals and primary care doing to mitigate the social impact of serious adverse events].
abstract: OBJECTIVE
  To explore what hospitals and primary care (PC) are doing to reduce the negative social impact of a serious adverse event (AE).
  
  
  METHODS
  We surveyed 195 hospital (n=113) and PC (n=82) managers from eight autonomous communities to explore the level of implementation of five interventions recommended after an AE to protect the reputation of healthcare institutions.
  
  
  RESULTS
  Most institutions (70, 45.2% PC, and 85, 54.8% hospitals) did not have a crisis plan to protect their reputation after an AE. Internal (p=0.0001) and external (p=0.012) communications were addressed better in PC than in hospitals. Very few institutions had defined the managers' role in case of an AE (10.7% hospitals versus 6.25% PC).
  
  
  CONCLUSIONS
  A majority of healthcare institutions have not planned crisis intervention after an AE with severe consequences nor have they defined plans to recover citizens' trust after an AE.
authors.affiliation: Centro de Salud Hospital-Plá, Departamento de Salud Alicante-Sant Joan, Alicante, España; Departamento de Psicología de la Salud, Universidad Miguel Hernández, Elche (Alicante), España. Electronic address: jose.mira@umh.es.
authors.forename: José Joaquín
authors.initials: JJ
authors.lastname: Mira
authors.affiliation: Departamento de Psicología de la Salud, Universidad Miguel Hernández, Elche (Alicante), España.
authors.forename: Irene
authors.initials: I
authors.lastname: Carrillo
authors.affiliation: Unidad de Calidad, Hospital Universitario Fundación Alcorcón, Madrid, España.
authors.forename: Susana
authors.initials: S
authors.lastname: Lorenzo
mesh_terms: D006761:Hospitals; D006801:Humans; D019300:Medical Errors; D011320:Primary Health Care; D012308:Risk Management; D012922:Social Change; D013030:Spain
keywords: Adverse events; Atención primaria; Errores médicos; Eventos adversos; Health professionals; Hospital; Medical errors; Patient safety; Primary care; Profesionales sanitarios; Seguridad del paciente