Dolores Beteta Fernández , Ana Miriam Seva Llor , Laura Martínez Alarcón , Carlos Pérez Cánovas , Manuel Pardo Rios , Julián Alcaraz Martínez
{"title":"与儿科急诊室护理有关的安全事故","authors":"Dolores Beteta Fernández , Ana Miriam Seva Llor , Laura Martínez Alarcón , Carlos Pérez Cánovas , Manuel Pardo Rios , Julián Alcaraz Martínez","doi":"10.1016/j.anpedi.2024.04.010","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>To characterize safety incidents in paediatric emergency departments (PEDs): frequency, sources, root causes, and consequences.</p></div><div><h3>Materials and methods</h3><p>We conducted a cross-sectional, observational and descriptive study in the PED of the Hospital Clínico Universitario Virgen de la Arrixaca (HCUVA). Patients were recruited through opportunity sampling and the data were collected during care delivery and one week later through a telephone survey. The methodology was based on the ERIDA study on patient safety incidents related to emergency care, which in turn was based on the ENEAS and EVADUR studies.</p></div><div><h3>Results</h3><p>The study included a total of 204 cases. At least one incident was detected in 25 cases, with two incidents detected in 3 cases, for a total incidence of 12.3%. Twelve incidents were detected during care delivery and the rest during the telephone call. Ten percent did not reach the patient, 7.1% reached the patient but caused no harm, and 82.1% reached the patient and caused harm. Thirteen incidents (46.4%) did not have an impact on care delivery, 8 (28.6%) required a new visit or referral, 6 (21.4%) required additional observation and 1 (3.6%) medical or surgical treatment. The most frequent root causes were health care delivery and medication. Incidents related to procedures and medication were most frequent. Of all incidents, 78.6% were considered preventable, with 50% identified as clear failures in health care delivery.</p></div><div><h3>Conclusions</h3><p>Safety incidents affected 12.3% of children managed in the PED of the HCUVA, of which 78.6% were preventable.</p></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1695403324000924/pdfft?md5=f54b8ff8272d360a77df1b8806a9c610&pid=1-s2.0-S1695403324000924-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Incidentes de seguridad ligados a la asistencia en los servicios de urgencias pediátricas\",\"authors\":\"Dolores Beteta Fernández , Ana Miriam Seva Llor , Laura Martínez Alarcón , Carlos Pérez Cánovas , Manuel Pardo Rios , Julián Alcaraz Martínez\",\"doi\":\"10.1016/j.anpedi.2024.04.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>To characterize safety incidents in paediatric emergency departments (PEDs): frequency, sources, root causes, and consequences.</p></div><div><h3>Materials and methods</h3><p>We conducted a cross-sectional, observational and descriptive study in the PED of the Hospital Clínico Universitario Virgen de la Arrixaca (HCUVA). Patients were recruited through opportunity sampling and the data were collected during care delivery and one week later through a telephone survey. The methodology was based on the ERIDA study on patient safety incidents related to emergency care, which in turn was based on the ENEAS and EVADUR studies.</p></div><div><h3>Results</h3><p>The study included a total of 204 cases. At least one incident was detected in 25 cases, with two incidents detected in 3 cases, for a total incidence of 12.3%. Twelve incidents were detected during care delivery and the rest during the telephone call. Ten percent did not reach the patient, 7.1% reached the patient but caused no harm, and 82.1% reached the patient and caused harm. Thirteen incidents (46.4%) did not have an impact on care delivery, 8 (28.6%) required a new visit or referral, 6 (21.4%) required additional observation and 1 (3.6%) medical or surgical treatment. The most frequent root causes were health care delivery and medication. Incidents related to procedures and medication were most frequent. Of all incidents, 78.6% were considered preventable, with 50% identified as clear failures in health care delivery.</p></div><div><h3>Conclusions</h3><p>Safety incidents affected 12.3% of children managed in the PED of the HCUVA, of which 78.6% were preventable.</p></div>\",\"PeriodicalId\":7783,\"journal\":{\"name\":\"Anales de pediatria\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2024-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1695403324000924/pdfft?md5=f54b8ff8272d360a77df1b8806a9c610&pid=1-s2.0-S1695403324000924-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Anales de pediatria\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1695403324000924\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anales de pediatria","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1695403324000924","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
Incidentes de seguridad ligados a la asistencia en los servicios de urgencias pediátricas
Objective
To characterize safety incidents in paediatric emergency departments (PEDs): frequency, sources, root causes, and consequences.
Materials and methods
We conducted a cross-sectional, observational and descriptive study in the PED of the Hospital Clínico Universitario Virgen de la Arrixaca (HCUVA). Patients were recruited through opportunity sampling and the data were collected during care delivery and one week later through a telephone survey. The methodology was based on the ERIDA study on patient safety incidents related to emergency care, which in turn was based on the ENEAS and EVADUR studies.
Results
The study included a total of 204 cases. At least one incident was detected in 25 cases, with two incidents detected in 3 cases, for a total incidence of 12.3%. Twelve incidents were detected during care delivery and the rest during the telephone call. Ten percent did not reach the patient, 7.1% reached the patient but caused no harm, and 82.1% reached the patient and caused harm. Thirteen incidents (46.4%) did not have an impact on care delivery, 8 (28.6%) required a new visit or referral, 6 (21.4%) required additional observation and 1 (3.6%) medical or surgical treatment. The most frequent root causes were health care delivery and medication. Incidents related to procedures and medication were most frequent. Of all incidents, 78.6% were considered preventable, with 50% identified as clear failures in health care delivery.
Conclusions
Safety incidents affected 12.3% of children managed in the PED of the HCUVA, of which 78.6% were preventable.
期刊介绍:
La Asociación Española de Pediatría tiene como uno de sus objetivos principales la difusión de información científica rigurosa y actualizada sobre las distintas áreas de la pediatría. Anales de Pediatría es el Órgano de Expresión Científica de la Asociación y constituye el vehículo a través del cual se comunican los asociados. Publica trabajos originales sobre investigación clínica en pediatría procedentes de España y países latinoamericanos, así como artículos de revisión elaborados por los mejores profesionales de cada especialidad, las comunicaciones del congreso anual y los libros de actas de la Asociación, y guías de actuación elaboradas por las diferentes Sociedades/Secciones Especializadas integradas en la Asociación Española de Pediatría.