Risk Analysis for Patient Safety in Surgical Departments: Cross-Sectional Design Usefulness

Verónica Aranaz Ostáriz, María Teresa Gea Velázquez de Castro, Francisco López Rodríguez-Arias, José Lorenzo Valencia Martín, Carlos Aibar Remón, Juana Requena Puche, Cristina Díaz-Agero Pérez, Antonio Fernando Compañ Rosique and Jesús María Aranaz Andrés
Additional contact information
Verónica Aranaz Ostáriz: Hospital Universitario Sant Joan d’Alacant. Ctra, N-332, s/n, Sant Joan d´Alacant, 03550 Alicante, Spain
María Teresa Gea Velázquez de Castro: Hospital Universitario Sant Joan d’Alacant. Ctra, N-332, s/n, Sant Joan d´Alacant, 03550 Alicante, Spain
Francisco López Rodríguez-Arias: Hospital General Universitario de Elche, C/Almazara 11, 03203 Alicante, Spain
José Lorenzo Valencia Martín: Hospital Universitario Ramón y Cajal, IRYCIS. M-607, km 9100, 28034 Madrid, Spain
Carlos Aibar Remón: Hospital Clínico Universitario Lozano Blesa, Avda. San Juan Bosco, 15, 50009 Zaragoza, Spain
Juana Requena Puche: Hospital General Universitario de Elda, Ctra, Sax-La Torreta, s/n, Elda, 03600 Alicante, Spain
Cristina Díaz-Agero Pérez: Hospital Universitario Ramón y Cajal, IRYCIS. M-607, km 9100, 28034 Madrid, Spain
Antonio Fernando Compañ Rosique: Hospital Universitario Sant Joan d’Alacant. Ctra, N-332, s/n, Sant Joan d´Alacant, 03550 Alicante, Spain
Jesús María Aranaz Andrés: Hospital Universitario Ramón y Cajal, IRYCIS. M-607, km 9100, 28034 Madrid, Spain

IJERPH, 2020, vol. 17, issue 7, 1-16

Abstract: (1) Background: Identifying and measuring adverse events (AE) is a priority for patient safety, which allows us to define and prioritise areas for improvement and evaluate and develop solutions to improve health care quality. The aim of this work was to determine the prevalence of AEs in surgical and medical-surgical departments and to know the health impact of these AEs. (2) Methods: A cross-sectional study determining the prevalence of AEs in surgical and medical-surgical departments was conducted and a comparison was made among both clinical areas. A total of 5228 patients were admitted in 58 hospitals in Argentina, Colombia, Costa Rica, Mexico, and Peru, within the Latin American Study of Adverse Events (IBEAS), led by the Spanish Ministry of Health, the Pan American Health Organization, and the WHO Patient Safety programme. (3) Results: The global prevalence of AEs was 10.7%. However, the prevalence of AEs in surgical departments was 11.9%, while in medical-surgical departments it was 8.9%. The causes of these AEs were associated with surgical procedures (38.6%) and nosocomial infections (35.4%). About 60.6% of the AEs extended hospital stays by 30.7 days on average and 25.8% led to readmission with an average hospitalisation of 15 days. About 22.4% resulted in death, disability, or surgical reintervention. (4) Conclusions: Surgical departments were associated with a higher risk of experiencing AEs.

Keywords: adverse events; medical errors; clinical safety; quality of care; patient safety (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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