Prevalence, characteristics, and impact of adverse events in 34 Madrid hospitals. The ESHMAD study

Introduction Adverse Events (AE) are one of the main problems in healthcare. Therefore, many policies have been developed worldwide to mitigate their impact. The Patient Safety Incident Study in Hospitals in the Community of Madrid (ESHMAD) measures the results of them in the region. Methods Cross‐s...

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Published in:	European journal of clinical investigation Vol. 52; no. 12; pp. e13851 - n/a
Main Authors:	Valencia‐Martín, José L., Vicente‐Guijarro, Jorge, San Jose‐Saras, Diego, Moreno‐Nunez, Paloma, Pardo‐Hernández, Alberto, Aranaz‐Andrés, Jesús María, Colomer Rosas, Asunción, Mediavilla Herrera, Inmaculada, Esteban Niveiro, Mª. José, López Fresneña, Nieves, Díaz‐Agero Pérez, Cristina, Ruiz Lopez, Pedro, Carrasco Gonzalez, Isabel, Navarro Royo, Cristina, Albéniz Lizarraga, Carmen, Villan Villan, Yuri Fabiola, Alguacil Pau, Ana Isabel, Díaz Redondo, Alicia, Plá Mestre, Rosa, Martín Ríos, Dolores, Figuerola Tejerina, Angels, Aibar Remón, Carlos, Mira Solves, José Joaquín, Requena Puche, Juana, González Solana, Idelfonso, Salcero Guijarro, Montserrat, Fernández Redondo, Delia, del Pozo García, Esteban, Bischofberger Valdés, Cornelia, Martín Prieto, Libertad, Grande Arnesto, Marta, Nieto Pereda, Beatriz, Herranz Alonso, Ana, Rubio Cirilo, Laura, Martos Martínez, Rafael, Ledo Varela, María Teresa, García Rosado, María Vicenta, Minaya Saíz, Jesús, Labrador Domínguez, María Jesús, Pita López, María José, Mayoral Peccis, Elia, Espinel Ruíz, Marco Antonio, Polo Parada, Ana, García Carrasco, Emely, Aranda Cosgaya, Carlos, Gutiérrez Bezón, Carmen, de Sebastián Rueda, María, Ruíz Álvarez, Miguel, Vinuesa Sebastián, Mercedes, Montserrat Capella, María Dolors, Ruíz Entrecanales, Carolina, de Miguel Fernández, Sonia, González Sánchez, María Pilar, Jaén Herreros, Felisa, Durá Jiménez, María José, de Burgos Lunar, Carmen, Alguacil Pau, Anabel, Valcárcel de la Iglesia, María Ángeles, Moratilla Monzó, Laura, Ortiz Otero, Mercedes, Mosquera González, Margarita, Lorenzo Martínez, Susana, Martín Ríos, María Dolores, Lucas Molina, Carolina, Sayalero Martín, María Teresa, Calles Gato, María Dolores, Granizo Martínez, Juan José, Vega Barea, Juan, Jiménez González de Buitrago, Eva, Fernández Jiménez, Inés, García Fernández, Cristina, López Carrillo, Inmaculada, Robustillo Rodela, Ana, Ramírez García, Elena, Sánchez Gómez, Romina, Franco Garrobo, Nieves, Plana Farrá, Nieves, Macías Maroto, Marta, Soler Vigil, Marta, de las Casas Cámara, Gonzalo, Gálvez Carranza, Nuria, Jiménez Muñoz, Ana Belén, Martínez Mondéjar, Belén, Isidoro Fernández, Beatriz, Sainz de los Terreros Soler, Lourdes, del Valle Giráldez García, Carolina, González Ferrer, Ruth, Ordóñez León, Guillermo, Miró Murillo, Miguel, Hernández Holgado, Rosalía, Blanco Hernández, Pilar Paloma, Carrascosa Bernaldez, José Manuel, Fraile Gil, Sonia, Fidalgo Hermida, Beatriz, Rodríguez Arias, Francisco López, Aranaz Ostáriz, Verónica, Pardo Ortiz, María
Format:	Journal Article
Language:	English
Published:	England Blackwell Publishing Ltd 01-12-2022 John Wiley and Sons Inc
Subjects:	Adverse events Complexity Hospitals Intensive care units Original Patient safety Patients Regression models Safety
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Summary:	Introduction Adverse Events (AE) are one of the main problems in healthcare. Therefore, many policies have been developed worldwide to mitigate their impact. The Patient Safety Incident Study in Hospitals in the Community of Madrid (ESHMAD) measures the results of them in the region. Methods Cross‐sectional study, conducted in May 2019, in hospitalised patients in 34 public hospitals using the Harvard Medical Practice Study methodology. A logistic regression model was carried out to study the association of the variables with the presence of AE, calibrated and adjusted by patient. Results A total of 9975 patients were included, estimating a prevalence of AE of 11.9%. A higher risk of AE was observed in patients with surgical procedures (OR[CI95%]: 2.15[1.79 to 2.57], vs. absence), in Intensive Care Units (OR[CI95%]: 1.60[1.17 to 2.17], vs. Medical) and in hospitals of medium complexity (OR[CI95%]: 1.45[1.12 to 1.87], vs. low complexity). A 62.6% of AE increased the length of the stay or it was the cause of admission, and 46.9% of AE were considered preventable. In 11.5% of patients with AE, they had contributed to their death. Conclusions The prevalence of AE remains similar to the previously estimated one in studies developed with the same methodology. AE keep leading to longer hospital stays, contributing to patient's death, showing that it is necessary to put focus on patient safety again. A detailed analysis of these events has enabled the detection of specific areas for improvement according to the type of care, centre and patient.
Bibliography:	José L. Valencia‐Martín and Jorge Vicente‐Guijarro contributed equally to this work. ESHMAD Director Group and external advisers Members of the research group present in Contributors section. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0014-2972 1365-2362
DOI:	10.1111/eci.13851