Comments

← vista completa

Published on April 22, 2014 | http://doi.org/10.5867/medwave.2014.03.5941

Patient safety – a current and ongoing problem

Seguridad del paciente, un problema vigente y actual

Carlos Alberto Díaz , Virginia Braem, Amalia Giuliani Diez, Emilio Restelli

Abstract

Patient safety is a current and ongoing problem of increasing importance in healthcare. The implementation of a safety culture leads to behavioral change in all processes and responsibility centers. It means a long, slow, arduous path and requires effort, persistence and commitment, but it is increasingly necessary and indispensable in hospital management.

This work is licensed under a Creative Commons Attribution 4.0 International License. Esta licencia permite el uso, distribución y reproducción del artículo en cualquier medio, siempre y cuando se otorgue el crédito correspondiente al autor del artículo y al medio en que se publica, en este caso, Medwave.

Authors

Carlos Alberto Díaz

Sanatorio Sagrado Corazón, Buenos Aires, Argentina

carlos.diaz@sagrado-corazon.com.ar.

Sanatorio Sagrado Corazón, Gerencia Médica, Bartolomé Mitre 1955-1039AAC, Ciudad de Buenos Aires, Argentina

Virginia Braem

Sanatorio Sagrado Corazón, Buenos Aires, Argentina

Amalia Giuliani Diez

Sanatorio Sagrado Corazón, Buenos Aires, Argentina

Emilio Restelli

Sanatorio Sagrado Corazón, Buenos Aires, Argentina

Figures

Article has no figures.

Forum

No messages

History

Citation Díaz CA, Braem V, Giuliani Diez A, Restelli E. Patient safety – a current and ongoing problem. Medwave 2014;14(03):e5941 doi: 10.5867/medwave.2014.03.5941

Submission date 29/01/2014

Acceptance date 01/04/2014

Publication date 22/04/2014

Index

Metrics

Not available at the moment.

Notes

Keywords

patient safety, healthcare, cultural change, quality, management

Origin and peer review

con revisión por tres pares revisores externos, a doble ciego

References

  1. Aranaz-Andrés JM, Aibar-Remón C, Vitaller-Burillo J, Requena-Puche J, Terol-García E, Kelley E, et al. Impact and preventability of adverse events in Spanish public hospitals: results of the Spanish National Study of Adverse Events (ENEAS). Int J Qual Health Care. 2009;21(6):408-14. | CrossRef | PubMed
  2. Estudio APEAS: estudio sobre la seguridad de los pacientes en Atención Primaria de Salud. Madrid: Ministerio de Sanidad y Consumo, 2008. | Link
  3. Goodman JC, Villarreal P, Jones B. The social cost of adverse medical events, and what we can do about it. Health Aff (Millwood). 2011;30(4):590-5. | CrossRef | PubMed
  4. Gluck PA. Physician leadership: essential in creating a culture of safety. Clin Obstet Gynecol. 2010;53(3):473-81. | CrossRef | PubMed
  5. Jha AK, Prasopa-Plaizier N, Larizgoitia I, Bates DW. Patient safety research: an overview of the global evidence. Qual Saf Health Care. 2010;19(1):42-7. | CrossRef | PubMed
  6. Palacio Lapuente F. La seguridad del paciente: un problema importante y actual. No todo es clínica. AMF. 2011;7(9):496-503. | Link
  7. Helmreich RL. On error management: lessons from aviation. BMJ. 2000;320(7237):781-5. | CrossRef | PubMed
  8. Reason J. Understanding adverse events: human factors. Qual Health Care. 1995;4(2):80-9. | CrossRef | PubMed
  9. Proyecto IDEA: Identificación de efectos adversos. proyectoidea.com [on line] | Link
  10. Bañeres J, Cavero E, López L, Orrego C, Suñol R. Sistema de registro y notificación de eventos adversos. Madrid, España: Ministerio de Salud y Consumo, 2010. | Link
  11. Bruguera M, Arimany J, Bruguera R, Barberia E, Ferrer F, Sala J, et al. Guía para prevenir las reclamaciones por presunta mala praxis médica, de cómo actuar cuando se producen y cómo defenderse judicialmente. Rev Clin Esp. 2012;12(4):198-205. | CrossRef
  12. Clark SC, Dunning J, Alfieri OR, Elia S, Hamilton LR, Kappetein AP, et al. EACTS guidelines for the use of patient safety checklists. Eur J Cardiothorac Surg. 2012;41(5):993-1004. | CrossRef | PubMed
  13. Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360(5):491-9. | CrossRef | PubMed
  14. Thomassen Ø, Storesund A, Søfteland E, Brattebø G. The effects of safety checklists in medicine: a systematic review. Acta Anaesthesiol Scand. 2014;58(1):5-18. | CrossRef | PubMed
  15. Pronovost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(26):2725-32. | CrossRef | PubMed
  16. Cometto MC, Gómez PF, Marcon GT, Bortoli SH, Falconi C. Enfermería y seguridad de pacientes. Colombia: OPS, 2011.
  17. Landrigan CP, Parry GJ, Bones CB, Hackbarth AD, Goldmann DA, Sharek PJ. Temporal trends in rates of patient harm resulting from medical care. N Engl J Med. 2010;363(22):2124-34. | CrossRef | PubMed
  18. Leape LL, Brennan TA, Laird N, Lawthers AG, Localio AR, Barnes BA, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med. 1991;324(6):377-84. | CrossRef | PubMed
  19. Poblete Umanzor R, Conejeros Fritz S, Corrales Fernández MJ, Miralles Bueno JJ, Aranaz Andrés J. Revisión sistemática de la literatura acerca de la seguridad de los pacientes hospitalizados en servicios médico. Rev Calid Asist. 2011;26(6):359-66. | CrossRef | PubMed
  20. Pronovost PJ, Rosenstein BJ, Paine L, Miller MR, Haller K, Davis R, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. | PubMed | Link
  21. Schmidek JM, Weeks WB. What do we know about financial returns on investments in patient safety? A literature review. Jt Comm J Qual Patient Saf. 2005;31(12):690-9. | PubMed