Titre : | Incidence of adverse events related to health care in Spain : results of the Spanish National Study of Adverse Events. (2008) |
Auteurs : | J.M. ARANAZ-ANDRES ; AIBAR-REMON (C.) : ESP. Department of Preventive Medicine. Teaching Hospital Lozano Blesa. Department of Microbiology. Preventive Medicine and Public Health. University of Zaragoza. ; R. LIMON-RAMIREZ ; RUIZ-LOPEZ (P.) : ESP. Quality Unit 12 de octubre Hospital of Madrid. ; TEROL-GARCOA (E.) : ESP. Quality Office of the National Health Service. Ministry of Health and Consumer Affairs. Madrid. ; J. VITALLER-MURILLO ; Department of Preventive Medicine. Teaching Hospital of Sant Joan d'Alacant. Miguel Hernández University of Elche. ESP ; Department of Public Health. History of Science and Gynaecology. Miguel Hernández University of Elche. ESP ; Eneas work group. ESP |
Type de document : | Article |
Dans : | Journal of epidemiology and community health (vol. 62, n° 12, 2008) |
Pagination : | 1022-1029 |
Langues: | Anglais |
Mots-clés : | Incidence ; Complication ; Pharmacovigilance ; Accident médicamenteux ; Médicament ; Effet secondaire ; Soins ; Espagne ; Résultat ; Europe |
Résumé : | [BDSP. Notice produite par INIST-CNRS sR0xop8D. Diffusion soumise à autorisation]. Objective : To determine the incidence and incidence density of adverse events (AEs) in Spanish hospitals (including the pre-hospitalisation period). Method : Retrospective cohort study. Results : The incidence of patients with AEs relating directly to hospital care was 8.4% (95% Cl 7.7% to 9.1%) and rose 9.3% (95% Cl 8.6% to 10.1%), including those from the pre-hospitalisation period. The incidence density was 1.2 AEs per 100 patient-days (95% Cl 1.1 to 1.3). The incidence of moderate and serious AEs was 5.6 AEs per 1000 patient-days (95% Cl 4.9% to 6.3%). In 66.3% of AEs, additional procedures were required and in 69.9% additional treatments were required. In total 42.8% of AEs were considered as avoidable. Of the subjects with some intrinsic risk factors, 13.2% developed AEs compared with 5.2% of the subjects who had no risk factors (p |