Eventos adversos hospitalarios en medicina interna: estudio prospectivo

Bellido, David; Leon, Alberto Diaz de; Manas,; Marchán, E.; Esquinas, G.; Ros, J.

doi:10.1016/j.cali.2017.02.003

Cited by 3 publications

(1 citation statement)

References 52 publications

(74 reference statements)

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“…Indeed, they have been defined "the hazards of hospitalization" [1]. They are more common and severe in the elderly [10,12,13], and more events can occur in the same patient [1]. Lower educational level, transfer from other institutions, associated chronic conditions, severe prognosis on admission, general functional status on admission, level of awareness on admission and at discharge, associated kidney/liver failure or impaired function on admission and at discharge, number of drugs taken (on admission, during hospital stay, and at discharge), patients' knowledge about disease, medications, and their side effects [9] are other known risk factors for AEs in IM.…”

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confidence: 99%

Patient Safety in Internal Medicine

Regina¹,

Vecchiè

Bonaventura

et al. 2020

Textbook of Patient Safety and Clinical Risk Management

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Hospital Internal Medicine (IM) is the branch of medicine that deals with the diagnosis and non-surgical treatment of diseases, providing the comprehensive care in the office and in the hospital, managing both common and complex illnesses of adolescents, adults, and the elderly. IM is a key ward for Health National Services. In Italy, for example, about 17.3% of acute patients are discharged from the IM departments. After the epidemiological transition to chronic/degenerative diseases, patients admitted to hospital are often poly-pathological and so requiring a global approach as in IM. As such transition was not associated—with rare exceptions—to hospital re-organization of beds and workforce, IM wards are often overcrowded, burdened by off-wards patients and subjected to high turnover and discharge pressure. All these factors contribute to amplify some traditional clinical risks for patients and health operators. The aim of our review is to describe several potential errors and their prevention strategies, which should be implemented by physicians, nurses, and other healthcare professionals working in IM wards.

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confidence: 99%

Patient Safety in Internal Medicine

Regina¹,

Vecchiè

Bonaventura

et al. 2020

Textbook of Patient Safety and Clinical Risk Management

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Medical device usability: literature review, current status, and challenges

Roma

Garcia

2020

Res. Biomed. Eng.

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Prevalence of harmful diagnostic errors in hospitalised adults: a systematic review and meta-analysis

et al. 2020

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BackgroundDiagnostic error is commonly defined as a missed, delayed or wrong diagnosis and has been described as among the most important patient safety hazards. Diagnostic errors also account for the largest category of medical malpractice high severity claims and total payouts. Despite a large literature on the incidence of inpatient adverse events, no systematic review has attempted to estimate the prevalence and nature of harmful diagnostic errors in hospitalised patients.MethodsA systematic literature search was conducted using Medline, Embase, Web of Science and the Cochrane library from database inception through 9 July 2019. We included all studies of hospitalised adult patients that used physician review of case series of admissions and reported the frequency of diagnostic adverse events. Two reviewers independently screened studies for inclusion, extracted study characteristics and assessed risk of bias. Harmful diagnostic error rates were pooled using random-effects meta-analysis.ResultsTwenty-two studies including 80 026 patients and 760 harmful diagnostic errors from consecutive or randomly selected cohorts were pooled. The pooled rate was 0.7% (95% CI 0.5% to 1.1%). Of the 136 diagnostic errors that were described in detail, a wide range of diseases were missed, the most common being malignancy (n=15, 11%) and pulmonary embolism (n=13, 9.6%). In the USA, these estimates correspond to approximately 249 900 harmful diagnostic errors yearly.ConclusionBased on physician review, at least 0.7% of adult admissions involve a harmful diagnostic error. A wide range of diseases are missed, including many common diseases. Fourteen diagnoses account for more than half of all diagnostic errors. The finding that a wide range of common diagnoses are missed implies that efforts to improve diagnosis must target the basic processes of diagnosis, including both cognitive and system-related factors.PROSPERO registration numberCRD42018115186.

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Eventos adversos hospitalarios en medicina interna: estudio prospectivo

Cited by 3 publications

References 52 publications

Patient Safety in Internal Medicine

Patient Safety in Internal Medicine

Medical device usability: literature review, current status, and challenges

Prevalence of harmful diagnostic errors in hospitalised adults: a systematic review and meta-analysis

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