What Ibero-American hospitals do when things go wrong? A cross-sectional international study

Autores
Mira, José Joaquín; Carrillo, Irene; Garcia Elorrio, Ezequiel; Andrade Lourenção, Daniela Campos D. E.; Pavan-Baptista, Patricia Campos; Franco Herrera, Astolfo León; Campos Castolo, Esther Mahuina; Poblete, Rodrigo; Limo, Juan; Siu, Hugo; Sousa, Paulo
Año de publicación
2020
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Objective: To know what hospital managers and safety leaders in Ibero-American countries are doing to respond effectively to the occurrence of adverse events (AEs) with serious consequences for patients. Design: Cross-sectional international study. Setting: Public and private hospitals in Ibero-American countries (Argentina, Brazil, Chile, Colombia, Mexico, Peru, Portugal and Spain). Participants: A convenience sample of hospital managers and safety leaders from eight Ibero-American countries. A minimum of 25 managers/leaders from each country were surveyed. Interventions: A selection of 37 actions for the effective management of AEs was explored. These were related to the safety culture, existence of a crisis plan, communication and transparency processes with the patients and their families, attention to second victims and institutional communication. Main Outcome Measure: Degree of implementation of the actions studied. Results: A total of 190 managers/leaders from 126 (66.3%) public hospitals and 64 (33.7%) private hospitals participated. Reporting systems, in-depth analysis of incidents and non-punitive approaches were the most implemented interventions, while patient information and care for second victims after an AE were the least frequent interventions. Conclusions: The majority of these hospitals have not protocolized how to act after an AE. For this reason, it is urgent to develop and apply a strategic action plan to respond to this imperative safety challenge. This is the first study to identify areas of work and future research questions in Ibero-American countries.
Fil: Mira, José Joaquín. Universidad de Miguel Hernández; España
Fil: Carrillo, Irene. Universidad de Miguel Hernández; España
Fil: Garcia Elorrio, Ezequiel. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Andrade Lourenção, Daniela Campos D. E.. Universidade de Sao Paulo; Brasil
Fil: Pavan-Baptista, Patricia Campos. Universidade de Sao Paulo; Brasil
Fil: Franco Herrera, Astolfo León. Centro Médico Imbanaco; Colombia
Fil: Campos Castolo, Esther Mahuina. Universidad Nacional Autónoma de México; México
Fil: Poblete, Rodrigo. Pontificia Universidad Católica de Chile; Chile. Universidad Católica de Chile; Chile
Fil: Limo, Juan. Quality And Patient Safety; Perú
Fil: Siu, Hugo. Clínica Anglo Americana; Perú
Fil: Sousa, Paulo. Universidade Nova de Lisboa; Portugal
Materia
ADVERSE EVENT
HOSPITAL
OPEN DISCLOSURE
PATIENT SAFETY
SECOND VICTIMS
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/169918
Acceder
id CONICETDig_77f4806692aab68c5c6ce8693ff5458b
oai_identifier_str oai:ri.conicet.gov.ar:11336/169918
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling What Ibero-American hospitals do when things go wrong? A cross-sectional international studyMira, José JoaquínCarrillo, IreneGarcia Elorrio, EzequielAndrade Lourenção, Daniela Campos D. E.Pavan-Baptista, Patricia CamposFranco Herrera, Astolfo LeónCampos Castolo, Esther MahuinaPoblete, RodrigoLimo, JuanSiu, HugoSousa, PauloADVERSE EVENTHOSPITALOPEN DISCLOSUREPATIENT SAFETYSECOND VICTIMShttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Objective: To know what hospital managers and safety leaders in Ibero-American countries are doing to respond effectively to the occurrence of adverse events (AEs) with serious consequences for patients. Design: Cross-sectional international study. Setting: Public and private hospitals in Ibero-American countries (Argentina, Brazil, Chile, Colombia, Mexico, Peru, Portugal and Spain). Participants: A convenience sample of hospital managers and safety leaders from eight Ibero-American countries. A minimum of 25 managers/leaders from each country were surveyed. Interventions: A selection of 37 actions for the effective management of AEs was explored. These were related to the safety culture, existence of a crisis plan, communication and transparency processes with the patients and their families, attention to second victims and institutional communication. Main Outcome Measure: Degree of implementation of the actions studied. Results: A total of 190 managers/leaders from 126 (66.3%) public hospitals and 64 (33.7%) private hospitals participated. Reporting systems, in-depth analysis of incidents and non-punitive approaches were the most implemented interventions, while patient information and care for second victims after an AE were the least frequent interventions. Conclusions: The majority of these hospitals have not protocolized how to act after an AE. For this reason, it is urgent to develop and apply a strategic action plan to respond to this imperative safety challenge. This is the first study to identify areas of work and future research questions in Ibero-American countries.Fil: Mira, José Joaquín. Universidad de Miguel Hernández; EspañaFil: Carrillo, Irene. Universidad de Miguel Hernández; EspañaFil: Garcia Elorrio, Ezequiel. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Andrade Lourenção, Daniela Campos D. E.. Universidade de Sao Paulo; BrasilFil: Pavan-Baptista, Patricia Campos. Universidade de Sao Paulo; BrasilFil: Franco Herrera, Astolfo León. Centro Médico Imbanaco; ColombiaFil: Campos Castolo, Esther Mahuina. Universidad Nacional Autónoma de México; MéxicoFil: Poblete, Rodrigo. Pontificia Universidad Católica de Chile; Chile. Universidad Católica de Chile; ChileFil: Limo, Juan. Quality And Patient Safety; PerúFil: Siu, Hugo. Clínica Anglo Americana; PerúFil: Sousa, Paulo. Universidade Nova de Lisboa; PortugalOxford University Press2020-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/169918Mira, José Joaquín; Carrillo, Irene; Garcia Elorrio, Ezequiel; Andrade Lourenção, Daniela Campos D. E.; Pavan-Baptista, Patricia Campos; et al.; What Ibero-American hospitals do when things go wrong? A cross-sectional international study; Oxford University Press; International Journal For Quality In Health Care; 32; 5; 6-2020; 313-3181353-4505CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1093/intqhc/mzaa031info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:35:56Zoai:ri.conicet.gov.ar:11336/169918instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:35:56.557CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv What Ibero-American hospitals do when things go wrong? A cross-sectional international study
title What Ibero-American hospitals do when things go wrong? A cross-sectional international study
spellingShingle What Ibero-American hospitals do when things go wrong? A cross-sectional international study
Mira, José Joaquín
ADVERSE EVENT
HOSPITAL
OPEN DISCLOSURE
PATIENT SAFETY
SECOND VICTIMS
title_short What Ibero-American hospitals do when things go wrong? A cross-sectional international study
title_full What Ibero-American hospitals do when things go wrong? A cross-sectional international study
title_fullStr What Ibero-American hospitals do when things go wrong? A cross-sectional international study
title_full_unstemmed What Ibero-American hospitals do when things go wrong? A cross-sectional international study
title_sort What Ibero-American hospitals do when things go wrong? A cross-sectional international study
dc.creator.none.fl_str_mv Mira, José Joaquín
Carrillo, Irene
Garcia Elorrio, Ezequiel
Andrade Lourenção, Daniela Campos D. E.
Pavan-Baptista, Patricia Campos
Franco Herrera, Astolfo León
Campos Castolo, Esther Mahuina
Poblete, Rodrigo
Limo, Juan
Siu, Hugo
Sousa, Paulo
author Mira, José Joaquín
author_facet Mira, José Joaquín
Carrillo, Irene
Garcia Elorrio, Ezequiel
Andrade Lourenção, Daniela Campos D. E.
Pavan-Baptista, Patricia Campos
Franco Herrera, Astolfo León
Campos Castolo, Esther Mahuina
Poblete, Rodrigo
Limo, Juan
Siu, Hugo
Sousa, Paulo
author_role author
author2 Carrillo, Irene
Garcia Elorrio, Ezequiel
Andrade Lourenção, Daniela Campos D. E.
Pavan-Baptista, Patricia Campos
Franco Herrera, Astolfo León
Campos Castolo, Esther Mahuina
Poblete, Rodrigo
Limo, Juan
Siu, Hugo
Sousa, Paulo
author2_role author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv ADVERSE EVENT
HOSPITAL
OPEN DISCLOSURE
PATIENT SAFETY
SECOND VICTIMS
topic ADVERSE EVENT
HOSPITAL
OPEN DISCLOSURE
PATIENT SAFETY
SECOND VICTIMS
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Objective: To know what hospital managers and safety leaders in Ibero-American countries are doing to respond effectively to the occurrence of adverse events (AEs) with serious consequences for patients. Design: Cross-sectional international study. Setting: Public and private hospitals in Ibero-American countries (Argentina, Brazil, Chile, Colombia, Mexico, Peru, Portugal and Spain). Participants: A convenience sample of hospital managers and safety leaders from eight Ibero-American countries. A minimum of 25 managers/leaders from each country were surveyed. Interventions: A selection of 37 actions for the effective management of AEs was explored. These were related to the safety culture, existence of a crisis plan, communication and transparency processes with the patients and their families, attention to second victims and institutional communication. Main Outcome Measure: Degree of implementation of the actions studied. Results: A total of 190 managers/leaders from 126 (66.3%) public hospitals and 64 (33.7%) private hospitals participated. Reporting systems, in-depth analysis of incidents and non-punitive approaches were the most implemented interventions, while patient information and care for second victims after an AE were the least frequent interventions. Conclusions: The majority of these hospitals have not protocolized how to act after an AE. For this reason, it is urgent to develop and apply a strategic action plan to respond to this imperative safety challenge. This is the first study to identify areas of work and future research questions in Ibero-American countries.
Fil: Mira, José Joaquín. Universidad de Miguel Hernández; España
Fil: Carrillo, Irene. Universidad de Miguel Hernández; España
Fil: Garcia Elorrio, Ezequiel. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Andrade Lourenção, Daniela Campos D. E.. Universidade de Sao Paulo; Brasil
Fil: Pavan-Baptista, Patricia Campos. Universidade de Sao Paulo; Brasil
Fil: Franco Herrera, Astolfo León. Centro Médico Imbanaco; Colombia
Fil: Campos Castolo, Esther Mahuina. Universidad Nacional Autónoma de México; México
Fil: Poblete, Rodrigo. Pontificia Universidad Católica de Chile; Chile. Universidad Católica de Chile; Chile
Fil: Limo, Juan. Quality And Patient Safety; Perú
Fil: Siu, Hugo. Clínica Anglo Americana; Perú
Fil: Sousa, Paulo. Universidade Nova de Lisboa; Portugal
description Objective: To know what hospital managers and safety leaders in Ibero-American countries are doing to respond effectively to the occurrence of adverse events (AEs) with serious consequences for patients. Design: Cross-sectional international study. Setting: Public and private hospitals in Ibero-American countries (Argentina, Brazil, Chile, Colombia, Mexico, Peru, Portugal and Spain). Participants: A convenience sample of hospital managers and safety leaders from eight Ibero-American countries. A minimum of 25 managers/leaders from each country were surveyed. Interventions: A selection of 37 actions for the effective management of AEs was explored. These were related to the safety culture, existence of a crisis plan, communication and transparency processes with the patients and their families, attention to second victims and institutional communication. Main Outcome Measure: Degree of implementation of the actions studied. Results: A total of 190 managers/leaders from 126 (66.3%) public hospitals and 64 (33.7%) private hospitals participated. Reporting systems, in-depth analysis of incidents and non-punitive approaches were the most implemented interventions, while patient information and care for second victims after an AE were the least frequent interventions. Conclusions: The majority of these hospitals have not protocolized how to act after an AE. For this reason, it is urgent to develop and apply a strategic action plan to respond to this imperative safety challenge. This is the first study to identify areas of work and future research questions in Ibero-American countries.
publishDate 2020
dc.date.none.fl_str_mv 2020-06
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/169918
Mira, José Joaquín; Carrillo, Irene; Garcia Elorrio, Ezequiel; Andrade Lourenção, Daniela Campos D. E.; Pavan-Baptista, Patricia Campos; et al.; What Ibero-American hospitals do when things go wrong? A cross-sectional international study; Oxford University Press; International Journal For Quality In Health Care; 32; 5; 6-2020; 313-318
1353-4505
CONICET Digital
CONICET
url http://hdl.handle.net/11336/169918
identifier_str_mv Mira, José Joaquín; Carrillo, Irene; Garcia Elorrio, Ezequiel; Andrade Lourenção, Daniela Campos D. E.; Pavan-Baptista, Patricia Campos; et al.; What Ibero-American hospitals do when things go wrong? A cross-sectional international study; Oxford University Press; International Journal For Quality In Health Care; 32; 5; 6-2020; 313-318
1353-4505
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1093/intqhc/mzaa031
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Oxford University Press
publisher.none.fl_str_mv Oxford University Press
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.070432

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