Evidence map›Paper›PMID 32527565›Full record

ArticleAtencion primaria2020

[Avoidable adverse events in primary care. Retrospective cohort study to determine their frequency and severity].

Irene Carrillo, José Joaquín Mira, M Pilar Astier-Peña, Pastora Pérez-Pérez, Johanna Caro-Mendivelso, Guadalupe Olivera, Carmen Silvestre, Aurora Mula, María Ángeles Nuin, Jesús M Aranaz-Andrés and 2 more

Open access · goldAbstract read
In one paragraph

Article in Atencion primaria, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.8field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 1 country.

Irene CarrilloUniversidad Miguel Hernández de Elche, Elche, Alicante, España; Fundació per al Foment de la Investigació Sanitària i Biomèdica de la Comunitat Valenciana (FISABIO), Elche, Alicante, España.
José Joaquín MiraUniversidad Miguel Hernández de Elche, Elche, Alicante, España; Centro de Salud Hospital Provincial-Pla, Departamento de Salud Alicante - Sant Joan D'Alacant, San Juan, Alicante, España. Electronic address: jose.mira@umh.es.
M Pilar Astier-PeñaCentro de Salud La Jota, Servicio Aragonés de Salud, Zaragoza, España.
Pastora Pérez-PérezObservatorio para la Seguridad del Paciente, Agencia de Calidad Sanitaria de Andalucía, Sevilla, España.
Johanna Caro-MendivelsoAgència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Barcelona, España.
Guadalupe OliveraHospital Clínico San Carlos, Servicio Madrileño de Salud, Madrid, España.
Carmen SilvestreServicio de Efectividad y Seguridad Asistencial, Servicio Navarro de Salud-Osasunbidea, Pamplona, España.
Aurora MulaFundació per al Foment de la Investigació Sanitària i Biomèdica de la Comunitat Valenciana (FISABIO), Elche, Alicante, España.
María Ángeles NuinInstituto de Salud Pública y Laboral de Navarra, Pamplona, España.
Jesús M Aranaz-AndrésServicio de Medicina Preventiva y Salud Pública, Hospital Universitario Ramón y Cajal, Madrid, España; Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España.
en nombre del Grupo SOBRINA
Grupo SOBRINA
Instituto de Salud Pública de Navarra · ESInstituto Ramón y Cajal de Investigación Sanitaria · ESUniversitat de Miguel Hernández d'Elx · ESAgència de Qualitat i Avaluació Sanitàries de Catalunya · ESAndalusian Agency for Healthcare Quality · ESFundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana · ESHospital Clínico San Carlos · ESServicio Aragonés de Salud · ESServicio Navarro de Salud · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the frequency of avoidable adverse events (AAEs) in Primary Care (PC).

designRetrospective cohort study. LOCATION: Family medicine and paediatric clinics in Andalusia, Aragon, Castilla-La Mancha, Catalonia, Madrid, Navarre, and Valencia.

participantsA review was performed on a designated sample of 2,397 medical records (95% confidence level and 2% accuracy). The sample was stratified by age group as regards the frequency of physician consultations and considering equal distribution of male and female patients. MAIN MEASUREMENTS: Number and severity of identified AAEs from February 2018 to September 2019.

resultsA total of 2,557 medical records were reviewed (1,928, 75.4% of adult patients, and 629, 24.6% paediatrics). A total of 182 (7.1%, 95% CI 6.1-8.1%) AAEs that affected 168 patients were identified, which included 7.6% (95% CI 6.4-8.8%) in adults and 5.7% (95% CI 3.9-7.5%) in paediatric patients. The number of AAEs in women was higher than in men (P = 0.006). The incidence of AAEs in boys and girls was similar (P = 0.3). Permanent damage was caused by AAEs in 6 (4.1%) adult patients.

conclusionsSeeking formulas to increase patient safety in PC should remain a priority objective, particularly in female patients and in paediatrics. One in 24 AAEs causes serious and permanent damage in adults.

Indexed as

Patient SafetyPrimary Health CareAdultChildFemaleHumansMaleRetrospective StudiesAtención PrimariaCalidad asistencialCohort studyErrores médicosEstudio de cohortesMedical errorsPatient safetyPrimary CareQuality assuranceSeguridad del paciente

Identifiers

PMID32527565
PMCPMC8054289
OpenAlexW3034422600

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.