Evidence map›Paper›PMID 34961580›Full record

ArticleAtencion primaria2021

[Patient safety incidents reported before and after the start of the COVID-19 pandemic in Primary Care in Tarragona].

Montserrat Gens-Barberà, Núria Hernández-Vidal, Carles Castro-Muniain, Inmaculada Hospital-Guardiola, Eva Maria Oya-Girona, Ferran Bejarano-Romero, Cristina Rey-Reñones, Francisco Martín-Luján, en nombre del grupo de estudio de Calidad y Seguridad del Paciente de Tarragona (QiSP-TAR)

Abstract read
In one paragraph

Article in Atencion primaria, 2021. 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
–field-weighted citation impact
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.

  1. Observational
  2. Observational
  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

9 authors.

Montserrat Gens-BarberàUnidad de Calidad y Seguridad del Paciente, Gerencia Territorial Camp de Tarragona, Institut Català de la Salut, Tarragona, España. Electronic address: mgens.tgn.ics@gencat.cat.
Núria Hernández-VidalUnidad de Calidad y Seguridad del Paciente, Gerencia Territorial Camp de Tarragona, Institut Català de la Salut, Tarragona, España.
Carles Castro-MuniainUnidad de Calidad y Seguridad del Paciente, Gerencia Territorial Camp de Tarragona, Institut Català de la Salut, Tarragona, España.
Inmaculada Hospital-GuardiolaUnidad de Calidad y Seguridad del Paciente, Gerencia Territorial Camp de Tarragona, Institut Català de la Salut, Tarragona, España; Centro de Atención Primaria Dr. Turró, Valls, Direcció d'Atenció Primària Camp de Tarragona, Institut Català de la Salut, Tarragona, España.
Eva Maria Oya-GironaUnidad de Calidad y Seguridad del Paciente, Gerencia Territorial Camp de Tarragona, Institut Català de la Salut, Tarragona, España; Centre d'Alta Resolució, Salou, Direcció d'Atenció Primària Camp de Tarragona, Institut Català de la Salut, Tarragona, España.
Ferran Bejarano-RomeroUnidad de Calidad y Seguridad del Paciente, Gerencia Territorial Camp de Tarragona, Institut Català de la Salut, Tarragona, España.
Cristina Rey-ReñonesUnitat de Suport a la Recerca Camp de Tarragona, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Gerencia Territorial Camp de Tarragona, Institut Català de la Salut, Tarragona, España; Facultad de Medicina y Ciencias de la Salud, Universitat Rovira i Virgili, Tarragona, España.
Francisco Martín-LujánUnitat de Suport a la Recerca Camp de Tarragona, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Gerencia Territorial Camp de Tarragona, Institut Català de la Salut, Tarragona, España; Facultad de Medicina y Ciencias de la Salud, Universitat Rovira i Virgili, Tarragona, España.
en nombre del grupo de estudio de Calidad y Seguridad del Paciente de Tarragona (QiSP-TAR)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyse and compare the epidemiology of patient safety incidents reported in Primary Health Care, before and after the start of the COVID-19 pandemic. DESIGN AND

settingAnalytical descriptive study comparing reported incidents from March 1st 2019 to February 28th 2020, and from March 1st 2020 to February 28th 2021, notified through the TPSC Cloud™ platform accessible from the Intranet corporative in 25 Primary Health Care centres from Tarragona district, in Catalonia (Spain). MEASUREMENTS: Data obtained from voluntary notifications, through electronic, standardized and anonymized forms. VARIABLES: Centre, professional, incident type, risk matrix, causal factors and contributing factors, and avoidability. STATISTICAL ANALYSIS: Every notification was included in descriptive analysis, and another one specifically for adverse events, comparing both periods.

results2231 incidents were reported. Comparing both periods, during the pandemic a reduction in the number of reported incidents was observed (only represented 20% of the total). However, the percentage of reported notifications from health care professionals and adverse events that required observation were increased. Causal factors related to attendance and diagnosis were incremented whereas the causal factors related to medication were decreased. In addition, an increase in contributing factors related to the professional was observed. Avoidability was high (>95%) in both periods.

conclusionsDuring the pandemic, fewer patient safety incidents have been reported, but proportionally more adverse events, most of which are preventable. The professional himself becomes the main contributing factor.

Indexed as

COVID-19Patient SafetyHumansPandemicsPrimary Health CareRisk ManagementSARS-CoV-2Adverse eventsAtención primariaCOVID-19Cultura de seguridadEventos adversosNotification systemsPatient safetyPrimary CareSafety managementSeguridad del pacienteSistemas de notificación

Identifiers

PMID34961580
PMCPMC8708815

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.