ArticleEuropean journal of clinical investigation2022
Prevalence, characteristics, and impact of Adverse Events in 34 Madrid hospitals. The ESHMAD study.
Article in European journal of clinical investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Predictive values of trigger tools for identifying adverse events in hospitalized patients using a medical record review: a systematic review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Pooled it
- Development and evaluation of a German Paediatric Trigger Tool (PAED-TT-GER) for detecting adverse events in hospitalized children.European journal of pediatrics · 2026Article
- Adverse events as key risk factors for in-hospital mortality in intensive care units.Critical care (London, England) · 2026Observational
- Prevalence of Adverse Events in Mexico Using the Institute for Healthcare Improvement-Global Trigger Tool Method: A Retrospective Study.Journal of evaluation in clinical practice · 2026Article
- Overuse in surgery by deviation from the "Choosing Wisely" campaign recommendations: a surrogate of unnecessary surgery and low-value care.Patient safety in surgery · 2026Article
- Association Between Workplace Gaslighting and Perceived Quality of Care, Patient Safety and Quiet Quitting: A Cross-Sectional Study Among Nurses in Greece.Healthcare (Basel, Switzerland) · 2026Article
- Impact of patient safety on hospital prognosis: Association between adverse events and in-hospital mortalit.Clinical medicine (London, England) · 2026Observational
- Assessment of the occurrence of adverse events through the global trigger tool in a university hospital in Italy.Scientific reports · 2025Article
- H-SVEST: Validation and Adaptation of the Hebrew Version of the Second Victim Experience and Support Tool.Nursing reports (Pavia, Italy) · 2024Article
- Bi-lingual content validation of the Non-Technical Skills for Operating Room Nurses (NOTSORN) tool: A Delphi study.International journal of nursing studies advances · 2024Article
- Inappropriate hospital admission as a risk factor for the subsequent development of adverse events: a cross-sectional study.BMC medicine · 2023Observational
- Nurses' Silence: Understanding the Impacts of Second Victim Phenomenon among Israeli Nurses.Healthcare (Basel, Switzerland) · 2023Article
- Inappropriate Hospital Admission According to Patient Intrinsic Risk Factors: an Epidemiological Approach.Journal of general internal medicine · 2023Observational
- Adverse events: an expensive and avoidable hospital problem.Annals of medicine · 2022Observational
- Prevalence, characteristics, and impact of Adverse Events in 34 Madrid hospitals. The ESHMAD study.European journal of clinical investigation · 2022Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAdverse Events (AE) are one of the main problems in healthcare. Therefore, many policies have been developed worldwide to mitigate their impact. The Patient Safety Incident Study in Hospitals in the Community of Madrid (ESHMAD) measures the results of them in the region.
methodsCross-sectional study, conducted in May 2019, in hospitalised patients in 34 public hospitals using the Harvard Medical Practice Study methodology. A logistic regression model was carried out to study the association of the variables with the presence of AE, calibrated and adjusted by patient.
resultsA total of 9,975 patients were included, estimating a prevalence of AE of 11.9%. A higher risk of AE was observed in patients with surgical procedures (OR[CI95%]: 2.15[1.79 to 2.57], vs. absence), in Intensive Care Units (OR[CI95%]: 1.60[1.17 to 2.17], vs. Medical), and in hospitals of medium complexity (OR[CI95%]: 1.45[1.12 to 1.87], vs. low complexity). A 62.6% of AE increased the length of the stay or it was the cause of admission, and 46.9% of AE were considered preventable. In 11.5% of patients with AE, they had contributed to their death.
conclusionsThe prevalence of AE remains similar to the previously estimated in studies developed with the same methodology. AE keep leading to longer hospital stays, contributing to patient's death, showing that it is necessary to put focus on patient safety again. A detailed analysis of these events has enabled the detection of specific areas for improvement according to the type of care, centre, and patient.
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Registered trials
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.