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Descriptive Epidemiology of Safety Events at an Academic Medical Center

Author

Listed:
  • Alexandre R. Marra

    (Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA
    Division of Medical Practice, Hospital Israelita Albert Einstein, 05652 São Paulo, Brazil)

  • Abdullah Algwizani

    (Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA
    Division of Infectious Diseases, Prince Mohammad Bin Abdulaziz Hospital, Riyadh 14214, Saudi Arabia)

  • Mohammed Alzunitan

    (Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA
    Department of Infection Prevention and Control, King Abdulaziz Medical City, National Guard-Health Affairs, Riyadh 14611, Saudi Arabia)

  • Theresa M. H. Brennan

    (Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA)

  • Michael B. Edmond

    (Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA)

Abstract

Background : Adverse safety events in healthcare are of great concern, and despite an increasing focus on the prevention of error and harm mitigation, the epidemiology of safety events remains incomplete. Methods : We performed an analysis of all reported safety events in an academic medical center using a voluntary incident reporting surveillance system for patient safety. Safety events were classified as: serious (reached the patient and resulted in moderate to severe harm or death); precursor (reached the patient and resulted in minimal or no detectable harm); and near miss (did not reach the patient). Results : During a three-year period, there were 31,817 events reported. Most of the safety events were precursor safety events (reached the patient and resulted in minimal harm or no detectable harm), corresponding to 77.3%. Near misses accounted for 10.8%, and unsafe conditions for 11.8%. The number of reported serious safety events was low, accounting for only 0.1% of all safety events. Conclusions : The reports analysis of these events should lead to a better understanding of risks in patient care and ways to mitigate it.

Suggested Citation

  • Alexandre R. Marra & Abdullah Algwizani & Mohammed Alzunitan & Theresa M. H. Brennan & Michael B. Edmond, 2020. "Descriptive Epidemiology of Safety Events at an Academic Medical Center," IJERPH, MDPI, vol. 17(1), pages 1-11, January.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:1:p:353-:d:305192
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    References listed on IDEAS

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    1. Katja M Hakkarainen & Khadidja Hedna & Max Petzold & Staffan Hägg, 2012. "Percentage of Patients with Preventable Adverse Drug Reactions and Preventability of Adverse Drug Reactions – A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 7(3), pages 1-9, March.
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    Cited by:

    1. Montserrat Gens-Barberà & Cristina Rey-Reñones & Núria Hernández-Vidal & Elisa Vidal-Esteve & Yolanda Mengíbar-García & Inmaculada Hospital-Guardiola & Laura Palacios-Llamazares & Eva María Satué-Grac, 2021. "Effectiveness of New Tools to Define an Up-to-Date Patient Safety Risk Map: A Primary Care Study Protocol," IJERPH, MDPI, vol. 18(16), pages 1-9, August.

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