Pallarés-Carratalá Vicente, Gil-Alcamí José, Marzá-Albalate Fernando, Vitaller-Burillo Julián, Gil-Guillén Vicente, Segarra-Castelló Leopoldo, Oliva-García Serafín, Gala-Fernández Juan, Aranaz-Andrés Jesús M A
Unión de Mutuas, MATEPSS n° 267, Corporación Mutua, Castellón, España.
Rev Calid Asist. 2012 Jul-Aug;27(4):204-11. doi: 10.1016/j.cali.2012.02.003. Epub 2012 Apr 11.
To describe the results of a voluntary reporting system for adverse events in a Patient Safety Program of an occupational injuries mutual insurance company.
In 2008 a system of notification and registration of adverse events (actual or potential) was introduced in 2008 by the Union de Mutuas, an occupational injuries insurance company with 36 health centres, and provides coverage for 259,922 workers. The reporting questionnaire covers all areas of health care provided by the mutual company. Access to the questionnaire was conducted through the intranet, was voluntary and anonymous. The notifications registered between 1 January 2009 and 31 December 2010 are analysed.
A total of 16 questionnaires were completed, with a total of 205 incidents. The profile of the reporter was first-level health care (57.7%), and seniority in their job for 5-10 years. Of all the notifications, a health care cause of the incident was seen in 43.5% of cases, of which 85.9% of the incidents were preventable. Of all reported events, 71.7% were related to an ambulatory care medical centre, and only 2.4% was related to a surgical procedure.
Most of the notifications were preventable incidents, and recorded by first-level medical care. The reporting questionnaire was shown to be a valid tool in our work environment for the detection of adverse events in the care process.
描述一家职业伤害互助保险公司患者安全计划中不良事件自愿报告系统的结果。
2008年，拥有36个健康中心、为259,922名工人提供保险的职业伤害保险公司Mutual de Mutuas引入了不良事件（实际或潜在）通知与登记系统。报告问卷涵盖互助公司提供的所有医疗保健领域。通过内联网访问问卷，问卷填写是自愿且匿名的。对2009年1月1日至2010年12月31日期间登记的通知进行分析。
共完成16份问卷，总计205起事件。报告者的概况为一级医疗保健人员（57.7%），工作年限为5至10年。在所有通知中，43.5%的事件有医疗保健原因，其中85.9%的事件是可预防的。在所有报告的事件中，71.7%与门诊医疗中心有关，只有2.4%与外科手术有关。
大多数通知是可预防事件，由一级医疗保健人员记录。报告问卷在我们的工作环境中被证明是检测护理过程中不良事件的有效工具。
