Riveros Efraín, Amado Paula, Zambrano Paula
Rev Fac Cien Med Univ Nac Cordoba. 2013;70(2):70-5.
Patient safety in critical areas has been subject of several studies. In Colombia, there is a growing conscience about adverse events management. This study explores the first phase of this management: report in a typical private intensive care unit.
To assess adverse event report at a Colombian tertiary level institution, through frequency and report category assessment.
A descriptive study regarding adverse event report rates during 2011 period in Clinica de los Andes de Tunja, was carried out, through frequency and report category assessment. Adverse event report rate was defined as the number of reports per 1000 patient bed. We reported major and minor categories of events.
A total of 383 admissions (2374 patient days) were recorded. 54 adverse events were reported (rate of 22,74 per 1000 patient days). The most frequent events were related to intravenous route (55%)(CI 95% 50,1-58,3) followed by process deviation (22%)(CI 95% 18,2-26,1).
An adverse event report rate close to the upper limit of literature reports numbers was found. Probably, there is still non quantified under-report of adverse events, likely due to cultural factors.
关键领域的患者安全一直是多项研究的主题。在哥伦比亚，人们对不良事件管理的意识日益增强。本研究探讨了该管理的第一阶段：在一家典型的私立重症监护病房中的报告情况。
通过频率和报告类别评估，评估哥伦比亚一家三级医疗机构的不良事件报告情况。
通过频率和报告类别评估，对通哈市洛斯安第斯诊所2011年期间的不良事件报告率进行了描述性研究。不良事件报告率定义为每1000个病床日的报告数量。我们报告了主要和次要事件类别。
共记录了383例入院病例（2374个患者日）。报告了54起不良事件（每1000个患者日的发生率为22.74）。最常见的事件与静脉途径有关（55%）（95%置信区间50.1 - 58.3），其次是流程偏差（22%）（95%置信区间18.2 - 26.1）。
发现不良事件报告率接近文献报道数量的上限。可能仍有未量化的不良事件漏报情况，这可能是由于文化因素所致。
