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2011, Number 3

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Cir Gen 2011; 33 (3)

Prevention of complaints and claims by applying the Safety Guidelines to the surgical patient

Campos CC, Hurtado LLM, Basurto KE, Zadivar RR
Full text How to cite this article

Language: Spanish
References: 14
Page: 170-174
PDF size: 73.77 Kb.


Key words:

Patient safety, international safety guidelines, malpractice.

ABSTRACT

Objective: To demonstrate whether complying with the “International Safety Guidelines for the Patient” can decrease the frequency of complaints and/or claims.
Setting: General Hospital of Mexico.
Design: Observational, descriptive, retrospective, cross-sectional study.
Statistical analysis: Percentages as summary measure for qualitative variables.
Material and methods: We evaluated the complaints and claims related to the general surgery service and handled by the legal department from January 2008 to October 2009 that required expert advice from a third arbitrator, and which occurred before applying the International Safety Guidelines for the Patient. We assessed the specific cause of the complaints and whether these could have or not been prevented by applying the Safety Guidelines.
Results: During the studied period, eight third arbitrator revisions were required related to general surgery. If the Safety Guidelines had been applied, 50% of the complaints could have been avoided. The fourth guideline that warrants that surgery be performed in the right place, use of the correct procedure, and the correct patient stands out above the other guidelines in cases related to general surgery to avoid complaints.
Conclusion: Adequate application of the International Safety Guidelines for the Patient is instrumental in detecting failures related to medical care.


REFERENCES

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  2. Consejo de Salubridad General. Comisión para la Certificación de Establecimientos de Atención Médica. Estándares para la Certificación de Hospitales, capítulo I estándares internacionales, sección III, metas internacionales para la seguridad del paciente. (6 páginas) Disponible en: URL: http://www.csg.salud.gob.mx/descargas/pdfs/certificacion/estandares/cap1_INT_secc3_metas.pdf. Consultado 2 Julio 2011

  3. Brennam TA, Leape LL, Laird Nm, Hebert L, Localio AR, Lawthers AG, et AL. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. N Engl J Med 1991; 324: 370-6.

  4. Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP, et al. Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. BMJ Qual Saf 2011; 20: 102-7.

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  8. Committee on Quality of Health Care in America, Institute of Medicine. To Err is Human: Building a Safer Health Care System. National Academy Press, Washington, D.C., 2000.

  9. Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: preliminary retrospective record review. BMJ 2001; 322: 517-9.

  10. Soop M, Fryksmark U, Köster M, Haglund B. The incidence of adverse events in Swedish hospitals: a retrospective medical record review study. Int J Qual Health Care 2009; 21: 285-91.

  11. Mendes W, Martins M, Rozenfeld S, Travassos C. The assessment of adverse events in hospitals in Brazil. Int J Qual Health Care 2009; 21: 279-84.

  12. de Vries EN, Ramrattan MA, Smorenburg SM, Gouma DJ, Boermeester MA. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care 2008; 17: 216-23.

  13. Kable AK, Gibberd RW, Spigelman AD. Adverse events in surgical patients in Australia. Int J Qual Health Care 2002; 14: 269-76.

  14. Naessens JM, Campbell CR, Huddleston JM, Berg BP, Lefante JJ, Williams AR, et al. A comparison of hospital adverse events identified by three widely used detection methods. Int J Qual Health Care 2009; 21: 301-7.




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Cir Gen. 2011;33