Publication: Detección de eventos adversos en cirugía general mediante la aplicación de la metodología "trigger tool"
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2016-07-13
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Universidad Complutense de Madrid
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Abstract
Desde la publicación del trabajo de Brenan, Harvard Medical Practice Study, en los años 90, el estudio de los eventos adversos (EA) se ha convertido en objetivo fundamental de los sistemas sanitarios. Este estudio surgió con el objetivo de identificar los motivos del enorme gasto económico que suponían los procesos judiciales y las indemnizaciones derivadas de la asistencia sanitaria y en el se constató que el 3,7% de los ingresos hospitalarios sufrieron al menos un EA. El informe publicado por “The Institute of Medicine” en el año 1999 estimó que en Estados Unidos, aproximadamente 1 millón de pacientes padecían algún tipo de EA, y que el 7 % de estos EA podrían producir la muerte del paciente. Entre 44.000 y 98.000 pacientes morían como consecuencia de los EA. Hasta la actualidad decenas de trabajos con metodología similar al de Brenan se han llevado a cabo en diversos países. Sin embargo las motivaciones de los estudios posteriores, que se orientaban a la mejora de calidad más que la búsqueda de responsabilidades legales, dejaron de manifiesto que alrededor de un 10 % de las pacientes asistidos en hospitales sufrían algún EA...
Since the publishing of Brenan’s work, Harvard Medical Practice Study, in the 90s, the study of adverse events (AE) has turned into the main purpose of health systems. That study was designed with the intention to identify the reason for the high economic expense in legal proceedings and compensations due to medical care, and concluded that 3,7% of hospitalized patients had at least one AE occurrence. The report published by “The Institute of Medicine” in 1999 estimated that in the USA about 1 million patients suffered from an AE and that 7% of these AE could cause patients death. Between 44000 and 98000 patient s died as a result of an AE occurrence. Since then, dozens of projects with a similar methodology as the one used in Brenan’s work have been conducted in several countries. However motivation of later studies was more orientated to quality improvement than to search of legal responsibilities, and pointed out that approximately 10% of patients that received medical care in hospitals suffered any AE...
Since the publishing of Brenan’s work, Harvard Medical Practice Study, in the 90s, the study of adverse events (AE) has turned into the main purpose of health systems. That study was designed with the intention to identify the reason for the high economic expense in legal proceedings and compensations due to medical care, and concluded that 3,7% of hospitalized patients had at least one AE occurrence. The report published by “The Institute of Medicine” in 1999 estimated that in the USA about 1 million patients suffered from an AE and that 7% of these AE could cause patients death. Between 44000 and 98000 patient s died as a result of an AE occurrence. Since then, dozens of projects with a similar methodology as the one used in Brenan’s work have been conducted in several countries. However motivation of later studies was more orientated to quality improvement than to search of legal responsibilities, and pointed out that approximately 10% of patients that received medical care in hospitals suffered any AE...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Cirugía, leída el 08/07/2015