Capítulo 4. Un sistema de salud integrado y centrado en los usuarios. Primum non nocere. Intervenciones sanitarias respetuosas con las preferencias de los individuos
Luces y sombras en la seguridad del paciente: estudio y desarrollo de estrategias. Informe SESPAS 2008
Lights and shadows in patient safety: study and development of strategies
Jesús M. Aranaz-Andrésa,
, Ramón Limón-Ramíreza, Carlos Aibar-Remónb, Juan José Miralles-Buenoa, Julián Vitaller-Burilloa, Enrique Terol-Garcíac, M. Teresa Gea-Velázquez de Castroa, Juana Requena-Puchea, Milagros Rey-Talensa, Grupo de Trabajo ENEAS *
Autor para correspondencia
aranaz_jes@gva.es
Correspondencia: Dr. J.M. Aranaz-Andrés. Departamento de Salud Pública, Historia de la Ciencia y Ginecología. Universidad Miguel Hernández.
Correspondencia: Dr. J.M. Aranaz-Andrés. Departamento de Salud Pública, Historia de la Ciencia y Ginecología. Universidad Miguel Hernández.
a Departamento de Salud Pública, Historia de la Ciencia y Ginecología, Universidad Miguel Hernández, Elche, Alicante, España
b Departamento de Microbiología, Medicina Preventiva y Salud Pública, Universidad de Zaragoza. Zaragoza, España
c Agencia de Calidad del Sistema Nacional de Salud, Ministerio de Sanidad y Consumo, Madrid, España
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Universidad Miguel Hernández." ] ] "notaPie" => array:1 [ 0 => array:3 [ "identificador" => "fn1" "etiqueta" => "*" "notaPie" => "<p class="elsevierStyleNotepara">Los miembros de este grupo de trabajo se detallan al final del artículo.</p>" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Lights and shadows in patient safety: study and development of strategies" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec13674" "palabras" => array:3 [ 0 => "Seguridad clínica" 1 => "Efectos adversos" 2 => "Errores médicos" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec13673" "palabras" => array:3 [ 0 => "Patient safety" 1 => "Adverse events" 2 => "Medical errors" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">El estudio sobre la frecuencia de los efectos adversos (EA) ligados a la asistencia, su efecto en los pacientes y el impacto en los sistemas de salud ha experimentado un intenso impulso en los últimos años. El análisis individual profundo de sus factores contribuyentes ha permitido el desarrollo de múltiples estrategias para prevenirlos o minimizar su impacto, pero es necesaria una perspectiva epidemiológica para explorar estas posibles asociaciones y generalizar las recomendaciones que se deriven de este análisis.</p><p class="elsevierStyleSimplePara elsevierViewall">Se comentan algunos de los aspectos que se deberían tener en cuenta para el desarrollo de estrategias futuras, como la importancia de la edad o las comorbilidades del paciente en la génesis de los EA y el alto grado de la instrumentalización de la asistencia (a veces innecesaria). Son imprescindibles una cultura de confianza y confidencialidad y un espíritu de colaboración entre las organizaciones para poder compartir y aprender de las iniciativas derivadas del estudio de los EA, y así mejorar la seguridad de los pacientes en el Sistema Nacional de Salud.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Study of the frequency of healthcare-related adverse events (AE) and of their effect on patients and impact on healthcare systems has markedly increased in recent years. Indepth individual analysis of the factors contributing to these events has allowed strategies to prevent or minimize the impact of AE to be developed. However, an epidemiologic perspective is needed to explore possible associations and generalize the recommendations that can be drawn from this type of analysis.</p><p class="elsevierStyleSimplePara elsevierViewall">Some aspects that should been considered while developing future strategies are discussed. These aspects include the importance of patient age and comorbidities on producing AE and the use of highly technological medicine, which is sometimes unnecessary. A culture of trust and confidentiality and a spirit of collaboration among organizations are indispensable to share and learn about the initiatives prompted by the study of AE and thereby improve patient safety in the national health service.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:44 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| 2023 Septiembre | 41 | 21 | 62 |
| 2023 Agosto | 27 | 17 | 44 |
| 2023 Julio | 32 | 22 | 54 |
| 2023 Junio | 37 | 13 | 50 |
| 2023 Mayo | 12 | 10 | 22 |
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