000109618 001__ 109618
000109618 005__ 20230519145432.0
000109618 0247_ $$2doi$$a10.1097/PTS.0000000000000830
000109618 0248_ $$2sideral$$a125710
000109618 037__ $$aART-2021-125710
000109618 041__ $$aeng
000109618 100__ $$aMira, J.J.
000109618 245__ $$aAvoidable Adverse Events Related to Ignoring the Do-Not-Do Recommendations: A Retrospective Cohort Study Conducted in the Spanish Primary Care Setting
000109618 260__ $$c2021
000109618 5060_ $$aAccess copy available to the general public$$fUnrestricted
000109618 5203_ $$aObjective This study aimed to measure the frequency and severity of avoidable adverse events (AAEs) related to ignoring do-not-do recommendations (DNDs) in primary care. Methods A retrospective cohort study analyzing the frequency and severity of AAEs related to ignoring DNDs (7 from family medicine and 3 from pediatrics) was conducted in Spain. Data were randomly extracted from computerized electronic medical records by a total of 20 general practitioners and 5 pediatricians acting as reviewers; data between February 2018 and September 2019 were analyzed. Results A total of 2557 records of adult and pediatric patients were reviewed. There were 1859 (72.7%) of 2557 (95% confidence interval [CI], 71.0%-74.4%) DNDs actions in 1307 patients (1507 were performed by general practitioners and 352 by pediatricians). Do-not-do recommendations were ignored more often in female patients (P < 0.0001). Sixty-nine AAEs were linked to ignoring DNDs (69/1307 [5.3%]; 95% CI, 4.1%-6.5%). Of those, 54 (5.1%) of 1062 were in adult patients (95% CI, 3.8%-6.4%) and 15 (6.1%) of 245 in pediatric patients (95% CI, 3.1%-9.1%). In adult patients, the majority of AAEs (51/901 [5.7%]; 95% CI, 4.2%-7.2%) occurred in patients 65 years or older. Most AAEs were characterized by temporary minor harm both in adult patients (28/54 [51.9%]; 95% CI, 38.5%-65.2%) and pediatric patients (15/15 [100%]). Conclusions These findings provide a new perspective about the consequences of low-value practices for the patients and the health care systems. Ignoring DNDs could place patients at risk, and their safety might be unnecessarily compromised.
000109618 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII-FEDER/PI16-00816
000109618 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000109618 590__ $$a2.243$$b2021
000109618 592__ $$a0.447$$b2021
000109618 594__ $$a3.1$$b2021
000109618 591__ $$aHEALTH POLICY & SERVICES$$b62 / 88 = 0.705$$c2021$$dQ3$$eT3
000109618 593__ $$aPublic Health, Environmental and Occupational Health$$c2021$$dQ2
000109618 591__ $$aHEALTH CARE SCIENCES & SERVICES$$b82 / 109 = 0.752$$c2021$$dQ4$$eT3
000109618 593__ $$aLeadership and Management$$c2021$$dQ2
000109618 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000109618 700__ $$aCarrillo, I.
000109618 700__ $$aPerez-Perez, P.
000109618 700__ $$0(orcid)0000-0002-3192-7672$$aAstier-Pena, M.P.$$uUniversidad de Zaragoza
000109618 700__ $$aCaro-Mendivelso, J.
000109618 700__ $$aOlivera, G.
000109618 700__ $$aSilvestre, C.
000109618 700__ $$aNuin, M.A.
000109618 700__ $$aAranaz-Andres, J.M.
000109618 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000109618 773__ $$g17, 8 (2021), e858-e865$$tJournal of patient safety$$x1549-8417
000109618 8564_ $$s409290$$uhttps://zaguan.unizar.es/record/109618/files/texto_completo.pdf$$yVersión publicada
000109618 8564_ $$s3525025$$uhttps://zaguan.unizar.es/record/109618/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000109618 909CO $$ooai:zaguan.unizar.es:109618$$particulos$$pdriver
000109618 951__ $$a2023-05-18-14:19:34
000109618 980__ $$aARTICLE