000079753 001__ 79753
000079753 005__ 20200716101459.0
000079753 0247_ $$2doi$$a10.1136/bmjopen-2018-023399
000079753 0248_ $$2sideral$$a112673
000079753 037__ $$aART-2019-112673
000079753 041__ $$aeng
000079753 100__ $$aMira, J.J.
000079753 245__ $$aSOBRINA Spanish study-analysing the frequency, cost and adverse events associated with overuse in primary care: protocol for a retrospective cohort study
000079753 260__ $$c2019
000079753 5060_ $$aAccess copy available to the general public$$fUnrestricted
000079753 5203_ $$aIntroduction Several institutions and quality national agencies have fostered the creation of recommendations on what not to do to reduce overuse in clinical practice. In primary care, their impact has hardly been studied. The frequency of adverse events (AEs) associated with doing what must not be done has not been analysed, either. The aim of this study is to measure the frequency of overuse and AEs associated with doing what must not be done (commission errors) in primary care and their cost. Methods and analysis A coordinated, multicentric, national project. A retrospective cohort study using computerised databases of primary care medical records from national agencies and regional health services will be conducted to analyse the frequency of the overuse due to ignore the do-not-do recommendations, and immediately afterwards, depending on their frequency, a representative random sample of medical records will be reviewed with algorithms (triggers) that determine the frequency of AEs associated with these recommendations. Cost will determine by summation of the direct costs due to the consultation, pharmacy, laboratory and imaging activities according to the cases. Ethics and dissemination The study protocol has been approved by the Ethics Committee of Primary Care Research of the Valencian Community. We aim to disseminate the findings through international peerreviewed journals and on the website (http://www. nohacer. es/). Outcomes will be used to incorporate algorithms into the electronic history to assist in making clinical decisions.
000079753 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc$$uhttp://creativecommons.org/licenses/by-nc/3.0/es/
000079753 590__ $$a2.496$$b2019
000079753 591__ $$aMEDICINE, GENERAL & INTERNAL$$b52 / 165 = 0.315$$c2019$$dQ2$$eT1
000079753 592__ $$a1.247$$b2019
000079753 593__ $$aMedicine (miscellaneous)$$c2019$$dQ1
000079753 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000079753 700__ $$aCarrillo, I.
000079753 700__ $$ade Castro, M.T.G.V.
000079753 700__ $$aSilvestre, C.
000079753 700__ $$aOlivera, G.
000079753 700__ $$aCaro-Mendivelso, J.
000079753 700__ $$aPerez-Perez, P.
000079753 700__ $$aAgra, Y.
000079753 700__ $$aFernandez, A.M.
000079753 700__ $$aAranaz-Andres, J.M.
000079753 700__ $$aAriztegui, A.M.
000079753 700__ $$0(orcid)0000-0002-3192-7672$$aAstier, M.P.$$uUniversidad de Zaragoza
000079753 700__ $$aCarratala, M.C.
000079753 700__ $$aCebrian, A.M.
000079753 700__ $$aGonzalez, J.
000079753 700__ $$aNebot, C.M.
000079753 700__ $$aNuin, M.A.
000079753 700__ $$aRincon, A.
000079753 700__ $$aRuiz, J.M.
000079753 700__ $$aTorijano, M.L.
000079753 700__ $$aVitaller, J.
000079753 700__ $$aZavala, E.
000079753 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000079753 773__ $$g9, 3 (2019), e023399 [9 pp]$$pBMJ Open$$tBMJ open$$x2044-6055
000079753 8564_ $$s1565111$$uhttps://zaguan.unizar.es/record/79753/files/texto_completo.pdf$$yVersión publicada
000079753 8564_ $$s131396$$uhttps://zaguan.unizar.es/record/79753/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000079753 909CO $$ooai:zaguan.unizar.es:79753$$particulos$$pdriver
000079753 951__ $$a2020-07-16-09:12:18
000079753 980__ $$aARTICLE