GESTIÓN EN SALUD PÚBLICA: AHRQ Patient Safety Network ► How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time.

sábado, 25 de julio de 2015

AHRQ Patient Safety Network ► How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time.

AHRQ Patient Safety Network

Netherlands study finds 30% drop in preventable adverse events, 2008 to 2011, coincident with several national programs.
BMJ Qual Saf. 2015 Jul 6; [Epub ahead of print].

PSNet header image

How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time.

Baines R, Langelaan M, de Bruijne M, Spreeuwenberg P, Wagner C. BMJ Qual Saf. 2015 Jul 6; [Epub ahead of print].

This retrospective study in the Netherlands encompasses three national major adverse event studies. These authors previously reported that the adverse event rate in the Netherlands had increased between 2004 and 2008. In this current study, there was no change in overall adverse event rates in 2011/2012 compared to 2008, while preventable adverse events were markedly reduced by 45%. Following multiple adjustments, this decrease was still evident (30%), though no longer met statistical significance (p=0.10). The decreased harms were seen in areas addressed by national safety programs implemented during this time, suggesting a positive effect from these efforts. A related editorial by Charles Vincent and Rene Amalberti discusses the expanding scope of patient safety as more medical harms become regarded as preventable.

PubMed citation