J Patient Saf 2021 Apr 7. Epub 2021 Apr 7.
From the Health District Alicante-Sant Joan, Alicante Miguel Hernández University, Elche Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), Sant Joan d'Alacant Patient Safety Observatory, Andalusian Agency for Health Care Quality, Seville Family and Community Medicine, "La Jota" Health Centre, Zaragoza I Sector, Aragonese Health Service (SALUD) University of Zaragoza, Aragon Health Research Institute (IISA), Zaragoza Agency for Health Quality and Assessment of Catalonia (AQuAS), Barcelona Hospital Clínico San Carlos, Madrid Health Service, Madrid Healthcare Effectiveness and Safety Service, Navarre Health Service-Osasunbidea Institute of Public Health and Labour of Navarre, Pamplona Preventive Medicine Service, Hospital Universitario Ramón y Cajal Institute Ramón y Cajal for Health Research (IRYCIS), Madrid, Spain.
Objective: 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. Read More