Incidencia de eventos reportables con efectos no deseados serios asociados al cuidado de la salud en hospitales de alta complejidad. Revisión sistemática y metaanálisis

Ilustraciones

Autores:
Muñoz Medina, Sofia Elizabeth
Tipo de recurso:
Fecha de publicación:
2021
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
Idioma:
spa
OAI Identifier:
oai:repositorio.unal.edu.co:unal/80119
Acceso en línea:
https://repositorio.unal.edu.co/handle/unal/80119
https://repositorio.unal.edu.co/
Palabra clave:
610 - Medicina y salud
Accident prevention
Prevención de accidentes
Personal médico y paciente
Medical personnel and patient
Evaluación de la atención médica
Evaluation of medical care
Evento adverso
Incidencia
Errores médicos
Seguridad del paciente
Metaanálisis
Adverse effects
Incidence
Medical errors
Patient safety
Metaanalysis
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openAccess
License
Atribución-SinDerivadas 4.0 Internacional
id UNACIONAL2_33a72e5300e5e36852a538c2919154bf
oai_identifier_str oai:repositorio.unal.edu.co:unal/80119
network_acronym_str UNACIONAL2
network_name_str Universidad Nacional de Colombia
repository_id_str
dc.title.spa.fl_str_mv Incidencia de eventos reportables con efectos no deseados serios asociados al cuidado de la salud en hospitales de alta complejidad. Revisión sistemática y metaanálisis
dc.title.translated.eng.fl_str_mv Incidence of reportable events with serious unwanted effects associated with health care in highly complex hospitals. Systematic review and meta-analysis
title Incidencia de eventos reportables con efectos no deseados serios asociados al cuidado de la salud en hospitales de alta complejidad. Revisión sistemática y metaanálisis
spellingShingle Incidencia de eventos reportables con efectos no deseados serios asociados al cuidado de la salud en hospitales de alta complejidad. Revisión sistemática y metaanálisis
610 - Medicina y salud
Accident prevention
Prevención de accidentes
Personal médico y paciente
Medical personnel and patient
Evaluación de la atención médica
Evaluation of medical care
Evento adverso
Incidencia
Errores médicos
Seguridad del paciente
Metaanálisis
Adverse effects
Incidence
Medical errors
Patient safety
Metaanalysis
title_short Incidencia de eventos reportables con efectos no deseados serios asociados al cuidado de la salud en hospitales de alta complejidad. Revisión sistemática y metaanálisis
title_full Incidencia de eventos reportables con efectos no deseados serios asociados al cuidado de la salud en hospitales de alta complejidad. Revisión sistemática y metaanálisis
title_fullStr Incidencia de eventos reportables con efectos no deseados serios asociados al cuidado de la salud en hospitales de alta complejidad. Revisión sistemática y metaanálisis
title_full_unstemmed Incidencia de eventos reportables con efectos no deseados serios asociados al cuidado de la salud en hospitales de alta complejidad. Revisión sistemática y metaanálisis
title_sort Incidencia de eventos reportables con efectos no deseados serios asociados al cuidado de la salud en hospitales de alta complejidad. Revisión sistemática y metaanálisis
dc.creator.fl_str_mv Muñoz Medina, Sofia Elizabeth
dc.contributor.advisor.none.fl_str_mv Gaitán Duarte, Hernando Guillermo
dc.contributor.author.none.fl_str_mv Muñoz Medina, Sofia Elizabeth
dc.contributor.researchgroup.spa.fl_str_mv EVALUACION DE TECNOLOGIAS Y POLITICAS EN SALUD
dc.subject.ddc.spa.fl_str_mv 610 - Medicina y salud
topic 610 - Medicina y salud
Accident prevention
Prevención de accidentes
Personal médico y paciente
Medical personnel and patient
Evaluación de la atención médica
Evaluation of medical care
Evento adverso
Incidencia
Errores médicos
Seguridad del paciente
Metaanálisis
Adverse effects
Incidence
Medical errors
Patient safety
Metaanalysis
dc.subject.decs.none.fl_str_mv Accident prevention
Prevención de accidentes
dc.subject.lemb.none.fl_str_mv Personal médico y paciente
Medical personnel and patient
Evaluación de la atención médica
Evaluation of medical care
dc.subject.proposal.spa.fl_str_mv Evento adverso
Incidencia
Errores médicos
Seguridad del paciente
Metaanálisis
dc.subject.proposal.eng.fl_str_mv Adverse effects
Incidence
Medical errors
Patient safety
Metaanalysis
description Ilustraciones
publishDate 2021
dc.date.accessioned.none.fl_str_mv 2021-09-07T22:22:29Z
dc.date.available.none.fl_str_mv 2021-09-07T22:22:29Z
dc.date.issued.none.fl_str_mv 2021-09
dc.type.spa.fl_str_mv Trabajo de grado - Maestría
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.version.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.content.spa.fl_str_mv Text
dc.type.redcol.spa.fl_str_mv http://purl.org/redcol/resource_type/TM
status_str acceptedVersion
dc.identifier.uri.none.fl_str_mv https://repositorio.unal.edu.co/handle/unal/80119
dc.identifier.instname.spa.fl_str_mv Universidad Nacional de Colombia
dc.identifier.reponame.spa.fl_str_mv Repositorio Institucional Universidad Nacional de Colombia
dc.identifier.repourl.spa.fl_str_mv https://repositorio.unal.edu.co/
url https://repositorio.unal.edu.co/handle/unal/80119
https://repositorio.unal.edu.co/
identifier_str_mv Universidad Nacional de Colombia
Repositorio Institucional Universidad Nacional de Colombia
dc.language.iso.spa.fl_str_mv spa
language spa
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dc.publisher.spa.fl_str_mv Universidad Nacional de Colombia
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dc.publisher.faculty.spa.fl_str_mv Facultad de Medicina
dc.publisher.place.spa.fl_str_mv Bogotá, Colombia
dc.publisher.branch.spa.fl_str_mv Universidad Nacional de Colombia - Sede Bogotá
institution Universidad Nacional de Colombia
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spelling Atribución-SinDerivadas 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Gaitán Duarte, Hernando Guillermo05c5bee7451457156f7dcfa9ccd634f4Muñoz Medina, Sofia Elizabethae5c5bad6f2de6ba08e7ff780b649258600EVALUACION DE TECNOLOGIAS Y POLITICAS EN SALUD2021-09-07T22:22:29Z2021-09-07T22:22:29Z2021-09https://repositorio.unal.edu.co/handle/unal/80119Universidad Nacional de ColombiaRepositorio Institucional Universidad Nacional de Colombiahttps://repositorio.unal.edu.co/IlustracionesIntroduction: It is estimated that between 10% to 36% of hospitalized patients suffer some type of involuntary damage. The number vary according to the type of hospital and the method of reporting. The objective was to determine the incidence of reportable events with serious unwanted effects in highly complex hospitals described in the literature and make an estimate in group, by subgroups according to the risk and methodology used. Materials and methods: Systematic review and meta-analysis of primary studies carried out in highly complex institutions, including university hospitals, who have presented serious unwanted effects during their hospitalization. Search by two reviewers in electronic databases and manual in English and Spanish languages without date limit, evaluating bias with tools for incidence studies in terms of proportion. A meta-analysis of proportions with and without transformation was performed, with evaluation of the heterogeneity of the studies and estimating the predictive value for proportions. PROSPERO registration: CRD42020181786. Results: 19 studies were chosen, an incidence of serious reportable events was found between 0.3% to 29%, in 6 studies a meta-analysis of the incidence of serious events that ending in disability, medical o surgical intervention and death of 7% (95% CI: 6% - 7%). The events that most led to serious events were related to organ damage that happened in surgery. In most studies, preventable events were between 59% and 71%, however the information found doesn’t allow us to differentiate which of the serious events are preventable. Conclusions: Events that lead to disability and death should be prioritized in detection to avoid these outcomes, being one of the main concerns in healthcare focused on patient safety.Introducción: Se calcula que entre el 10% al 36% de los pacientes hospitalizados sufren algún tipo de daño involuntario, las cifras varían según el tipo de hospital y reporte, sin que exista una estimación agrupada de eventos serios en hospitales de alta complejidad. El objetivo de este estudio fue determinar la incidencia de los eventos reportables con efectos no deseados serios en hospitales de alta complejidad descritos en la literatura y hacer una estimación agrupada, por subgrupos de riesgo y de metodología utilizada. Materiales y métodos: Revisión sistemática y metaanálisis de estudios primarios realizados en instituciones de alta complejidad incluyendo hospitales universitarios en pacientes que hayan presentado eventos reportables con efectos no deseados serios durante su hospitalización. Búsqueda por dos revisores en bases de datos electrónicas y manual en idiomas inglés y español sin límite de fecha, evaluando el sesgo con herramientas para estudios de incidencia. Se realizó un metaanálisis de proporciones con y sin transformación, con evaluación de heterogeneidad de los estudios y estimando el valor predictivo para proporciones. Registro PROSPERO: CRD42020181786. Resultados: 19 estudios fueron elegidos, se encontró una incidencia de eventos serios entre 0.3% a 29%, en 6 estudios se realizó un metaanálisis de incidencia de eventos serios que terminaron en discapacidad, intervención médica o quirúrgica de urgencia y muerte de 7% (IC 95%: 6% - 7%). La mayor frecuencia de eventos que llevan a eventos serios fue relacionada con daño de órgano en salas de cirugía. En la mayoría de los estudios los eventos prevenibles fueron entre 59% a 71% sin embargo, la información encontrada no permite diferenciar cuales de los eventos serios son prevenibles. Conclusiones: Eventos que conducen a discapacidad y muerte se deben priorizar en la detección con el fin de evitar estos desenlaces, siendo una de las principales preocupaciones en la asistencia sanitaria enfocadas en la seguridad del paciente. (Texto tomado de la fuente).MaestríaMagíster en Epidemiología ClínicaSeguridad del paciente133 páginasapplication/pdfspaUniversidad Nacional de ColombiaBogotá - Medicina - Maestría en Epidemiología ClínicaFacultad de MedicinaBogotá, ColombiaUniversidad Nacional de Colombia - Sede Bogotá610 - Medicina y saludAccident preventionPrevención de accidentesPersonal médico y pacienteMedical personnel and patientEvaluación de la atención médicaEvaluation of medical careEvento adversoIncidenciaErrores médicosSeguridad del pacienteMetaanálisisAdverse effectsIncidenceMedical errorsPatient safetyMetaanalysisIncidencia de eventos reportables con efectos no deseados serios asociados al cuidado de la salud en hospitales de alta complejidad. Revisión sistemática y metaanálisisIncidence of reportable events with serious unwanted effects associated with health care in highly complex hospitals. 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Biometrics. 1977;33(1):159-174. doi: https://doi.org/10.2307/2529310Público generalLICENSElicense.txtlicense.txttext/plain; charset=utf-83964https://repositorio.unal.edu.co/bitstream/unal/80119/1/license.txtcccfe52f796b7c63423298c2d3365fc6MD51ORIGINAL1010175682.2021.pdf1010175682.2021.pdfTesis de Maestría en Epidemiología Clínicaapplication/pdf5343889https://repositorio.unal.edu.co/bitstream/unal/80119/2/1010175682.2021.pdfe7993664a0872a004682e2ce41d2923bMD52THUMBNAIL1010175682.2021.pdf.jpg1010175682.2021.pdf.jpgGenerated Thumbnailimage/jpeg4668https://repositorio.unal.edu.co/bitstream/unal/80119/3/1010175682.2021.pdf.jpg3cd1131206fa9e8d698473691410ea72MD53unal/80119oai:repositorio.unal.edu.co:unal/801192024-07-28 23:59:53.151Repositorio Institucional Universidad Nacional de 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