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  1. Artikel ; Online: Calidad percibida en población hiperfrecuentadora infantil: una aproximación cualitativa.

    Simón-Gozalbo, A / Llorente Parrado, C / Diaz Redondo, A / Ignacio Cerro, C / Vázquez López, P / Mora Capín, A

    Journal of healthcare quality research

    2020  Band 35, Heft 1, Seite(n) 19–26

    Abstract: Introduction: Assessing the perceived quality of a healthcare department by its users is essential in a quality management system. In Paediatric Emergency Departments (PED), the demand for urgent care has increased in recent years, as well as an ... ...

    Titelübersetzung Perceived quality of care by frequent paediatric healthcare users: A qualitative approach.
    Abstract Introduction: Assessing the perceived quality of a healthcare department by its users is essential in a quality management system. In Paediatric Emergency Departments (PED), the demand for urgent care has increased in recent years, as well as an increase in frequent attendance. Paying attention to the opinions of these habitual users by means of qualitative methodology is particularly suitable for assessing the quality of care and identifying opportunities to improve the PED.
    Methods: Two focus groups were held with parents of patients (with and without a chronic disease) who visited the PED on 10or more occasions per year in a third level hospital.
    Results: The participants were satisfied overall with the PED. The treatment received was very positively valued, and they never felt that they had received poorer care due to being frequent users. As main strengths, they also highlighted the professional expertise, the friendliness of staff, the quality of information given, the medication received on discharge from hospital, and the follow-up carried out by the PED. The major improvement opportunities identified included: the contagion risks, the lack of coordination between different levels of care, and the need to improve the inclusion of families in the health care process.
    Conclusions: Due to the contributions made by these parents, several improvement strategies have been introduced, such as the implementation of sharing information protocols in shift changes, professional training courses, the establishment of a liaison person between the PED and Primary Care, and a proposal to the Hospital Management Department to assess the identified needs.
    Mesh-Begriff(e) Adolescent ; Child ; Child, Preschool ; Emergency Service, Hospital/standards ; Female ; Humans ; Infant ; Male ; Parents ; Patient Satisfaction ; Pediatrics ; Quality Improvement ; Quality of Health Care
    Sprache Spanisch
    Erscheinungsdatum 2020-01-06
    Erscheinungsland Spain
    Dokumenttyp Journal Article
    ISSN 2603-6479
    ISSN (online) 2603-6479
    DOI 10.1016/j.jhqr.2019.08.005
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Impact of risk mapping as a strategy for monitoring and improving patient safety in paediatric emergency care.

    Mora-Capín, Andrea / Ignacio-Cerro, Carmen / Díaz-Redondo, Alicia / Vázquez-López, Paula / Marañón-Pardillo, Rafael

    Anales de pediatria

    2022  Band 97, Heft 4, Seite(n) 229–236

    Abstract: Objective: To design a risk map (RM) as a tool for identifying and managing risks in the paediatric emergency department and to assess the impact of the improvement actions developed based on the identified risks in terms of the level of risk to patient ...

    Abstract Objective: To design a risk map (RM) as a tool for identifying and managing risks in the paediatric emergency department and to assess the impact of the improvement actions developed based on the identified risks in terms of the level of risk to patient safety.
    Methodology: A multidisciplinary working group reviewed the entire care process by applying the Failure Mode and Effects Analysis (FMEA) tool. Project phases: (1) RM 2017 and planning of improvement actions; (2) Development and implementation of improvement actions; (3) RM 2019; (4) Analysis: evolution of the RM and impact of improvement actions.
    Results: A total of 106 failure modes (FMs) were identified in the 2017 RM (54.7% high- or very high risk). We applied prioritization criteria to select the improvement actions to plan. Nineteen improvement actions were planned, with assigned responsible parties and deadlines, to address 46 priority FMs. One hundred percent were implemented. In the 2019 RM, we identified 110 FMs (48.2% high risk) and found an overall reduction of the risk level of 20%. Analysing the 46 priority FMs that had been addressed by the 19 planned improvement actions, we found that 60% had changed from high to medium risk level and that the risk level had decreased, both overall (-27.8%) and by process.
    Conclusion: The FMEA is a useful tool to identify risks, analyse the impact of improvement strategies and monitor the risk level of a complex clinical care department. The improvement actions developed succeeded in reducing the level of risk in the processes in our unit, improving patient safety.
    Mesh-Begriff(e) Child ; Emergency Service, Hospital ; Emergency Treatment ; Humans ; Patient Safety ; Risk Management
    Sprache Englisch
    Erscheinungsdatum 2022-09-08
    Erscheinungsland Spain
    Dokumenttyp Journal Article
    ZDB-ID 2830901-7
    ISSN 2341-2879 ; 2341-2879
    ISSN (online) 2341-2879
    ISSN 2341-2879
    DOI 10.1016/j.anpede.2022.08.008
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Impacto de una estrategia de mejora de calidad asistencial y gestión de riesgos en un servicio de urgencias pediátricas.

    Mora Capín, A / Rivas García, A / Marañón Pardillo, R / Ignacio Cerro, C / Díaz Redondo, A / Vázquez López, P

    Journal of healthcare quality research

    2019  Band 34, Heft 2, Seite(n) 78–85

    Abstract: Introduction: Emergency departments are a high risk area for the occurrence of adverse events. The aim of this study is to analyse the impact of a strategy to improve the quality assurance and risk management in the notification of incidents in our Unit, ...

    Titelübersetzung Impact of a strategy to improve the quality of care and risk management in a paediatric emergency department.
    Abstract Introduction: Emergency departments are a high risk area for the occurrence of adverse events. The aim of this study is to analyse the impact of a strategy to improve the quality assurance and risk management in the notification of incidents in our Unit, and describe the improvement actions developed from the reported incidents.
    Material and methods: A retrospective observational study was developed during one year, divided into two periods: P1 (Start: training session and implementation of the risk management process), and P2 (Start: feed-back session of incidents reported in P1 and improvement actions developed). In each period, the number of reported incidents in relation to the number of emergencies attended (‰) and the descriptive data of each incident were recorded. The improvement actions developed from the incidents reported in P1 were described.
    Results: The number of notifications from P1 (4.1‰; 95%CI 3.2-5.0‰) increased in P2 (10.9‰; 95%CI 9.8-10.2‰, P<.001). The most frequent incidents in P1 were medication (33.3%), and identification errors (25.9%): both were significantly reduced in P2 (16.9%, P=.001 and 9.3%, P<.001, respectively). In P2, prescription errors of the P1 were reduced (35.9% vs 62.9%, P=.02). The factors of "Knowledge and training" (23.5%) were the most frequent in P1, decreasing in P2 (7.4%, P<.001).
    Conclusion: It is considered that the implementation of a risk management process, and the promotion of a safety culture, through training and feed-back sessions to all professionals, contributed to increase the volume of notifications in our Unit. The voluntary and anonymous reporting of incidents is useful to identify risks, and plan corrective measures, contributing to improve quality assurance and patient safety.
    Mesh-Begriff(e) Child ; Emergency Service, Hospital/standards ; Humans ; Pediatrics ; Quality Assurance, Health Care/standards ; Quality Improvement ; Retrospective Studies ; Risk Management/standards
    Sprache Spanisch
    Erscheinungsdatum 2019-01-09
    Erscheinungsland Spain
    Dokumenttyp Journal Article ; Observational Study
    ISSN 2603-6479
    ISSN (online) 2603-6479
    DOI 10.1016/j.jhqr.2018.10.003
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel ; Online: Evaluación de la efectividad de acciones correctivas derivadas de la notificación de incidentes en urgencias pediátricas.

    Marañón, R / Solís-García, G / Ignacio Cerro, C / Díaz Redondo, A / Romero Martínez, A I / Mora Capín, A

    Journal of healthcare quality research

    2019  Band 34, Heft 5, Seite(n) 242–247

    Abstract: Objective: To analyse the effectiveness of corrective measures arising from the analysis of safety incident notifications in the Paediatric Emergency Unit.: Methods: A quasi-experimental, prospective, and single-centre study was carried out between ... ...

    Titelübersetzung Evaluation of effectiveness of corrective measures arising from incident notifications in a paediatric emergency department.
    Abstract Objective: To analyse the effectiveness of corrective measures arising from the analysis of safety incident notifications in the Paediatric Emergency Unit.
    Methods: A quasi-experimental, prospective, and single-centre study was carried out between 2015 and 2018. In the first phase, incidents notified throughout one year were analysed. Corrective measures were then implemented for 5 specific kinds of incidents. These incidents were finally compared to those notified within 12 months after the implementation of those measures. Results were expressed as relative risk and relative risk reduction.
    Results: A total of 1587 safety incidents were notified (0.9% of patients treated) between January 2015 and December 2017. After implementation of corrective measures, there was a decrease in all kinds of incidents notifications analysed. The incidents related to patient identification were reduced by 60.9% (RR 0.39, 95% CI; 0.25-0.60), and those regarding communication between professionals were reduced by 74.5% (RR 0.25, 95% CI; 0.12-0.55). Incidents related to sedation and analgesic procedures totally disappeared. No significant reduction was found in incidents concerning the triage system, or in those related to rapid intravenous rehydration procedures.
    Conclusions: The implementation of improvement actions arising from the analysis of voluntary notification of incidents is an effective strategy to improve patient effective strategy to improve.
    Mesh-Begriff(e) Communication ; Emergency Service, Hospital/statistics & numerical data ; Emergency Treatment/adverse effects ; Emergency Treatment/statistics & numerical data ; Fluid Therapy/adverse effects ; Fluid Therapy/statistics & numerical data ; Harm Reduction ; Humans ; Interprofessional Relations ; Medical Errors/prevention & control ; Medical Errors/statistics & numerical data ; Patient Identification Systems/statistics & numerical data ; Patient Safety/statistics & numerical data ; Pediatrics/statistics & numerical data ; Prospective Studies ; Risk ; Risk Management/methods ; Risk Management/statistics & numerical data ; Time Factors ; Triage
    Sprache Spanisch
    Erscheinungsdatum 2019-07-30
    Erscheinungsland Spain
    Dokumenttyp Journal Article
    ISSN 2603-6479
    ISSN (online) 2603-6479
    DOI 10.1016/j.jhqr.2019.05.004
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: Evaluación de la cultura de seguridad tras alcanzar la certificación en gestión de riesgos para la seguridad del paciente (UNE 179003).

    Romero Martínez, Ana Isabel / Ignacio Cerro, Carmen / Mora Capín, Andrea / Marañón Pardillo, Rafael

    Revista chilena de pediatria

    2017  Band 88, Heft 5, Seite(n) 693–694

    Titelübersetzung Evaluation of the safety culture after achieving certification in risk management for patient safety (UNE 179003).
    Mesh-Begriff(e) Certification ; Emergency Service, Hospital/standards ; Health Care Surveys ; Humans ; Longitudinal Studies ; Organizational Culture ; Patient Safety/standards ; Pediatrics/standards ; Prospective Studies ; Risk Management/standards ; Safety Management ; Tertiary Care Centers/standards
    Sprache Spanisch
    Erscheinungsdatum 2017
    Erscheinungsland Chile
    Dokumenttyp Letter
    ZDB-ID 954077-5
    ISSN 0717-6228 ; 0034-7396 ; 0370-4106
    ISSN (online) 0717-6228
    ISSN 0034-7396 ; 0370-4106
    DOI 10.4067/S0370-41062017000500020
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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