Rev Esp Quimioter 2017, 30(5): 319-326
Adverse events related to medication in hospitals from the Valencian Community. EPIDEA Study 2005-2013
JUAN BAUTISTA MOLLAR-MASERES, JESUS MARÍA ARANAZ-ANDRÉS, JOSÉ MARÍA MARTIN-MORENO, JUAN JOSÉ MIRALLES-BUENO, JUANA REQUENA-PUCHE, HÉCTOR ROLANDO MARTÍNEZ-MOREL, MARÍA MERCEDES LUJÁN-TOLOSA
Introduction. To determine the prevalence of Adverse Events related to Medication (AEM) in hospitals of the Valencian Community in the 2005-2013 study period, and to describe the associated risk factors and their impact.
Material and methods. This study is based on data and methodology of the Study of Prevalence of Adverse Events in hospitals (EPIDEA), since its inception in 2005 until 2013. AEM produced in each year were analyzed.
Results. We identified 344 AEM that occurred in 337 patients, among 35,103 patients studied, giving a prevalence of patients with AEM of 0.96% (IC95% 0.89-1.07). The most prevalent intrinsic risk factors for AEM were hypertension, diabetes and cancer. The most prevalent extrinsic risk factors were peripheral venous catheter, urinary catheter and central venous catheter. Therapeutic groups most frequently involved were systemic antibiotics, cardiovascular drugs and antineoplastics. The 61.17% of AEM was classified as moderate, followed by 27.18% as mild and 11.65% as severe. The 33.99% of EAM caused increase of the patient’s stay and 39.90% of EAM caused the re-entry of patient. The 58.5% of AEM were avoidable. Mild AEM were avoidable in 46.3%, moderate AEM were avoidable in 60.3% and severe AEM were in 75% (p = 0.013).
Conclusions. The prevalence of patients with AEM in hospitals of the Community of Valencia for the period 2005- 2013 was 0.96%. More than half of AEM were preventable, and preventability increases significantly with the severity of the event.
Rev Esp Quimioter 2017; 30(5): 319-326 [Texto completo – PDF]