[Perceptions of clinical safety after hospital discharge].

Abstract:

OBJECTIVE:Patient perception of clinical safety has been scantly studied. This study describes the frequency of clinical errors from a patient point of view, their perception of safety and its relationship with the information received. MATERIAL AND METHODS:Descriptive study based on a postal survey to 336 surgical patients, 20 days after the discharge from the hospital (the corrected rate of response is 75.58%, the error is 5.7% for a confidence level of 95%). RESULTS:In the responses, 13.05% (95% CI, 9.16-16.95%) reported suffering a clinical error. Of these, 10.5% had severe complications. This experience decreases the perception of safety in future treatments (p = 0.0001). The risk of being a victim of a medical error with serious consequences is high was considered by 11.9% (95% CI, 7.2-16.6%) of the patients, although less than suffering from a traffic accident, a robbery or a serious illness. A higher frequency in the media related to medical mistakes, decreases the perception of safety (p < .001). The patients who positively value the information received regarding the treatment and who can formulate questions to ask the doctor are those who report less errors (p < .001). CONCLUSIONS:A total of 1.37% of surgical patients report mistakes with severe consequences, whereas 12% believe that the risk of a mistake with serious consequences is high. Distrust increases after an error. Improving communication with the patient helps to reduce mistakes, which strengthens the role of programs to increase safety that encourage more active patient involvement.

journal_name

Med Clin (Barc)

journal_title

Medicina clinica

authors

Mira JJ,Aranaz JM,Vitaller J,Ziadi M,Lorenzo S,Rebasa P,Aibar-Remón C

doi

10.1016/s0025-7753(08)76458-3

subject

Has Abstract

pub_date

2008-12-01 00:00:00

pages

26-32

eissn

0025-7753

issn

1578-8989

pii

S0025-7753(08)76458-3

journal_volume

131 Suppl 3

pub_type

杂志文章
  • [Changes in autopsies in cancer in Navarra from 1980 to 1988].

    abstract:BACKGROUND:Autopsies may be used to know the causes of death in population. In Navarra, the number of patients who died by cancer and were autopsied has increased. A similar pattern appeared in other communities. METHODS:We reviewed 2,643 autopsies performed in the main hospitals of Navarra. In each autopsy, age, sex,...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Valerdiz Casasola S,Sola Gallego J,Pardo Mindan FJ,Pacheco R,Laplaza Y

    更新日期:1991-04-06 00:00:00

  • [Comparative study of concordance and costs between tuberculin skin test and QuantiFERON(®)-TB Gold In-Tube in the diagnosis of latent tuberculosis infection among contacts of patients with pulmonary tuberculosis].

    abstract:INTRODUCTION:Recently diagnosis of latent tuberculosis infection (LTBI) can be made using the tuberculin skin test (TST) or by techniques known as interferon-γ release assays (IGRAS), being QuantiFERON(®)-TB Gold In-Tube (QF-G-IT) the most used. The IGRAS avoid some drawbacks of the TST, especially cross-reaction with ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2014.11.027

    authors: Martinez Lacasa X,Canals Font R,Jaen Manzanera A,Cuchi Burgos E,Lite Lite J

    更新日期:2015-11-20 00:00:00

  • [Costs of health care resources of ambulatory-care patients diagnosed with Alzheimer's disease in Spain].

    abstract:BACKGROUND:The annual consumption and costs of the health care resources used by ambulatory Alzheimer's disease patients were estimated. Patients were classified according to the degree of severity of the disease using Folstein's Mini Mental State Examination scale. The sociodemographic characteristics of both patients...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Boada M,Peña-Casanova J,Bermejo F,Guillén F,Hart WM,Espinosa C,Rovira J

    更新日期:1999-11-27 00:00:00

  • [Acute lymphoblastic leukemia in adults. Comparative study of clinicobiologic characteristics and of response to treatment in terms of age in a group of 41 patients].

    abstract:BACKGROUND:The aim of this study was to analyze the influence of age on the clinical and biological features as well as the results of treatment in 41 adult patients with acute lymphoblastic leukemia (ALL). PATIENTS AND METHODS:The patients diagnosed with ALL from January 1989 to October 1995 in a single center were s...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Ribera JM,Granada I,Navarro JT,Vela D,Juncá J,Flores A,Millá F,Feliu E

    更新日期:1996-10-05 00:00:00

  • [Therapeutic applications of stem-cells].

    abstract::In the last years stem cells (SC) have generated huge expectations and have become a new hope for the development of novel cell therapies in the context of regenerative medicine. So far, the hypothetic therapeutic effects of SC, both of embryonic and adult origin, have been demonstrated only in a very few cases. Embry...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:10.1157/13073565

    authors: Barquinero J,Pellicer M,Pétriz J

    更新日期:2005-04-09 00:00:00

  • [Determinants associated wtih the presence of risk behaviors in HIV infected patients].

    abstract:BACKGROUND:Determinants associated with risk behaviours are evaluated in a known HIV-infected population not belonging to the great metropolitan nuclei. PATIENTS AND METHODS:110 unselected HIV+ patients were interviewed, including 77 variables. Their association with sharing needles, and unprotected sex is analysed. ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Llibre JM,Bolibar I,Bleda MJ,Fábregas N,Martínez M,Juanhuix A

    更新日期:1999-04-24 00:00:00

  • [Clinico-hemodynamic study and treatment of 44 patients with primary pulmonary hypertension].

    abstract:BACKGROUND:Primary pulmonary hypertension is a poorly understood disease with a difficult treatment. PATIENTS AND METHOD:Retrospective study of a series of 44 patients suffering from pulmonary hypertension who were studied in our center between 1992 and 2000. RESULTS:At diagnosis, 6 (13%) patients were classified as ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(02)72524-4

    authors: Roman A,Rodés-Cabau J,Lara B,Bravo C,Monforte V,Pallissa E,Domingo E,Morell F

    更新日期:2002-06-01 00:00:00

  • [Locoregional recurrences after conservative treatment of breast cancer stage I-II].

    abstract:BACKGROUND:Since 1992 conservative treatment of breast cancer (stage I and II: clinical TNM) has been established as an alternative to mastectomy in our hospital. The aim of this retrospective study was to analyse locoregional recurrence features and to compare prognosis with regard to to site of recurrence. METHOD:Be...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(02)72321-x

    authors: Fuentes Raspall MJ,Piedrafita Serra E,Isern Verdum J,Alonso Muñoz C,Ojeda González B,Gómez Gómez A,Llauradó Ollé A,Duarte Pires D,Lerma Puertas E,Craven-Bartle Lamote De Grignon J,López López A,Trias Folch M

    更新日期:2002-02-16 00:00:00

  • [Cardiovascular risk factors in overweight and obesity. Changes after a weight loss treatment].

    abstract:BACKGROUND AND OBJECTIVE:For the treatment of obesity, an adecuate control of associated cardiovascular risk factors (CRF) is fundamental. The objective of this study was to assess the relationship between body mass index (BMI) and CRF, and the effect of a weight loss program on overweight subjects. PATIENTS AND METHO...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(03)73997-9

    authors: Bautista-Castaño I,Molina-Cabrillana J,Montoya-Alonso JA,Serra-Majem L

    更新日期:2003-10-18 00:00:00

  • [Therapeutic control and quality of life in coronary artery bypass surgery patients].

    abstract:BACKGROUND:Description of measures of secondary prevention and of health related quality of life one year after the intervention in patients undergoing coronary artery bypass surgery. PATIENTS AND METHOD:One year follow up prospective study in patients undergoing first coronary bypass surgery without associated proced...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(01)71785-x

    authors: Brotons Cuixart C,Moral Peláez I,Permanyer Miralda G,Ribera Solé A,Cascant Castelló P,Estudio CIRCORCA.

    更新日期:2001-02-24 00:00:00

  • [Carboxyhemoglobin levels and risk factors of carbon monoxide poisoning in children;].

    abstract:BACKGROUND:To determine carboxyhemoglobin levels and to investigate carbon monoxide poisoning risk in children. PATIENTS AND METHODS:We determine carboxyhemoglobin blood levels by cooximetry in 65 children, between 15 days and 15 years attended in a pediatric emergency section. We analyze carbon monoxide risk factors ...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Vázquez P,López-Herce J,Galarón P,Merello Godino C

    更新日期:1997-01-11 00:00:00

  • [Role of Lactobacillus as protector against vaginal candidiasis].

    abstract:BACKGROUND:To evaluate the possible protector role of Lactobacillus against vaginal candidiasis. PATIENTS AND METHOD:In vitro studies performed to assess the capacity of 15 Lactobacillus strains to block the adhesion of two Candida albicans and one C. glabrata strain to vaginal epithelial cells and to inhibit the grow...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(01)72089-1

    authors: Osset J,García E,Bartolomé RM,Andreu A

    更新日期:2001-09-22 00:00:00

  • [Acute phase response after stroke: differences between ischemic stroke and intracerebral hemorrhage].

    abstract:BACKGROUND:To evaluate differences in the temporal profile of acute phase response (APR) between ischemic stroke (IS) and intracerebral hemorrhage (ICH). PATIENTS AND METHOD:We studied APR parameters (< 24 h and 3-5 day) in 88 consecutive patients (43 ICH and 45 IS). The increase/decrease of the parameters between bot...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(01)71717-4

    authors: Montaner,Alvarez-Sabín J,Abilleira S,Molina C,Arenillas J,Codina A

    更新日期:2001-01-20 00:00:00

  • [Prognosis of patients admitted in a coronary care unit after resucitating from out-of-hospital sudden cardiac death].

    abstract:BACKGROUND AND OBJECTIVE:The aims of the present study were to analyze the prognosis after resuscitation from out-of-hospital sudden cardiac death in patients admitted to the coronary care unit, and to identify the predictor variables of morbi-mortality. PATIENTS AND METHOD:From November 1999 to January 2004 we analyz...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(06)72232-1

    authors: Vallès E,Martí V,Noguero M,Guindo J,Domínguez de Rozas JM

    更新日期:2006-09-02 00:00:00

  • [Bronchiectasis in the elderly. Study of serum levels of immunoglobulin G subclasses].

    abstract:BACKGROUND AND OBJECTIVE:To analyze the serum levels of immunoglobulin G (IgG) subclasses in a broad range of elderly patients with bronchiectasis. PATIENTS AND METHOD:Data were collected from all patients who had a high-resolution chest computerized axial tomography diagnosis of bronchiectasis in our center. We gathe...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1157/13111419

    authors: Martínez-García MA,Román-Sánchez P,Perpiñá-Tordera M,Soler-Cataluña JJ,Saura-Vinuesa A,Yago M,Pastor MJ

    更新日期:2007-10-20 00:00:00

  • Simplified medication regimen and survival in polypathological patients.

    abstract:OBJECTIVE:To determine if a more simplified medication regimen is associated with survival in polypathological patients. METHODS:Multicentre cohort study. We included polypathological patients admitted to internal medicine wards between March 1st and June 30rd, 2011. Patients that died during admission and readmission...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2019.06.023

    authors: Díez-Manglano J,Bellostas Muñoz L

    更新日期:2020-04-10 00:00:00

  • [Drug administration schedules in geriatric patients].

    abstract:BACKGROUND:In this study the prescription of drugs in an outpatients geriatric population was evaluated in terms of age and body weight. METHODS:From a wide survey carried out on 500 geriatric outpatients, all the prescriptions corresponding to H-2 antagonists, digoxin, theophylline, bromazepam, diazepam, lorazepam an...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Lucena González ML,García Domínguez MD,Andrade Bellido RJ,Hidalgo Sánchez R,Ramírez Torres JM,Sánchez de la Cuesta F

    更新日期:1992-03-07 00:00:00

  • [The processes of manuscript evaluation and publication in Medicina Clínica. The editorial committee of Medicina Clínica].

    abstract::The decision-making process includes a series of activities undertaken in biomedical journals from the moment a manuscript is received until it is accepted or rejected. Firstly, the manuscript is evaluated by the members of the Editorial Board, who analyze both its suitability for the journal and its scientific qualit...

    journal_title:Medicina clinica

    pub_type: 指南,杂志文章

    doi:10.1016/s0025-7753(05)72202-8

    authors: Ribera JM,Cardellach F,Selva A,Editorial committee of Medicina Clínica.

    更新日期:2005-12-01 00:00:00

  • [DNA prints instead of plantar prints in neonatal identification].

    abstract:BACKGROUND:To check the possible usefulness in studying DNA in dried blood spots taken on filter paper blotters for newborn identification. It set out to establish: 1. The validity of the method for analysis; 2. The validity of all stored samples (such as those kept in clinical records); 3. Guarantee of non-intrusion i...

    journal_title:Medicina clinica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Rodríguez-Alarcón Gómez J,Martińez de Pancorbo Gómez M,Santillana Ferrer L,Castro Espido A,Melchor Maros JC,Linares Uribe MA,Fernández-Llebrez del Rey L,Aranguren Dúo G

    更新日期:1996-06-22 00:00:00

  • [Nephrotic syndrome and unilateral thrombosis of the renal vein. Acute renal failure and disturbances of the hemostasis (author's transl)].

    abstract::The association of nephrotic syndrome and renal vein thrombosis has been increasingly reported in the literature due to the use of modern complementary explorative techniques. The incidence of renal vein thrombosis in the nephrotic syndrome varies according to the different authors. The pathogenesis of this associatio...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Grinó JM,Castelao AM,Oliver JA,Carrera M,Carreras L,Caralps A,Alsina J

    更新日期:1979-10-10 00:00:00

  • [Cerebral tuberculoma. Report of 8 cases].

    abstract::A series of eight patients with cerebral tuberculoma seen between 1980 and 1990 is reported. Headache was the leading clinical finding, followed by focal neurological findings and seizures. Papilledema was the most uniform examination finding associated with intracranial hypertension. Five patients had another localiz...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Martínez Lacasa JT,Burillo J,Niubó R,Rufí G,Podzamczer D,Mariscal A,Reñé R,Fernández Nogués F

    更新日期:1991-07-06 00:00:00

  • [Immunohistochemical study of inflammatory infiltrates in minor salivary glands in Sjögren's syndrome and other autoimmune diseases].

    abstract:BACKGROUND:A study of the phenotype, activation and adhesive cells factors and cytokines in minor salivary glands in patients with primary Sjögren's syndrome (pSS), secondary Sjögren's syndrome (sSS) and autoimmune diseases (AD) without Sjögren's syndrome. PATIENTS AND METHODS:We have studied the minor salivary glands...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Tomás S,Coll J,Reth P,Corominas JM

    更新日期:1998-11-28 00:00:00

  • [Meningoencephalomyelitis caused by Borrelia burgdorferi: a case without epidemiologic history or chronic migratory erythema].

    abstract::A patient is reported with meningoencephalomyelitis with polyradiculitis caused by Borrelia burgdorferi infection. Neurological features developed without previously known tick bite nor the characteristic skin lesion, chronic migratory erythema (CME). The vector of the disease (the tick Ixodes ricinus) exists in Spain...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Ponz E,Graus F,Alvarez R,Sarmiento X,Vidal J,Grau JM

    更新日期:1989-09-09 00:00:00

  • [Antenatal exposure to corticosteroids for fetal lung maturation and its repercussion on weight, length and head circumference in the newborn infant].

    abstract:BACKGROUND AND OBJECTIVE:To study the effects of antenatal corticosteroids treatment to promote fetal lung maturation, on fetal growth, depending on the number of the courses administered. PATIENTS AND METHOD:The study was based on data from the Spanish Collaborative Study of Congenital Malformations (ECEMC), analysin...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1157/13092436

    authors: Rodríguez-Pinilla E,Prieto-Merino D,Dequino G,Mejías C,Fernández P,Martínez-Frías ML,Grupo del ECEMC.

    更新日期:2006-09-16 00:00:00

  • [Bacteremia and sepsis due to Streptococcus agalactiae. Study of eight cases (author's transl)].

    abstract::During a period of 29 months positive hemocultures to Streptococcus agalactiae corresponding to eight adult patients have been observed. These bacteria were apparently responsible for the clinical picture in five patients. In other two patients S. agalactiae appeared in the course of a sepsis caused by other germ. The...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Sánchez Ariõ MA,Moya Mir MS,Martin Martin F,Escolar Castellón F,Barbadillo R,Martin Jiménez TM,Zaldivar E,Dámaso D

    更新日期:1980-09-25 00:00:00

  • [Risk factors for nosocomial sepsis: a case-control study].

    abstract:BACKGROUND:The objective of this study was to identify the risk factors associated with the nosocomial sepsis syndrome according to the criteria of the American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference. PATIENTS AND METHOD:A 1-year prospective case-control study matched for se...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:

    authors: Fariñas Alvarez C,Carmen Fariñas M,Llorca J,Delgado Rodríguez M

    更新日期:2001-06-02 00:00:00

  • Type 1 autoimmune hepatitis in a patient with microscopic polyangiitis: challenges in diagnosis and treatment.

    abstract:BACKGROUND AND OBJECTIVE:Autoimmune diseases/autoantibodies tend sometimes to cumulate in the same individual, probably as a consequence of defects in immune regulation with breakdown of self-tolerance. Autoimmune hepatitis and microscopic polyangiitis have been occasionally reported with other autoimmune diseases, but...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/j.medcli.2010.10.015

    authors: Prieto-González S,Cardellach F,Estruch R,Miquel R,Grau JM,Cid MC

    更新日期:2011-03-26 00:00:00

  • [Results of the SHOP LNHB98 (LMB89) trial in pediatric patients with B-cell non-Hodgkin's lymphoma].

    abstract:BACKGROUND AND OBJECTIVE:After the good results obtained by the Société Française d'Oncologie Pédiatrique (SFOP) regarding the pediatric B-type non-Hodgkin's (Burkitt and large B-cell) lymphoma and L3 leukemia, the Sociedad Española de Hematología y Oncología Pediátricas (SHOP) decided to use the same treatment protoco...

    journal_title:Medicina clinica

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1157/13102049

    authors: Forns M,Javier G,Estella J,Fernández-Delgado R,Gallego S,García-Miguel P,Indiano JM,Navajas A,Pardo N,en representación del grupo SHOP de las Sociedades Españolas de Hematología (SEHP) y Oncología Pediátricas (SEOP).

    更新日期:2007-05-05 00:00:00

  • Shared decision-making in advanced chronic kidney disease in the elderly.

    abstract::Chronic kidney disease is common in people >65years of age. The development and improvement of dialysis techniques has allowed its generalisation to the entire population, when there is a situation of terminal nephropathy, without limit of use due to chronological age. Decision making in elderly patients with advanced...

    journal_title:Medicina clinica

    pub_type: 杂志文章,评审

    doi:10.1016/j.medcli.2018.07.011

    authors: Heras Benito M,Fernández-Reyes Luis MJ

    更新日期:2019-03-01 00:00:00

  • [Factors associated with the development of atopy in young adults].

    abstract:BACKGROUND:To determine the risk factors for the development of atopy in Spanish young adults. SUBJECTS AND METHODS:Case-control study over prevalent cases. Carried out in general population between the ages of 20 to 44 years old. Spanish participants of the ECRHS, a random representative sample of Spanish young adult...

    journal_title:Medicina clinica

    pub_type: 杂志文章

    doi:10.1016/s0025-7753(00)71231-0

    authors: Cortès X,Soriano JB,Sunyer J,Martínez-Moratalla J,Muniozgoren N,Maldonado JA,Quirós R,Antó JM

    更新日期:2000-02-12 00:00:00