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Reported incidents in Primary Care 2012 (from May to December): - Total reported incidents: 876 - Patient safety-related incidents: 635 (72% of total) 400 235 Incidents that arise in PC Interaction incidents (arise in HC) PATIENT SAFETY – RELATED INCIDENTS

Reported incidents in Primary Care 2012 (from May to December): - Total reported incidents: 876 - Patient safety-related incidents: 635 (72% of total)

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Page 1: Reported incidents in Primary Care 2012 (from May to December): - Total reported incidents: 876 - Patient safety-related incidents: 635 (72% of total)

Reported incidents in Primary Care 2012 (from May to December):

- Total reported incidents: 876- Patient safety-related incidents: 635 (72% of total)

400

235

Incidents that arise in PC

Interaction incidents (arise in HC)

PATIENT SAFETY – RELATED INCI-DENTS

Page 2: Reported incidents in Primary Care 2012 (from May to December): - Total reported incidents: 876 - Patient safety-related incidents: 635 (72% of total)

Reported incidents in Hospital Care 2012 (from May to December):

- Total reported incidents: 560- Patient safety-related incidents: 289 (52% of total)

168

121 Incidents that arise in HC

Interaction incidents (arise in PC)

PATIENT SAFETY – RELATED INCI-DENTS

Page 3: Reported incidents in Primary Care 2012 (from May to December): - Total reported incidents: 876 - Patient safety-related incidents: 635 (72% of total)

Ventas

1er trim.2º trim.3er trim.4º trim.

Page 4: Reported incidents in Primary Care 2012 (from May to December): - Total reported incidents: 876 - Patient safety-related incidents: 635 (72% of total)

0400800

1200

Year 2011

Year 2012

314

858

1.030

541

Total reported incidents in PCOn data from 2012 are included both old system´s notifications and new computer application (from May)

Page 5: Reported incidents in Primary Care 2012 (from May to December): - Total reported incidents: 876 - Patient safety-related incidents: 635 (72% of total)

Total number of notifications0

100

200

300

400

500

600

700

800

900

541

314

876

635

708

55520112012 (may-dec)2013 (jan-aug)

Total reported incidents by PC: evolution over time

Page 6: Reported incidents in Primary Care 2012 (from May to December): - Total reported incidents: 876 - Patient safety-related incidents: 635 (72% of total)

Total number of notifications0

100

200

300

400

500

600

700

800

900

541

314

876

635

20112012 (may-dec)

Total reported incidents by PC: evolution over time

Page 7: Reported incidents in Primary Care 2012 (from May to December): - Total reported incidents: 876 - Patient safety-related incidents: 635 (72% of total)
Page 8: Reported incidents in Primary Care 2012 (from May to December): - Total reported incidents: 876 - Patient safety-related incidents: 635 (72% of total)

Incidents arising and reported in Primary Care

020406080

100120

2012 (400 incidents)2012 (400 in-cidents)2013

Page 9: Reported incidents in Primary Care 2012 (from May to December): - Total reported incidents: 876 - Patient safety-related incidents: 635 (72% of total)

Most prevalent types of incidents arising and reported in Primary Care

Computer aplic

ations &

syste

ms

Confid - identific

Emergency

care

Vaccin

ations &

cold ch

ain

0

40

80

120

2012

Total PS incidents: 400

Page 10: Reported incidents in Primary Care 2012 (from May to December): - Total reported incidents: 876 - Patient safety-related incidents: 635 (72% of total)

Incidents reported by Primary Care that arise in Hospital Care

Treatment & medical prescriptionCoordination - patient derivation

0

5

10

15

20

25

30

20122013

Page 11: Reported incidents in Primary Care 2012 (from May to December): - Total reported incidents: 876 - Patient safety-related incidents: 635 (72% of total)

PRIMARY CARE HOSPITAL CARE

• Treatment and medical prescription• Laboratory and other complementary test• Continuity of care at discharge• Coordination & patient derivation• Poor information after valuation• Confidentiality – Patient identification

Page 12: Reported incidents in Primary Care 2012 (from May to December): - Total reported incidents: 876 - Patient safety-related incidents: 635 (72% of total)

Interaction betw

een PC & HC

Hospita

lizati

on

Hospita

l emerge

ncy

Outpati

ent visi

ts

Surgi

cal u

nits

Radiodiag

nosis

Rehabilit

ation

020406080

100120140

Total PS incidents: 289

2012

Patient safety incidents reported in Hosptital Care

Page 13: Reported incidents in Primary Care 2012 (from May to December): - Total reported incidents: 876 - Patient safety-related incidents: 635 (72% of total)

Incidents reported by Hospital Care that arise in Primary Care