摘要：Objetivo: caracterizar los eventos adversos presentados en una E.S.E de primer nivel en Caldas entre 2007 y 2009. Materiales y métodos: estudio descriptivo de corte transversal, retrospectivo, que analizó la información obtenida de los eventos adversos (E.A) registrados en los años 2007 a 2009 en una institución de primer nivel de Caldas. Se revisó la base de datos de reporte de E.A de la institución, que contenía 112 registros; se descartaron 63 registros y se seleccionaron los que podían ser evaluados a partir de la historia clínica (49). Se les aplicó un instrumento a través del cual se identificaron variables socio-demográficas, características del evento y calidad del registro. Resultados: de los E.A registrados, 38 corresponden al sexo femenino y 11 al sexo masculino, los E.A más frecuentes fueron los obstétricos (40,8%), muerte por inatención (16,3%), los menos frecuentes fueron fallos en la seguridad (2,0%); según gravedad, 18,4% muertes; 57,1% leves y 8.2% moderados. En el 30,6% de los casos no se instauró manejo, en el 22,4% pequeña cirugía y otros manejos 20,4%. Con respecto a la calidad del registro, el 32,6% eran malos, el 44,8% regulares y el 20,4% eran de buena calidad. Conclusiones: el 100% de los eventos adversos no contaban con actas individuales de seguimiento, solo se cuenta con un acta de reporte de los eventos adversos más relevantes, pero estas no implican un seguimiento del evento, ni contienen los datos específicos de la situación ocurrida y del paciente.
其他摘要：Objective: to characterize the adverse events happening in a first-level hospital in the Department of Caldas between 2007 and 2009. Materials and methods: a cross-sectional retrospective descriptive study was performed which analyzed the information obtained during the adverse events (AE) registered between 2007 and 2009 in a first level hospital in the Department of Caldas. An EA data report of the institution was revised which contained 112 records. 63 records were highlighted and those that could be evaluated from the medical record (49) were selected. They were applied an instrument though which social-demographic, characteristics of the event and quality of the record variables were identified. Results: from the AE recorded, 38 cases corresponded to females and 11 cases to males. The most frequent AE were obstetric events (40.8%) and death as a result of lack of attention (16.3%); the least frequent cases were failures in safety (2.0%); 18.4% were deaths depending on seriousness of disease, 57.1% were slight events and 8.2% were moderate events. In 30.6% of the cases management was not established; in 22.4% of the cases small surgery was applied and in 20.4% other procedures were applied. As far as quality of records is concerned, 32.6% were bad, 44.8% were average, and 20.4% were high quality. Conclusions: 100% of the adverse events did not have individual proceeding records. Only one report of the most relevant AE was available but it neither implies a follow up of the event nor contains specific data of t he situation or the patient.
关键词：Eventos adversos; departamento de Caldas; primer nivel. Adverse events; Department of Caldas; first level. Eventos adversos; departamento de Caldas; primeiro...
