• Irene Carrillo, José Joaquín Mira, M Pilar Astier-Peña, Pastora Pérez-Pérez, Johanna Caro-Mendivelso, Guadalupe Olivera, Carmen Silvestre, Aurora Mula, María Ángeles Nuin, Jesús M Aranaz-Andrés, en nombre del Grupo SOBRINA, and Grupo SOBRINA.
• Universidad Miguel Hernández de Elche, Elche, Alicante, España; Fundació per al Foment de la Investigació Sanitària i Biomèdica de la Comunitat Valenciana (FISABIO), Elche, Alicante, España.
• Aten Primaria. 2020 Dec 1; 52 (10): 705711705-711.

ObjectiveTo determine the frequency of avoidable adverse events (AAEs) in Primary Care (PC).DesignRetrospective cohort study.LocationFamily medicine and paediatric clinics in Andalusia, Aragon, Castilla-La Mancha, Catalonia, Madrid, Navarre, and Valencia.ParticipantsA review was performed on a designated sample of 2,397 medical records (95% confidence level and 2% accuracy). The sample was stratified by age group as regards the frequency of physician consultations and considering equal distribution of male and female patients.Main MeasurementsNumber and severity of identified AAEs from February 2018 to September 2019.ResultsA total of 2,557 medical records were reviewed (1,928, 75.4% of adult patients, and 629, 24.6% paediatrics). A total of 182 (7.1%, 95% CI 6.1-8.1%) AAEs that affected 168 patients were identified, which included 7.6% (95% CI 6.4-8.8%) in adults and 5.7% (95% CI 3.9-7.5%) in paediatric patients. The number of AAEs in women was higher than in men (P = 0.006). The incidence of AAEs in boys and girls was similar (P = 0.3). Permanent damage was caused by AAEs in 6 (4.1%) adult patients.ConclusionsSeeking formulas to increase patient safety in PC should remain a priority objective, particularly in female patients and in paediatrics. One in 24 AAEs causes serious and permanent damage in adults.Copyright © 2020 The Author(s). Publicado por Elsevier España, S.L.U. All rights reserved.

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