• Lourdes Luzón Oliver, Enrique Molina Pérez de Los Cobos, Abel Novoa Jurado, Eva Pérez Martínez, Damián Martínez Monreal, and Grupo CORECAAS.
• Grupo CORECAAS. Coordinación Regional para la Cronicidad Avanzada y la Atención Sociosanitaria, Murcia, España; IMIB: Instituto Murciano de Investigación Biosanitaria, Murcia, España; Medicina Familiar y Comunitaria, Murcia, España; Grupo de Trabajo de Seguridad del Paciente de semFYC, Murcia, España. Electronic address: lourdesluzon@gmail.com.
• Aten Primaria. 2021 Dec 1; 53 Suppl 1: 102228.

AbstractThe pandemic has exposed the vulnerability of residential centers and the fragility of the population that lives there. In the Region of Murcia, care for this population group became a priority and a regional plan was drawn up to attend the needs of residents from the ethical framework of procedural justice. The immediacy imposed by the health crisis has meant that all this intervention is not without risks. Based on the Reason model, we have carried out a root cause analysis of the contributing factors that led the nursing homes to suffer a devastating impact, categorizing the security failures at three levels: infection control, social health environment and health-clinical environment. The pandemic has shown the urgency of strengthening the care model that we offer to our elders. A model that guarantees the coverage of the needs of extremely fragile patients that go beyond health and biomedical care and that considers their preferences and values.Copyright © 2021 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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