• Montserrat Gens-Barberà, Núria Hernández-Vidal, Carles Castro-Muniain, Inmaculada Hospital-Guardiola, Eva Maria Oya-Girona, Ferran Bejarano-Romero, Cristina Rey-Reñones, Francisco Martín-Luján, and en nombre del grupo de estudio de Calidad y Seguridad del Paciente de Tarragona (QiSP-TAR).
• Unidad de Calidad y Seguridad del Paciente, Gerencia Territorial Camp de Tarragona, Institut Català de la Salut, Tarragona, España. Electronic address: mgens.tgn.ics@gencat.cat.
• Aten Primaria. 2021 Dec 1; 53 Suppl 1: 102217.

ObjectiveTo analyse and compare the epidemiology of patient safety incidents reported in Primary Health Care, before and after the start of the COVID-19 pandemic.Design And SettingAnalytical descriptive study comparing reported incidents from March 1st 2019 to February 28th 2020, and from March 1st 2020 to February 28th 2021, notified through the TPSC Cloud™ platform accessible from the Intranet corporative in 25 Primary Health Care centres from Tarragona district, in Catalonia (Spain).MeasurementsData obtained from voluntary notifications, through electronic, standardized and anonymized forms.VariablesCentre, professional, incident type, risk matrix, causal factors and contributing factors, and avoidability.Statistical AnalysisEvery notification was included in descriptive analysis, and another one specifically for adverse events, comparing both periods.Results2231 incidents were reported. Comparing both periods, during the pandemic a reduction in the number of reported incidents was observed (only represented 20% of the total). However, the percentage of reported notifications from health care professionals and adverse events that required observation were increased. Causal factors related to attendance and diagnosis were incremented whereas the causal factors related to medication were decreased. In addition, an increase in contributing factors related to the professional was observed. Avoidability was high (>95%) in both periods.ConclusionsDuring the pandemic, fewer patient safety incidents have been reported, but proportionally more adverse events, most of which are preventable. The professional himself becomes the main contributing factor.Copyright © 2021 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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