• M C Martín Delgado, P Merino de Cos, G Sirgo Rodríguez, J Álvarez Rodríguez, I Gutiérrez Cía, B Obón Azuara, Á Alonso Ovies, and Grupo SYREC.
• Servicio de Medicina Intensiva, Hospital Universitario de Torrejón, Torrejón de Ardoz, Madrid, España. Electronic address: mmartin@torrejonsalud.com.
• Med Intensiva. 2015 Jun 1; 39 (5): 263-71.

ObjectiveTo explore contributing factors (CF) associated to related critical patients safety incidents.DesignSYREC study pos hoc analysis.SettingA total of 79 Intensive Care Departments were involved.PatientsThe study sample consisted of 1.017 patients; 591 were affected by one or more incidents.Main VariablesThe CF were categorized according to a proposed model by the National Patient Safety Agency from United Kingdom that was modified. Type, class and severity of the incidents was analyzed.ResultsA total 2,965 CF were reported (1,729 were associated to near miss and 1,236 to adverse events). The CF group more frequently reported were related patients factors. Individual factors were reported more frequently in near miss and task related CF in adverse events. CF were reported in all classes of incidents. The majority of CF were reported in the incidents classified such as less serious, even thought CF patients factors were associated to serious incidents. Individual factors were considered like avoidable and patients factors as unavoidable.ConclusionsThe CF group more frequently reported were patient factors and was associated to more severe and unavoidable incidents. By contrast, individual factors were associated to less severe and avoidable incidents. In general, CF most frequently reported were associated to near miss.Copyright © 2014 Elsevier España, S.L.U. and SEMICYUC. All rights reserved.

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