Ortega Oviedo, Stella IgnaciaCastro Alfonso, Bienvenido JoséDelgado Beleño, Luisa Fernanda2021-07-132021-07-132021-07-12https://repositorio.unicordoba.edu.co/handle/ucordoba/4313To determine the most frequent adverse events in a Third Level Complexity Healthcare Institution during the years 2016-2017 and propose strategies to prevent or minimize these events. Materials and method: Quantitative, descriptive, retrospective research, where the AE information registered in the database of an IPS of Montería, years 2016 and 2017, was analyzed. Results: During the years 2016 and 2017 in a Health Service Provider Institution of Montería 118 and 104 adverse events were registered respectively, with the following behavior: in 2016 the infections caused by health care were more frequent 42.55% , followed by leakage of patients 24.46%, no sentinel events were reported, the services with the highest number of adverse events were delivery room 24.47%, followed by adult emergency 22.34%. On the other hand, in 2017, the most frequent AE were those related to resource management or organizational management 28.57% followed by patient falls 18.25%, 32% of the events were sentinels caused mainly by the management of resources or with organizational management, and the services where AE were most presented were Pensioner B 24.60%, Internal Medicine 22.22% and Adult Emergencies 17.46%. On the other hand, the months where the greatest number of adverse events were registered coincide in both years September 19.15% and 17.46%, and October 14.89% and 26.98% respectively, in both years, the most affected people were between the age range of 29 -59; 38.3% and 36.5% respectively, and in the two years there was a predominance of adverse events in women than in men with 63.83% and 59.52% respectivelyINTRODUCCIÓN……………..…………………………………….……………………111. OBJETIVOS…………………………………………………………………………...151.1 GENERAL………….………......……………………………….…………………151.2 ESPECÍFICOS…………………………….......………………………….………152. REFERENTE TEÓRICO…………………………………………………..…………162.2. MARCO TEÓRICO………………………………….……………………………162.2.1. Evento adverso obstáculo para la seguridad del paciente………………..162.2.1.1. Los eventos adversos prevenibles y no prevenibles………………….….172.2.1.2 Eventos adversos según condición de viabilidad y severidad…………...172.2.1.3. Sistema de gestión del evento adverso………………………....………...182.2.1.4. Los tipos de eventos adversos y sus implicaciones dentro de una Institución de salud…………………………………...………………………..………192.2.1.3.1. Los relacionados con los dispositivos y equipos médicos…….………202.2.1.3.2. Los relacionados con la medicación o la administración de líquidos Parenterales………….....................…………………………………………………202.2.1.3.3. Los relacionados con caídas de pacientes……………………………..212.2.2. Seguridad del paciente en la atención en salud…………………………...212.2.3. Calidad reflejada en la seguridad de la atención…………………………...222.2.4. Acciones de reducción de riesgo……………………………………………..232.2.5. Estrategias para la mejora de la seguridad del paciente……………….….242.2.6. Cultura de seguridad………………………………………………………….252.2.7. Seguridad del paciente…………………………………………………….…..252.2.8. Atención en salud…………………………………………………….………...262.2.9. Equipo interdisciplinario de salud…………………………………………….262.3. MARCO REFERENCIAL………………………………………………………..272.4. MARCO LEGAL………………………………………………………………….302.1. MARCO CONCEPTUAL…………………………………………………………332.1.1. Institución prestadora de salud (IPS) de tercer nivel…………………….…332.1.2. Eventos adversos…………………………………………………….………...332.1.3. Calidad del Cuidado ……………………………...……………………...342.1.4. Paciente…………………………………………………………………………343. DISEÑO METODOLÓGICO……………………...………………………………….353.1. TIPO DE ESTUDIO………………………………………………………………353.2. ESCENARIO DE ESTUDIO………………………………………………….….353.3. POBLACIÓN, MUESTRA Y MUESTREO……………………………....……..353.3.1. Población…………………………………………………….………………….353.3.2. Muestra…………………………………………….......……………………….353.3.3. Muestreo……………………………………………….………………………..353.4. UNIDAD DE ANÁLISIS……………………………………....………………….353.5. CRITERIOS DE INCLUSIÓN……………………………....…………………...363.6. PROCEDIMIENTO DE RECOLECCIÓN DE LA INFORMACIÓN…………..364. ANÁLISIS Y DISCUSIÓN DE LOS RESULTADOS……………………………….375. CONCLUSIONES……………………………………………………………………..526. RECOMENDACIONES………………………………………………………...…….557. BIBLIOGRAFÍA………………………………………………………………………..57application/pdfspaCopyright Universidad de Córdoba, 2021Trabajo de grado - Pregradoinfo:eu-repo/semantics/openAccessAtribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)Evento adversoSeguridad del pacienteGestión de calidadAdverse eventPatient safetyQuality management