[Analysis of incident reports in an anesthesiology unit of a university hospital].

BACKGROUND

Incident reporting is an effective strategy used to enhance patient safety. An incident is an event that could eventually result in harm to a patient.

AIM: To classify and analyze incidents reported by an Anesthesiology division at a University hospital in Chile.

MATERIAL AND

METHODS

A retrospective analysis of the reported incidents registered in our institutional database from January 2008 to January 2014. They were classified according to three variables proposed by the World Health Organization system to determine the type of incident and patients’ potential harm.

RESULTS

There were 297 reports registered. Etiologic classification according to the WHO system showed that 29% (n = 85) were related with management, 20% (59) with drugs, 20% (59) with medical devices, 16% (48) with procedures and 15% (46) with human factors. Seventy two percent (58) of incidents caused low or moderate harm and 28% (22) resulted in a severe adverse event or death.

CONCLUSIONS

Our analysis highlights that a high rate of incidents are associated with management, the leading cause of reports in our center. Due to the low incident report rate in our country, it is difficult to perform appropriate comparisons with other centers. In the future, local incident reporting systems should be improved.