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Clinical Investigations: Miscellaneous |

Frequency and Correlates of Adverse Events in a Respiratory Diseases Hospital in Mexico City*

Loredmy Herrera-Kiengelher, MS; Georgina Chi-Lem, MD; Renata Báez-Saldaña, MD; Luis Torre-Bouscoulet, MD; Justino Regalado-Pineda, MD; Malaquías López-Cervantes, MD; Rogelio Pérez-Padilla, MD
Author and Funding Information

*From the National Institute of Respiratory Diseases and National Institute of Public Health, Secretary of Health, Mexico, Tlalpan, Mexico.

Correspondence to: Rogelio Pérez-Padilla, MD, Instituto Nacional de Enfermedades Respiratorias, Calzada de Tlalpan, 4502 Col. Sección XVI México D.F., Mexico; e-mail: perezpad@servidor.unam.mx



Chest. 2005;128(6):3900-3905. doi:10.1378/chest.128.6.3900
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Objectives: To estimate the frequency of severe adverse events (AEs) during hospital stay as well as their type and correlates in a referral hospital for respiratory diseases, using methods similar to those used in the Harvard Medical Malpractice Study.

Design: Retrospective review of medical records in a stratified sample of 836 patients drawn from a total of 4,555 hospital admissions registered during the year 2001.

Setting: A referral tertiary-care hospital for patients with respiratory diseases located in Mexico City.

Main outcome measures: Weighted prevalence of AEs and odds ratios for correlates.

Results: The overall weighted prevalence for AEs was 9.1% (95% confidence interval, 7.5 to 10.4%). Of these patients, 17% had a related transient disability, 52% had a prolonged hospital stay, and 26% had an AE that according to the reviewers contributed to their death. Of the total number of AEs, 74% were qualified as potentially preventable. Among all types of AEs, we identified as most relevant for a chest hospital the delayed surgical treatment of empyema, representing 11% of the total.

Conclusions: The frequency of AEs in a tertiary-care respiratory hospital is similar to that reported in general hospitals. A strategy to improve the treatment of empyema is needed.


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