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[Surgical adverse events in three Mexican public health institutions]

Dayana Pineda-Pérez1, Esteban Puentes-Rosas, Nubia Jazmín Rangel-Chávez

  • 1Dirección General de Evaluación del Desempeño, Secretaría de Salud, México DF. dayana.pineda@salud.gob.mx

Salud Publica De Mexico
|January 28, 2012
PubMed
Abstract

Insights

In Mexico, 4.1% of surgical patients experienced adverse events (AE), with older adults in large hospitals at higher risk. These events led to longer hospital stays, highlighting the need for improved patient safety measures.

Area of Science:

  • Medical research
  • Public health
  • Patient safety

Context:

  • Adverse events (AE) in surgical patients represent a significant concern within healthcare systems.
  • Understanding the prevalence and risk factors for AE is crucial for developing targeted interventions.
  • Public health institutions in Mexico face challenges in monitoring and mitigating healthcare-associated risks.

Purpose:

  • To determine the prevalence of adverse events (AE) among adult surgical patients in major Mexican public health institutions.
  • To identify patient demographics and hospital characteristics associated with an increased risk of AE.
  • To quantify the impact of AE on hospital length of stay.

Summary:

  • A retrospective review of 6,119 medical records from Mexican public health institutions identified a 4.1% prevalence of adverse events (AE) in surgical patients.
  • Patients aged 65 and older treated in large hospitals were found to be at a significantly higher risk of experiencing an AE.
  • Individuals who experienced an AE had an average hospital stay that was nine days longer compared to those without AE.

Impact:

  • The study estimates that at least 128,400 AE occurred in Mexico in 2008, underscoring a substantial public health burden.
  • Findings indicate a need for further research into the primary factors contributing to surgical AE.
  • Implementing enhanced patient safety protocols is essential to reduce AE incidence and improve outcomes in surgical care.

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