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Analysis of institutional authors

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Impact of the COVID-19 pandemic on patient safety incident and medication error reporting systems [Impacto de la pandemia COVID-19 en los sistemas de notificación de incidentes de seguridad del paciente y errores de medicación]

Publicated to:Journal Of Healthcare Quality Research. 37 (6): 397-407 - 2022-01-01 37(6), DOI: 10.1016/j.jhqr.2022.03.003

Authors: Macías Maroto M; Garzón González G; Navarro Royo C; Navea Martín A; Díaz Redondo A; Santiago Saez A; Pardo Hernández A

Affiliations

Área de Procesos y Calidad, Gerencia Asistencial de Atención Primaria, SERMAS, Consejería de Sanidad, Madrid, Spain - Author
Servicio de Medicina Legal, Hospital Clínico San Carlos, Madrid, Spain - Author
Servicio de Medicina Preventiva y Gestión de Calidad, Hospital General Universitario Gregorio Marañón, Madrid, Spain - Author
Subdirección General de Calidad Asistencial, Consejería de Sanidad, Madrid, Spain - Author
Unidad de Calidad, Hospital Universitario Príncipe de Asturias, Madrid, Alcalá de Henares, Spain - Author
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Abstract

Background and aim: To determine the impact of the COVID-19 pandemic on the epidemiology of safety incidents (SI) and medication errors (ME) reported to the CISEMadrid notification system in the hospital and primary care settings of the Madrid Health Service (SERMAS). Materials and methods: Observational and descriptive study with a retrospective analysis of data including all CISEMadrid notifications from 01-Jan-2018 to 31-Dec-2020, from 33 hospitals and 262 health care centres of the SERMAS. The two periods in 2020 with the greatest increase in COVID-19 cases were identified to compare incidents reported in the pre-pandemic and pandemic periods. Results: 36,494 incidents were reported. Comparing both periods, an overall decrease in pandemic notifications of 60.7% was observed, being higher in primary care, falling to 33% of previous levels. The reduction in notifications was similar in the peaks and valleys of the waves. The three most frequent SIs in both periods and care settings were: diagnostic tests, medical devices/equipment/clinical furniture and organisational management/citations. In ME, dose failure and inappropriate selection were the most frequent in both settings and periods. There were no relevant differences in patient consequences in both periods. Conclusions: During the pandemic, patient safety notifications decreased although the most frequent types remained the same, as did their impact on the patient, both in hospitals and in primary care. The safety culture of organisations is a critical aspect for the maintenance of reporting systems. © 2022 FECAAntecedentes y objetivo: Conocer el impacto de la pandemia por COVID-19 en la epidemiología de los incidentes de seguridad (IS) y de los errores de medicación (EM) notificados al sistema de notificación CISEMadrid, del ámbito hospitalario y de atención primaria del Servicio Madrileño de Salud (SERMAS). Materiales y métodos: Estudio observacional y descriptivo con análisis retrospectivo de los datos, en el que se incluyeron todas las notificaciones de CISEMadrid desde el 01-enero-2018 al 31-diciembre-2020, de 33 hospitales y 262 centros de salud del SERMAS. Se identificaron los 2 periodos en 2020 de mayor aumento de casos de COVID-19, para comparar los incidentes notificados en periodo prepandemia y pandemia. Resultados: Se notificaron un total de 36.494 incidentes. Comparando ambos periodos, se observó una disminución general de notificaciones en pandemia del 60,7%, siendo mayor en atención primaria, cayendo hasta un 33% de niveles previos. La reducción de notificaciones fue similar en los picos y valles de las olas. Los 3 IS más frecuentes en ambos periodos y ámbitos asistenciales fueron: pruebas diagnósticas, dispositivos médicos/equipamientos/mobiliario clínico y gestión organizativa/citaciones. En los EM los fallos de dosis y selección inapropiada fueron los más frecuentes en ambos ámbitos y periodos. No hubo diferencias relevantes en las consecuencias para el paciente en ambos periodos. Conclusiones: Durante la pandemia disminuyeron las notificaciones de seguridad del paciente, aunque se mantuvieron los tipos más frecuentes, así como su impacto en el paciente, tanto en hospitales como en atención primaria. La cultura de seguridad de las organizaciones es un aspecto crítico para el mantenimiento de los sistemas de notificación. © 2022 FECA

Keywords

Covid-19EpidemiologyHumanHumansIncident reportingMedication errorMedication errorsPandemicPandemicsPatient safetyRetrospective studiesRetrospective studyRisk management

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Journal Of Healthcare Quality Research, Q4 Agency Scopus (SJR), its regional focus and specialization in Health Policy, give it significant recognition in a specific niche of scientific knowledge at an international level.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 4.89, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Jun 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-06-18, the following number of citations:

  • Scopus: 7
  • OpenCitations: 7

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-06-18:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 30.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 53 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 5.05.
  • The number of mentions on the social network X (formerly Twitter): 7 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: Last Author (Pardo Hernández, Alberto).