Estadísticas

 array:20 [
  "pii" => "13132767"
  "issn" => "00257753"
  "doi" => "10.1016/S0210-5705(09)71003-9"
  "estado" => "S300"
  "fechaPublicacion" => "2008-12-15"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Med Clin. 2008;131 Supl 3:12-7"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 113917
    "formatos" => array:3 [
      "EPUB" => 9
      "HTML" => 90096
      "PDF" => 23812
    ]
  ]
  "itemSiguiente" => array:16 [
    "pii" => "13132768"
    "issn" => "00257753"
    "doi" => "10.1016/S0210-5705(09)71003-9"
    "estado" => "S300"
    "fechaPublicacion" => "2008-12-15"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Med Clin. 2008;131 Supl 3:18-25"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 113223
      "formatos" => array:3 [
        "EPUB" => 10
        "HTML" => 89259
        "PDF" => 23954
      ]
    ]
    "es" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Análisis de la cultura sobre seguridad del paciente en los hospitales del Sistema Nacional de Salud español"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "18"
          "paginaFinal" => "25"
        ]
      ]
      "contieneResumen" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "PJ Saturno, ZA Da Silva Gama, SL de Oliveira-Sousa, YA Fonseca, AC De Souza-Oliveira, Grupo Proyecto ISEP"
          "autores" => array:6 [
            0 => array:2 [
              "Iniciales" => "PJ"
              "apellidos" => "Saturno"
            ]
            1 => array:2 [
              "Iniciales" => "ZA"
              "apellidos" => "Da Silva Gama"
            ]
            2 => array:2 [
              "Iniciales" => "SL"
              "apellidos" => "de Oliveira-Sousa"
            ]
            3 => array:2 [
              "Iniciales" => "YA"
              "apellidos" => "Fonseca"
            ]
            4 => array:2 [
              "Iniciales" => "AC"
              "apellidos" => "De Souza-Oliveira"
            ]
            5 => array:2 [
              "nombre" => "Grupo"
              "apellidos" => "Proyecto ISEP"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13132768?idApp=UINPBA00004N"
    "url" => "/00257753/00000131000000S3/v0_201307291447/13132768/v0_201307291447/es/main.assets"
  ]
  "itemAnterior" => array:16 [
    "pii" => "13132766"
    "issn" => "00257753"
    "doi" => "10.1016/S0210-5705(09)71003-9"
    "estado" => "S300"
    "fechaPublicacion" => "2008-12-15"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Med Clin. 2008;131 Supl 3:4-11"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 112693
      "formatos" => array:3 [
        "EPUB" => 12
        "HTML" => 89104
        "PDF" => 23577
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Resultados de la estrategia en seguridad del paciente del Sistema Nacional de Salud español, período 2005-2007"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "4"
          "paginaFinal" => "11"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "The Spanish National Health System patient safety strategy, results for the period 2005-2007"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "E Terol, Y Agra, MM Fernández-Maíllo, J Casal, E Sierra, B Bandrés, MJ García, P del Peso"
          "autores" => array:8 [
            0 => array:2 [
              "Iniciales" => "E"
              "apellidos" => "Terol"
            ]
            1 => array:2 [
              "Iniciales" => "Y"
              "apellidos" => "Agra"
            ]
            2 => array:2 [
              "Iniciales" => "MM"
              "apellidos" => "Fernández-Maíllo"
            ]
            3 => array:2 [
              "Iniciales" => "J"
              "apellidos" => "Casal"
            ]
            4 => array:2 [
              "Iniciales" => "E"
              "apellidos" => "Sierra"
            ]
            5 => array:2 [
              "Iniciales" => "B"
              "apellidos" => "Bandrés"
            ]
            6 => array:2 [
              "Iniciales" => "MJ"
              "apellidos" => "García"
            ]
            7 => array:2 [
              "Iniciales" => "P"
              "apellidos" => "del Peso"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13132766?idApp=UINPBA00004N"
    "url" => "/00257753/00000131000000S3/v0_201307291447/13132766/v0_201307291447/es/main.assets"
  ]
  "es" => array:11 [
    "idiomaDefecto" => true
    "titulo" => "La investigación sobre seguridad del paciente: necesidades y perspectivas"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "12"
        "paginaFinal" => "17"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "C Aibar-Remón, JM Aranaz-Andrés, JI García-Montero, R Mareca-Doñate"
        "autores" => array:4 [
          0 => array:3 [
            "Iniciales" => "C"
            "apellidos" => "Aibar-Remón"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:3 [
            "Iniciales" => "JM"
            "apellidos" => "Aranaz-Andr&#233;s"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "affb"
              ]
            ]
          ]
          2 => array:3 [
            "Iniciales" => "JI"
            "apellidos" => "Garc&#237;a-Montero"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "affc"
              ]
            ]
          ]
          3 => array:3 [
            "Iniciales" => "R"
            "apellidos" => "Mareca-Do&#241;ate"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Hospital Clínico Universitario Lozano Blesa. Universidad de Zaragoza. Zaragoza."
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
          1 => array:3 [
            "entidad" => "Universidad Miguel Hernández. Hospital Sant Joan d¿Alacant. Sant Joan d¿Alacant. Alicante."
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "affb"
          ]
          2 => array:3 [
            "entidad" => "Hospital Ernest Lluch. Calatayud. Zaragoza. España."
            "etiqueta" => "<span class="elsevierStyleSup">c</span>"
            "identificador" => "affc"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Research on patient safety&#58; needs and perspectives"
      ]
    ]
    "pdfFichero" => "2v131nSupl.3a13132767pdf001.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec221278"
          "palabras" => array:3 [
            0 => "Evaluaci&#243;n del riesgo"
            1 => "Seguridad de pacientes"
            2 => "Investigaci&#243;n"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec221279"
          "palabras" => array:3 [
            0 => "Risk assessment"
            1 => "Safety"
            2 => "Research"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:1 [
        "resumen" => "Una atenci&#243;n sanitaria segura requiere aplicar procedimientos y pr&#225;cticas con demostrada efectividad para reducir la aparici&#243;n de fallos&#44; errores y resultados adversos y tambi&#233;n generar nuevos conocimientos sobre los factores que contribuyen a mejorar la seguridad del paciente&#46; Los resultados adversos y la seguridad del paciente no son conceptos distintos&#44; sino las dos caras de una misma moneda&#58; el riesgo asistencial&#46; Debemos procurar que la prioridad de sanitarios y gestores sea la seguridad del paciente antes que las consecuencias de su deterioro&#46; Son &#225;reas fundamentales de investigaci&#243;n&#58; estimar la magnitud y las caracter&#237;sticas del riesgo cl&#237;nico&#44; comprender los factores que contribuyen a la aparici&#243;n de resultados adversos&#44; evaluar el impacto de los resultados adversos en el sistema sanitario e identificar soluciones efectivas&#44; factibles y sostenibles para lograr una atenci&#243;n segura&#46; Las cuestiones clave al elaborar proyectos de investigaci&#243;n sobre seguridad del paciente son&#58; los objetivos del proyecto&#44; su prioridad&#44; la calidad de los datos e informaci&#243;n&#44; los recursos disponibles y la metodolog&#237;a&#46; El estudio de la seguridad del paciente y los resultados adversos precisa de dos perspectivas complementarias&#58; una colectiva&#44; fundamentada en el m&#233;todo epidemiol&#243;gico y orientada a cuantificar los riesgos asistenciales&#44; y otra individual&#44; basada en m&#233;todos cualitativos&#44; encaminada a analizar las causas y los factores contribuyentes&#46; Para mejorar la investigaci&#243;n sobre seguridad del paciente son necesarios&#58; mejores sistemas de informaci&#243;n&#44; mayor colaboraci&#243;n entre los pa&#237;ses desarrollados y pa&#237;ses en transici&#243;n y formaci&#243;n y difusi&#243;n amplia de experiencias y resultados de los proyectos&#46;"
      ]
      "en" => array:1 [
        "resumen" => "A safe health care system requires applying procedures and practices that have demonstrated effectiveness in reducing errors&#44; faults and adverse events in health care&#44; but it also needs to update its knowledge on the factors that contribute to improve patient safety&#46; Adverse events and patient safety are two sides of the same coin&#44; clinical risk&#46; We must ensure that the priority of health managers and providers is aimed at patient safety more than adverse events&#46; They are some fundamental areas of research in patient safety&#58; to estimate the magnitude and features of the clinical risk&#44; to understand the factors contributing to the appearance of adverse events&#44; to evaluate the impact of adverse events on health care system and to identify effective&#44; feasible and sustainable solutions to achieve a safe health care&#46; Key points of patient safety research projects are&#58; aims of research&#44; priority&#44; data and information quality&#44; available resources and methodology&#46; The study of the patient safety and adverse events needs two complementary perspectives&#58; a collective one&#44; based on epidemiological methods and aimed at quantifying the risks in healthcare&#44; and an individual one&#44; based on qualitative methods&#44; to analyze causes and factors contributing to adverse events&#46; Several things are required to improve the patient safety research&#58; better data and information systems&#44; greater collaboration in training between developed and transitional countries&#44; and wider dissemination of experiences and results of the projects&#46; Key points of patient safety research projects are&#58; aims of research&#44; priority&#44; data and information quality&#44; available resources and methodology&#46; The study of the patient safety and adverse events needs two complementary perspectives&#58; a collective&#44; based on epidemiological method and guided to quantifying the risks of healthcare&#44; and another individual&#44; based on qualitative methods&#44; to analyze causes and contributing factors of adverse events&#46; To improve the patient safety research are necessary&#58; better data and information systems&#44; bigger collaboration between developed and transitional countries training and wide dissemination of experiences and results of the projects&#46;"
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/00257753/00000131000000S3/v0_201307291447/13132767/v0_201307291447/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "16774"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "La seguridad del paciente&#58; una estrategia prioritaria para el Sistema Nacional de Salud espa&#241;ol"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/00257753/00000131000000S3/v0_201307291447/13132767/v0_201307291447/es/2v131nSupl.3a13132767pdf001.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/13132767?idApp=UINPBA00004N"
]