Risk management in Primary Care: paediatric cases
Reference of this article: Sanz Álvarez D, Bermejo Crespo J, Martínez López FJ. Risk management in Primary Care: paediatric cases. Rev Pediatr Aten Primaria. 2005;7:395-406.
Published in Internet: 30-09-2005 - Visits: 4339
Objective: To assess the safety of health care to patients in paediatric age, analysing the
patrimonial responsibility dossiers against the extinguished Insalud.
Material and methods: An observational, descriptive, transversal study; it were analysed
all 56 dossiers in paediatric age by a work team with a large professional experience in Primary settings was conformed. A technical document with proceedings and clinical specific
judgement was accorded. The statistic analysis was made with the SPSS version 11 and
S-Plus version 6.0 programs.
Results: The paediatric cases accounted for 12.64% of total (443) of claims in primary
care in the analysed period (1995-2001); the average age of 4.81 years, being the males
In 53.57% of administrative dossiers there had not clinical records or its quality was
not acceptable. Physical or organic sequelae were present in 53.75%; and death in 23.21%.
Diagnostic error was identified in 64.30% of claims, and probable medical malpractice in
35.71% of cases (37% in global study). According with CIE-9, groups XVII (28, 57%), VI
(10.71%), VIII (8.92%),X (8.92%) and XVI (8.92%) were prevalent.
Conclusions: The pediatric cases analysis give better results than that we found in the
overall number in primary care. The majority of claims are based on alleged medical errors.
The rural areas deserved by general practitioners, present an increased risk of medical malpractice.
When the attendant physician was paediatrician the minor percentage of malapraxis
was found. To implement specific programmes of risk healthcare management will help
to increase the quality and safety of patients.
Keywords● Paediatrics ● Primary Care ● Risk Management ● Safety