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Gaceta Sanitaria

Print version ISSN 0213-9111


MIRA, José Joaquín; CARRILLO, Irene  and  LORENZO, Susana. What are hospitals and primary care doing to mitigate the social impact of serious adverse events. Gac Sanit [online]. 2017, vol.31, n.2, pp.150-153. ISSN 0213-9111.


To explore what hospitals and primary care (PC) are doing to reduce the negative social impact of a serious adverse event (AE).


We surveyed 195 hospital (n = 113) and PC (n = 82) managers from eight autonomous communities to explore the level of implementation of five interventions recommended after an AE to protect the reputation of healthcare institutions.


Most institutions (70, 45.2% PC, and 85, 54.8% hospitals) did not have a crisis plan to protect their reputation after an AE. Internal (p = 0.0001) and external (p = 0.012) communications were addressed better in PC than in hospitals. Very few institutions had defined the managers’ role in case of an AE (10.7% hospitals versus 6.25% PC).


A majority of healthcare institutions have not planned crisis intervention after an AE with severe consequences nor have they defined plans to recover citizens’ trust after an AE.

Keywords : Patient safety; Adverse events; Medical errors; Health professionals; Hospital; Primary care.

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