Maria Pilar Astier Peña

• Ph D
• Medical Doctor at Gerencia Territorial Camp de Tarragona.Institut Catala de la Salut

Objetivos Conocer el impacto de los médicos jubilados (MJ) en los próximos años. Identificar el comportamiento de los MJ como pacientes y el papel de la Medicina de Familia (MF) como médicos de médicos (MdM) Pacientes y métodos Revisión de la demografía médica en relación con la jubilación y su futuro impacto en las consultas de MF en España. Estud...

Background: The COVID-19 pandemic has affected the response capacity of the health care workforce, and health care professionals have been experiencing acute stress reactions since the beginning of the pandemic. In Spain, the first wave was particularly severe among the population and health care professionals, many of whom were infected. These pro...

Background: Physicians have not learned their role as patients. Medical associations focused mainly on mental health programs for doctors in different countries. Nevertheless, the anomalous behaviours of ill doctors exist independently of their health problem. We described the development and validation of a questionnaire to describe Behaviours and...

BACKGROUND COVID-19 became a major public health concern in March 2020. Due to the high rate of hospitalizations for COVID-19 in a short time, healthcare workers and other involved staff are subjected to extraordinary workload and high emotional distress. OBJECTIVE The objective of this study was to develop a digital tool to provide support resour...

Resumen Objetivo Determinar la frecuencia de eventos adversos evitables (EAE) en atención primaria (AP). Diseño Estudio retrospectivo de cohortes. Emplazamiento consultas de medicina de familia y pediatría de Andalucía, Aragón, Castilla La Mancha, Cataluña, Madrid, Navarra y Comunidad Valenciana. Participantes Se determinó revisar un mínimo de...

Background: The Ministry of Health, Consumption and Social Welfare (MHCSW) since 2005 has been promoting, in collaboration with the Autonomous Communities (AC) and the Scientific Societies (SC), among them the Spanish Society for Healthcare Quality (SSHCQ), the Patient Safety Strategy (PSS). PSS 2015-2020 develops relevant aspects of patient safet...

Introduction: Patient Safety Culture is based on learning from incidents, developing preventive strategies to reduce the likelihood to happen and recognizing and accompanying those who have suffered unnecessary and involuntary harm derived from the health care received. To go ahead on patient safety culture entails facilitating the implementation...

Resumen: En las últimas décadas el mundo de la medicina se ha familiarizado con la valoración de los conflictos de interés (CDI). En las revista científicas se ha generalizado el requisito de que los autores declaren sus CDI en relación con los artículos que proponen publicar; otros aspectos sensibles que merecen atención son los CDI en la toma de...

Seguridad del paciente; Prevencion cuaternaria; Sistema sanitario Resumen: La actividad médica despliega un conjunto de competencias encaminadas a mejorar el estado de salud de las personas. En este camino se realizan diagnósticos, se hacen elecciones de pruebas y tratamientos y se toman decisiones sobre hacer y no hacer que afectan a la vida de l...

Background: Disclosing information to a patient who is a victim of an adverse event (AE) presents some particularities depending on the legal framework in the country where the AE occurred. The aim of this study is to identify the limits and conditions when apologizing to a patient who has suffered an AE. Methods: A consensus conference involvin...

Purpose To summarize the knowledge about the aftermath of adverse events (AEs) and develop a recommendation set to reduce their negative impact in patients, health professionals and organizations in contexts where there is no previous experiences and apology laws are not present. Data sources Review studies published between 2000 and 2015, institu...

Objective: To identify the Spanish studies conducted since 2014 on second victims. Its main objective was to identify a global response to the second victim problem, assessing the impact of adverse events (AE) on caregivers and developing of a set of tools to reduce their impact. Method: Descriptive studies in which a sample of managers and safe...

Background: Adverse events (AE) are also the cause of suffering in health professionals involved. This study was designed to identify and analyse organization-level strategies adopted in both primary care and hospitals in Spain to address the impact of serious AE on second and third victims. Methods: A cross-sectional study was conducted in heal...

Adverse events (AEs) cause harm in patients and disturbance for the professionals involved in the event (second victims). This study assessed the impact of AEs in primary care (PC) and hospitals in Spain on second victims. A cross-sectional study was conducted. We carried out a survey based on a random sample of doctors and nurses from PC and hospi...

Knowledge about safety culture improves patient safety (PS) in health-care organizations. The first contact a patient has with health care occurs at the primary level. We conducted a survey to measure patient safety culture (PSC) among primary care professionals (PCPs) of health centres (HCs) in Spain and analyzed PS dimensions that influence PSC....

Objective: To adapt the Medical Office Survey on Patient Safety Culture (MOSPSC) Excel(®) tool for its use by Primary Care Teams of the Spanish National Public Health System. Methods: The process of translation and adaptation of MOSPSC from the Agency for Healthcare and Research in Quality (AHRQ) was performed in five steps: Original version tra...

ObjetiveTo validate a tool to measure patient safety culture in Spanish primary care professionals.Methods Medical Office Survey on Patient Safety Culture (MOSPSC), from the Agency for Healthcare and Research in Quality (AHRQ). The process has been performed in five steps: original version traslation, conceptual equivalence evaluation, acceptabilit...

OBJECTIVE [corrected] To validate a tool to measure patient safety culture in Spanish primary care professionals. METHODS Medical Office Survey on Patient Safety Culture (MOSPSC), from the Agency for Healthcare and Research in Quality (AHRQ). The process has been performed in five steps: original version traslation, conceptual equivalence evaluati...

To analyse intratympanic gentamicin injection as a treatment option in patients with monolateral Ménière's disease resistant to medical treatment. Longitudinal, prospective, descriptive study of response to gentamicin treatment in 71 patients diagnosed with Ménière's disease and treated medically for more than a year, unsuccessfully. American Acade...

The experience and learning process of preparing a scientific conference programme, organising and conducting a conference ccompletes the quality circle with the quantitative and qualitative assessment of the process and results. The transmission of this experience and learning process through this paper will improve the performance of committees o...

The experience and learning process of preparing a scientific conference programme, organising and conducting a conference ccompletes the quality circle with the quantitative and qualitative assessment of the process and results. The transmission of this experience and learning process through this paper will improve the performance of committees o...

The study goal was to analyze the oncologic and functional outcomes of transoral laser microsurgery in the treatment of carcinoma of the supraglottic larynx. A total of 53 patients were included in this retrospective review between 2000 and 2006. The follow-up period was more than 2 years and the mean follow-up for all patients was 49 months. Tumou...

Objective To perform a self-assessment of the Scientific Committee of the 25th Conference of the Spanish Society for Quality in Healthcare held in Barcelona on October 2007 in order to identify improvement areas for future Conferences.

Background Preventive activities carried out in primary care have important variability that makes necessary to know which factors have an impact in order to establish future strategies for improvement. The present study has three objectives: 1) To describe the variability in the implementation of 7 preventive services (screening for smoking status...

Objectives To quantify and analyze mortality in patients on the Surgery Waiting List (SWL) and to evaluate its utility as a sentinel indicator.

Objectives: To quantify and analyze mortality in patients on the Surgery Waiting List (SWL) and to evaluate its utility as a sentinel indicator. Material and method: A descriptive study was performed in which patients deleted from the SWL after surgery or death at the Hospital Clínico Universitario de Zaragoza (Spain) from 1999-2002 were compared....

Objective To analyze healthcare quality assessment in prisons through a systematic review of the available scientific evidence.

Objective: To analyze healthcare quality assessment in prisons through a systematic review of the available scientific evidence. Material and method: A literature search was performed in Medline, Excerpta Medica, Índice Médico Español, the Cochrane Library, and the official web pages of prison administrations in various countries. Data on the organ...

Introducción. El proceso de modernización de la gestión de los centros sanitarios públicos basado en la implicación de los profesionales asistenciales en la gestión de los recursos, la calidad y el papel de los usuarios ha situado a los jefes de servicio o de unidades clínicas en la cadena de mando de control de gestión de los hospitales. Para llev...

On the basis of existing publications it would seem legitimate to assume that in a clinical test (CT) the difficulties inherent in the process of researcher- participant communication are in practice greater than desired. Similarly, the hypothesis is adopted that difficulties exist in the formal legibility of the documents of Informed Consent. We p...

Sobre la base de las publicaciones existentes parece lícito suponer que en un ensayo clínico (EC), las dificultades inherentes al proceso de comunicación investigador-participante son en la práctica mayores que las deseadas. Se asume asimismo la hipótesis de que existen deficiencias en la legibilidad formal de los documentos de consentimiento infor...

On the basis of existing publications it would seem legitimate to assume that in a clinical test (CT) the difficulties inherent in the process of researcher-participant communication are in practice greater than desired. Similarly, the hypothesis is adopted that difficulties exist in the formal legibility of the documents of Informed Consent. We pr...

La política de calidad centrada en el paciente aplicada a un servicio de microbiología lleva a centrar los programas de mejora en la detección de las necesidades de los profesionales sanitarios. El objetivo de este estudio ha sido analizar las necesidades de los servicios demandantes de pruebas a la sección de bacteriología y diseñar e implantar un...

Fundamento: El objetivo del estudio es explorar la percepción que tienen los participantes en un ensayo clínico de la información facilitada por el médico, en el proceso de captación y durante la realización del mismo, como fase previa a la realización de un cuestionario. Métodos: Estudio cualitativo mediante entrevistas semiestructuradas a sujetos...

Quality policies focussed on the patient and applied to a hospital microbiology laboratory have led us to investigate clinicians' needs when requesting test results. The aim of this study was to analyze these requirements and to implement a plan to improve attention to the clinicians, considered as direct customers, particularly in the process of p...

The aims of this paper are to identify and describe the germs that most frequently generate nosocomiai infections and whose transmission mechanism involves hospital installations; to Identify the critical installations in order to prevent the appearance of these hospital infections; to indicate the measures of maintenance, surveillance and control...

To know the role of drugs and their use from the point of view of the National Health System users. Development of a qualitative method: focal groups of discussion. SITE: Health Area 3 of Zaragoza (Spain) which belongs to the Spanish National Health System. Population: Groups of eight people who are representative of the rural and urban population....

To perform a self-assessment of the Scientific Committee of the 25th Conference of the Spanish Society for Quality in Healthcare held in Barcelona on October 2007 in order to identify improvement areas for future Conferences. Design: Applying PDCA methodology to the tasks undertaken by the Scientific Committee (SC) of the Conference. Plan: A descri...

Fundamento: El objetivo del estudio es explorar la percepción que tienen los participantes en un ensayo clínico de la información facilitada por el médico, en el proceso de captación y durante la realización del mismo, como fase previa a la realización de un cuestionario. Métodos: Estudio cualitativo mediante entrevistas semiestructuradas a sujetos...