Incidents and adverse events notification system in a post-cardiac surgery unit. initial experience

Methods PSG developed an IAENS in February 2014. After its approval by Hospital Ethical and Clinical Security Committees it was implemented in the PCSU on April as first essay before its generalization to the whole IMS. IAENS consists in a voluntary and anonymous report of adverse events (AE) in paper form by IMS staff and related healthcare professionals. A prospective study of reported AE was performed for the period March 2014 to January 2015. Collected data about AE were date, place and nurse shift at which happened, free text report, number of patient admitted and nurse: patient ratio at that time, associated factors and classification in 12 groups (medication, airway, procedure, nosocomial infection, etc.), severity and preventability. We also collected data about patient (sex, age, length of stay, etc.) and professional category of the person who reported.