<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1560-4381</journal-id>
<journal-title><![CDATA[Correo Científico Médico]]></journal-title>
<abbrev-journal-title><![CDATA[ccm]]></abbrev-journal-title>
<issn>1560-4381</issn>
<publisher>
<publisher-name><![CDATA[Universidad Ciencias Médicas de Holguín]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1560-43812020000200543</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Análisis de incidentes y eventos adversos en la cirugía de catarata]]></article-title>
<article-title xml:lang="en"><![CDATA[Analysis of incidents and adverse events in cataract surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ricardo Suárez]]></surname>
<given-names><![CDATA[Fidel Saúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Almaguer]]></surname>
<given-names><![CDATA[Aymara Yusimy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ricardo Suárez]]></surname>
<given-names><![CDATA[Sara Liz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carballo Hechavarría]]></surname>
<given-names><![CDATA[Boris Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guío Concepción]]></surname>
<given-names><![CDATA[Mayté]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico Lucía Íñiguez Landín Centro Oftalmológico de Holguín ]]></institution>
<addr-line><![CDATA[Holguín ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Vladimir I. Lenin  ]]></institution>
<addr-line><![CDATA[Holguín ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>2</numero>
<fpage>543</fpage>
<lpage>559</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1560-43812020000200543&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1560-43812020000200543&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1560-43812020000200543&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La cirugía de catarata está entre los procedimientos más seguros en medicina, pero involucra acciones de varios miembros del equipo de salud, propensos a fallos ocasionales, que pueden resultar en serios daños a pacientes. La seguridad del paciente, serio tema de salud mundial.  Objetivo: Analizar incidentes y eventos adversos relacionados con la cirugía de catarata en el Centro Oftalmológico de Holguín.  Métodos:  Estudio longitudinal retrospectivo de cohorte con componente cualitativo. Las 2 192 cirugías de catarata realizadas durante 2018 se analizaron siguiendo el Protocolo de Londres. Después de seleccionar el equipo investigador, los datos fueron recogidos y organizados. Los incidentes y eventos adversos se identificaron adecuadamente. Las acciones inseguras y los factores contributivos fueron obtenidos por consenso, después de un análisis cualitativo. Se recomendaron estrategias para impedirlos.  Resultados:  Entre las 2 192 cirugías de la catarata realizadas, se identificaron 36 incidentes y 69 eventos adversos. Los incidentes más frecuentes fueron problemas relacionados con equipamiento médico (30,5%), escasa dilatación pupilar preoperatoria (25%) y demoras del tiempo quirúrgico (16,6%). Los eventos adversos más comunes resultaron: complicaciones transoperatorias severas (33,3%) y reintervenciones quirúrgicas (33,3%), en sus mayorías evitables o posiblemente evitables. Las acciones inseguras estaban principalmente relacionadas con el preoperatorio, cuyos factores contributivos fueron multifactoriales.  Conclusiones:  Los incidentes y los eventos adversos relacionados con la cirugía de catarata en el Centro Oftalmológico de Holguín fueron poco registrados. Los factores contributivos a las acciones inseguras involucraron a todo el equipo y pudieron evitarse.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT:  Introduction:  cataract surgery is among the safest procedures in medicine but it involves the actions of several health care professionals prone to occasional failures that can result in serious harm to patients. Patient safety is a serious global public health issue.  Objective:  to analyze incidents and adverse events related to cataract surgery in Holguín´s Ophthalmological Center.  Method:  a retrospective longitudinal cohort study with qualitative component was conducted. 2 192 cataract surgeries performed in 2018 were analyzed, following London Protocol. After selection of the research team, data were gathered and organized. Incidents and adverse events were appropriately identified. Unsafe actions and contributing factors were obtained by consensus after a qualitative analysis. Strategies for preventing them were recommended.  Results:  among the 2 192 cataract surgeries performed, 36 incidents and 69 adverse events were identified. The most frequent incidents were problems related to medical equipment (30.5%), scarce preoperative pupil dilation (25%) and delayed surgical time (16.6%). The most common adverse events were: severe trans-operative complications (33.3%) and surgical re-interventions (33.3%), most of them preventable, or probably preventable. Unsafe actions were mainly related to pre-operative and their contributing factors were multi-factorial.  Conclusions:  incidents and adverse events related to cataract surgery at Holguín´s Ophthalmological Center were under-reported. Contributing factors to unsafe actions involved the whole team and were preventable.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[seguridad del paciente]]></kwd>
<kwd lng="es"><![CDATA[eventos adversos]]></kwd>
<kwd lng="es"><![CDATA[cirugía de catarata]]></kwd>
<kwd lng="en"><![CDATA[patient safety]]></kwd>
<kwd lng="en"><![CDATA[adverse events]]></kwd>
<kwd lng="en"><![CDATA[cataract surgery]]></kwd>
</kwd-group>
</article-meta>
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