Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations.

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, institutional websites and experts' opinions on patient safety.

Study Selection: Studies published and websites on open disclosure, and the second and third victims' phenomenon.

[Proposals for the study of the second victim phenomenon in Spanish Primary Care Centres and Hospitals].

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 safety coordinators from Hospitals and Primary Care were surveyed to determine the activities being carried out as regards second victims, as well as a sample of health professionals to describe their experience as a second victims.

What older complex chronic patients need to know about their everyday medication for safe drug use.

Objective: To determine whether elderly patients with complex drug regimens have enough information to ensure safe drug use.

Methods: A cross-sectional study was conducted in Spain based on interviews of a random sample of 265 patients aged over 65 and taking at least five drugs for multiple comorbidities. General practitioners reported on diagnoses, drugs, dosage and biochemical laboratory results.

A Spanish pillbox app for elderly patients taking multiple medications: randomized controlled trial.

Background: Nonadherence and medication errors are common among patients with complex drug regimens. Apps for smartphones and tablets are effective for improving adherence, but they have not been tested in elderly patients with complex chronic conditions and who typically have less experience with this type of technology.

Objective: The objective of this study was to design, implement, and evaluate a medication self-management app (called ALICE) for elderly patients taking multiple medications with the intention of improving adherence and safe medication use.