array:24 [
  "pii" => "S2173572713000726"
  "issn" => "21735727"
  "doi" => "10.1016/j.medine.2012.11.004"
  "estado" => "S300"
  "fechaPublicacion" => "2013-08-01"
  "aid" => "532"
  "copyright" => "Elsevier España, S.L. and SEMICYUC"
  "copyrightAnyo" => "2012"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Med Intensiva. 2013;37:391-9"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3350
    "formatos" => array:3 [
      "EPUB" => 152
      "HTML" => 2327
      "PDF" => 871
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S021056911200321X"
      "issn" => "02105691"
      "doi" => "10.1016/j.medin.2012.11.002"
      "estado" => "S300"
      "fechaPublicacion" => "2013-08-01"
      "aid" => "532"
      "copyright" => "Elsevier España, S.L. and SEMICYUC"
      "documento" => "article"
      "crossmark" => 0
      "subdocumento" => "fla"
      "cita" => "Med Intensiva. 2013;37:391-9"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 6345
        "formatos" => array:3 [
          "EPUB" => 154
          "HTML" => 3689
          "PDF" => 2502
        ]
      ]
      "es" => array:12 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Original</span>"
        "titulo" => "Errores de medicaci&#243;n en los servicios de Medicina Intensiva espa&#241;oles"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "tieneResumen" => array:2 [
          0 => "es"
          1 => "en"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "391"
            "paginaFinal" => "399"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Medication errors in Spanish intensive care units"
          ]
        ]
        "contieneResumen" => array:2 [
          "es" => true
          "en" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "P&#46; Merino, M&#46;C&#46; Mart&#237;n, A&#46; Alonso, I&#46; Guti&#233;rrez, J&#46; &#193;lvarez, F&#46; Becerril"
            "autores" => array:7 [
              0 => array:2 [
                "nombre" => "P&#46;"
                "apellidos" => "Merino"
              ]
              1 => array:2 [
                "nombre" => "M&#46;C&#46;"
                "apellidos" => "Mart&#237;n"
              ]
              2 => array:2 [
                "nombre" => "A&#46;"
                "apellidos" => "Alonso"
              ]
              3 => array:2 [
                "nombre" => "I&#46;"
                "apellidos" => "Guti&#233;rrez"
              ]
              4 => array:2 [
                "nombre" => "J&#46;"
                "apellidos" => "&#193;lvarez"
              ]
              5 => array:2 [
                "nombre" => "F&#46;"
                "apellidos" => "Becerril"
              ]
              6 => array:1 [
                "colaborador" => "coordinadores del estudio SYREC"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2173572713000726"
          "doi" => "10.1016/j.medine.2012.11.004"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572713000726?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021056911200321X?idApp=WMIE"
      "url" => "/02105691/0000003700000006/v1_201307251510/S021056911200321X/v1_201307251510/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2173572713000702"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2013.01.007"
    "estado" => "S300"
    "fechaPublicacion" => "2013-08-01"
    "aid" => "559"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and SEMICYUC"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "ssu"
    "cita" => "Med Intensiva. 2013;37:416-22"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2646
      "formatos" => array:3 [
        "EPUB" => 209
        "HTML" => 1727
        "PDF" => 710
      ]
    ]
    "en" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Review</span>"
      "titulo" => "Role of biomarkers in the differential diagnosis of acute respiratory failure in the immediate postoperative period of lung transplantation"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "416"
          "paginaFinal" => "422"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Papel de los biomarcadores en el diagn&#243;stico diferencial de la insuficiencia respiratoria aguda en el postoperatorio inmediato del trasplante pulmonar"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "L&#46; Ruano, J&#46; Sacanell, A&#46; Roman, J&#46; Rello"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Ruano"
            ]
            1 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Sacanell"
            ]
            2 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Roman"
            ]
            3 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Rello"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0210569113000089"
        "doi" => "10.1016/j.medin.2013.01.005"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569113000089?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572713000702?idApp=WMIE"
    "url" => "/21735727/0000003700000006/v1_201310310047/S2173572713000702/v1_201310310047/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2173572713000714"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2012.07.010"
    "estado" => "S300"
    "fechaPublicacion" => "2013-08-01"
    "aid" => "489"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and SEMICYUC"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Med Intensiva. 2013;37:375-82"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2733
      "formatos" => array:3 [
        "EPUB" => 152
        "HTML" => 1862
        "PDF" => 719
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original</span>"
      "titulo" => "Utility of diffusion-weighted magnetic resonance imaging in severe focal traumatic brain injuries"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "375"
          "paginaFinal" => "382"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Utilidad de la resonancia magn&#233;tica potenciada en difusi&#243;n en pacientes con lesiones focales por traumatismo craneoencef&#225;lico grave"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1220
              "Ancho" => 1663
              "Tamanyo" => 112233
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Patient outcome according to the ADC findings&#44; globally and corresponding to the three measurement timepoints&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "F&#46; Prieto-Valderrey, J&#46;R&#46; Mu&#241;iz-Montes, J&#46;A&#46; L&#243;pez-Garc&#237;a, J&#46; Villegas-del Ojo, J&#46; M&#225;laga-Gil, R&#46; Galv&#225;n-Garc&#237;a"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Prieto-Valderrey"
            ]
            1 => array:2 [
              "nombre" => "J&#46;R&#46;"
              "apellidos" => "Mu&#241;iz-Montes"
            ]
            2 => array:2 [
              "nombre" => "J&#46;A&#46;"
              "apellidos" => "L&#243;pez-Garc&#237;a"
            ]
            3 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Villegas-del Ojo"
            ]
            4 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "M&#225;laga-Gil"
            ]
            5 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Galv&#225;n-Garc&#237;a"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0210569112002318"
        "doi" => "10.1016/j.medin.2012.07.002"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569112002318?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572713000714?idApp=WMIE"
    "url" => "/21735727/0000003700000006/v1_201310310047/S2173572713000714/v1_201310310047/en/main.assets"
  ]
  "en" => array:20 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Original</span>"
    "titulo" => "Medication errors in Spanish intensive care units"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "391"
        "paginaFinal" => "399"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "P&#46; Merino, M&#46;C&#46; Mart&#237;n, A&#46; Alonso, I&#46; Guti&#233;rrez, J&#46; &#193;lvarez, F&#46; Becerril"
        "autores" => array:7 [
          0 => array:4 [
            "nombre" => "P&#46;"
            "apellidos" => "Merino"
            "email" => array:1 [
              0 => "pazmerino&#64;telefonica&#46;net"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "M&#46;C&#46;"
            "apellidos" => "Mart&#237;n"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Alonso"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "I&#46;"
            "apellidos" => "Guti&#233;rrez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "J&#46;"
            "apellidos" => "&#193;lvarez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">e</span>"
                "identificador" => "aff0025"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "F&#46;"
            "apellidos" => "Becerril"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">f</span>"
                "identificador" => "aff0030"
              ]
            ]
          ]
          6 => array:1 [
            "colaborador" => "SYREC Study Investigators"
          ]
        ]
        "afiliaciones" => array:6 [
          0 => array:3 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital Can Misses&#44; Ibiza&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital de Torrej&#243;n&#44; Torrej&#243;n&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital de Fuenlabrada&#44; Fuenlabrada&#44; Spain"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital Cl&#237;nico Universitario Lozano Blesa&#44; Zaragoza&#44; Spain"
            "etiqueta" => "d"
            "identificador" => "aff0020"
          ]
          4 => array:3 [
            "entidad" => "Servicio de Farmacia&#44; Hospital de Fuenlabrada&#44; Fuenlabrada&#44; Spain"
            "etiqueta" => "e"
            "identificador" => "aff0025"
          ]
          5 => array:3 [
            "entidad" => "Servicio de Farmacia&#44; Hospital Can Misses&#44; Ibiza&#44; Spain"
            "etiqueta" => "f"
            "identificador" => "aff0030"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Errores de medicaci&#243;n en los servicios de Medicina Intensiva espa&#241;oles"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">It is now recognized that providing medical care entails excessive risks compared with other activities or even with other situations considered to pose risks&#46; In addition to the personal patient health consequences of such excessive risks&#44; mention must be made of their important economic and social impact&#46; Consequently&#44; the identification and prevention of these risks constitute a priority concern for the quality policies of healthcare systems&#44; with implication of the health authorities and organizations of many developed countries&#44; including Spain&#44;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> in addition to international organizations such as the European Union&#44; the European Council&#44; and the World Health Organization &#40;WHO&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">In this context&#44; reference multicenter studies have been made in different countries with the purpose of globally analyzing the adverse events &#40;AEs&#41; associated with medical care in hospitals&#8211;the estimated incidence varying between 4 and 17&#37;&#46; These studies have found problems related with the use of drugs to be one of the most frequent types of AEs&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">In Spain&#44; the National Study on Adverse Effects &#40;<span class="elsevierStyleItalic">Estudio Nacional de Efectos Adversos</span>&#44; ENEAS 2005&#41; confirmed these results&#46; Approximately 10&#37; of the patients reporting to hospital presented AEs&#44; and drugs were likewise the most frequent cause &#40;37&#46;4&#37;&#41;&#46; Furthermore&#44; of these events&#44; a large proportion &#40;34&#46;8&#37;&#41; were avoidable&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">In relation to medication use&#44; it must be remembered that in addition to the intrinsic risk of adverse reactions when used under appropriate conditions&#44; drug substances also cause many AEs as a consequence of failure or error during their clinical use&#46; Such events are referred to as &#8220;medication errors&#8221; &#40;MEs&#41;&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">In the context of &#8220;safe drug use&#8221;&#44; it is stressed that in order to guarantee patient safety&#44; error-proof drug utilization systems must be developed&#44; with the adoption of measures to ensure that the risk is minimized&#44; or at least to ensure that any such errors do not cause patient harm&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">The problem is particularly important in critically ill patients&#44; where drug substances constitute one of the main management resources&#46; The fact that many of the drugs are considered to pose a high risk and are administered via the intravenous route&#44; together with the severity and complexity of these patients&#44; and the need for optimum communication among the different professionals&#44; all contribute to increase the risk of AEs&#46;<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5&#8211;8</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">In Spain there is little information available on AEs in the critical care setting&#44; and there are even fewer data referred to medication-related AEs&#46; For this reason&#44; a collaboration agreement was established between the Spanish Ministry of Health and the Spanish Society of Intensive Care Medicine &#40;<span class="elsevierStyleItalic">Sociedad Espa&#241;ola de Medicina Intensiva&#44; Cr&#237;tica y Unidades Coronarias</span>&#44; SEMICYUC&#41; for conducting the multicenter &#8220;Safety and Risk in the Critical Patient&#8221; &#40;&#8220;<span class="elsevierStyleItalic">Seguridad y Riesgo en el Enfermo Critico</span>&#8221;&#44; SYREC&#41; trial&#44; with the aim of establishing the incidence of AEs and of no-harm incidents &#40;NHIs&#41;&#44; classifying them and evaluating their impact and avoidability&#46; The results of this trial have recently been published&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">The objectives of this study were to estimate the incidence of medication-related NHIs and AEs in the Spanish Intensive Care Units &#40;ICUs&#41;&#44; and to analyze their characteristics&#44; severity and avoidability&#44; based on the findings of the SYREC trial&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Patients and methods</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Design</span><p id="par0045" class="elsevierStylePara elsevierViewall">A longitudinal observational study with 24<span class="elsevierStyleHsp" style=""></span>h of follow-up was carried out&#44; involving a cohort of patients admitted to the ICUs participating in the post hoc study of the SYREC trial&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Inclusion criteria</span><p id="par0050" class="elsevierStylePara elsevierViewall">The study comprised all patients admitted to the participating ICUs during the observation period&#44; including those admitted&#44; those discharged&#44; and those who died during the 24<span class="elsevierStyleHsp" style=""></span>h of follow-up&#46; We included the NHIs and AEs that occurred&#44; were detected and reported during the observation period in the Unit&#44; as well as those incidents and events occurring outside the Unit but which represented the reason for admission to the latter&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Variables and measurements</span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Primary</span><p id="par0055" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Incidence of MEs</span> &#40;risk&#44; individual risk and rate&#41;&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Secondary</span><p id="par0060" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Related to the hospital and the ICU&#58;</span> number of hospital beds&#44; number of beds in the ICU&#44; type of Unit &#40;clinical&#44; surgical&#44; coronary&#44; traumatologic&#44; polyvalent&#44; pediatric&#44; others&#41;&#44; degree of occupation and work load quantified by means of the &#8220;<span class="elsevierStyleItalic">Nine Equivalents of nursing Manpower use Score&#8221;</span> &#40;NEMS&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a></p><p id="par0065" class="elsevierStylePara elsevierViewall">Related to the patient&#58; age and sex&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Characteristics of the ME&#58;</span> process or step in the therapeutic chain in which the error originated and type of error according to the ME classification of the Ruiz-Jarabo group&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a></p><p id="par0075" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Severity of the ME&#58;</span> this was assessed based on an adaptation of the ME classification of the Ruiz-Jarabo group&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> The changes introduced affected categories A and B&#44; which were merged&#46; Because of the difficulties sometimes found in assessing the consequences of the incident&#44; we added a new category&#58; category D &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0080" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Avoidability of the ME&#58;</span> in accordance with assessment as established by the observer&#44; NHIs and AEs were classified as totally avoidable&#44; possibly avoidable&#44; possibly unavoidable and unavoidable&#46;</p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Procedure</span><p id="par0085" class="elsevierStylePara elsevierViewall">All Spanish ICUs &#40;220 in total&#41; were invited to participate through the SEMICYUC website&#44; by e-mail and conventional mail&#46; One hundred Units accepted&#44; of which 21 finally did not complete the study and were thus excluded&#46; With the purpose of standardizing the data collection criteria&#44; two coordinators were assigned in each Unit&#8211;a physician and nurse&#8211;and received a document with the study design and instructions&#44; as well as supporting and training material for distribution among all the professionals of the Unit before the start of the observation period&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">For data collection we developed a questionnaire that was distributed in paper format&#46; On the day of the study all the physicians&#44; nurses and auxiliary personnel completed the corresponding questionnaires on a voluntary and anonymous basis&#46; The coordinators of each center checked correct completion of the questionnaires and converted them to electronic &#40;digital&#41; format for submission to the principal study investigators by e-mail&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Data collection quality control</span><p id="par0095" class="elsevierStylePara elsevierViewall">All the reported incidents were individually reviewed by the principal study investigators&#46; A consensus meeting was then held to examine the discrepancies and decide their inclusion or exclusion&#44; as well as to reclassify those data which were considered to have been wrongly classified&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">Statistical analysis</span><p id="par0100" class="elsevierStylePara elsevierViewall">The univariate analyses included the absolute frequency measures for each center&#44; i&#46;e&#46;&#44; number of patients&#44; total number of MEs&#44; NHIs&#44; AEs&#44; and the rest of the study variables&#46; As relative frequency measures we calculated the risk &#40;cumulative incidence&#41; and the rate &#40;incidence density&#41; for each ME&#44; NHI and AE&#46; <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> describes the definitions used&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0105" class="elsevierStylePara elsevierViewall">Qualitative variables were reported as frequency distributions&#46; As central tendency measures for the quantitative variables we used the mean and standard deviation &#40;SD&#41; as a measure of dispersion&#44; or the median and interquartile range &#40;IQR&#41; in the case of asymmetrical distributions&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">In the bivariate analyses&#44; use was made of the chi-squared test to explore possible associations between qualitative variables&#46; Differences in means in turn were contrasted using the Student t-test for independent samples&#44; or analysis of variance &#40;ANOVA&#41; for more than two means when the variables showed a normal distribution&#44; following evaluation of the homogeneity of variances&#46; In the case of asymmetrical distributions we used the median test as hypothesis contrasting test&#46; Statistical significance was considered for p &#60; 0&#46;05&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">The data obtained were entered in a MS Access database&#44; followed by statistical processing with the SPSS version 15&#46;0 statistical package&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0145">Confidentiality and ethical aspects</span><p id="par0120" class="elsevierStylePara elsevierViewall">The confidentiality and anonymity of the information obtained in relation to the patients&#44; professionals and ICUs participating in the study were observed at all times&#46; The results of this study are not binding for the professionals or for the patients in any direct way&#44; and both the positive and the negative results have been published&#46; Since the study was of an observational nature&#44; with no interventions of any kind&#44; the obtainment of informed consent was not considered necessary&#46; Each ICU was responsible for obtaining the pertinent permissions at local level&#46;</p></span></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0150">Results</span><p id="par0125" class="elsevierStylePara elsevierViewall">Seventy-nine ICUs pertaining to 76 hospitals participated in the study&#46; A total of 84&#37; of the participating ICUs belonged to large or medium sized hospital centers&#46; In relation to the type of Unit&#44; most were polyvalent ICUs&#44; particularly in the small and medium-sized hospitals &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#41;&#46; Mean ICU occupation on the day of follow-up was 80&#37; &#40;IQR 64&#8211;99&#37;&#41;&#46; There was no statistically significant association between this variable and the size of the hospital&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0130" class="elsevierStylePara elsevierViewall">The nursing work load as rated with the NEMS was analyzed in the 65 hospitals for which such information was available&#46; A statistically significant association was observed between the mean work load and the size of the hospital&#44; with greater work loads in large hospitals than in small centers&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">A total of 1017 patients were included in the study&#46; Of these&#44; 591 &#40;58&#37;&#41; registered at least one incident &#91;381 &#40;64&#46;5&#37;&#41; males and 210 &#40;35&#46;5&#37;&#41; females&#93;&#46; Among the mentioned 591 patients&#44; 253 &#40;43&#37;&#41; suffered at least one ME&#46; The mean age of the males was 61&#46;52 years &#40;SD 16&#46;38&#41;&#44; versus 61&#46;84 years &#40;SD 17&#46;35&#41; in the case of the females&#46; The overall mean age was 61&#46;63 years &#40;SD 16&#46;72&#41;&#46; There were no statistically significant differences in terms of incidence between males and females&#46; Likewise&#44; the percentage of patients with MEs was similar&#44; independently of the size of the hospital &#40;p &#61; 0&#46;34&#41;&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">A total of 1424 incidents were reported&#46; Of these&#44; 350 &#40;25&#37;&#41; were medication-related&#44; and represented the most frequently reported type of incidents&#46; <a class="elsevierStyleCrossRef" href="#tbl0020">Table 4</a> shows the results corresponding to risk&#44; individual risk and rate for the reported MEs&#44; NHIs and AEs&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><p id="par0145" class="elsevierStylePara elsevierViewall">Regarding the characteristics of the MEs according to the process or step in the therapeutic chain in which they originated&#44; those occurring in the prescription phase were the most frequent &#40;34&#37; of all cases&#41;&#44; followed by administration-related MEs &#40;28&#37; of the total reported MEs&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0025">Table 5</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0025"></elsevierMultimedia><p id="par0150" class="elsevierStylePara elsevierViewall">Considering the possible consequences of the MEs based on the classification of severity&#44; 83&#37; were reported as NHIs principally corresponding to categories A and B &#40;<a class="elsevierStyleCrossRef" href="#tbl0030">Table 6</a>&#41;&#46; Medication errors related to prescription&#44; transcription&#44; dispensation and administration were the most frequent types resulting in NHIs&#46; The preparation and monitorization errors showed no significant differences in frequency between NHIs and AEs&#46;</p><elsevierMultimedia ident="tbl0030"></elsevierMultimedia><p id="par0155" class="elsevierStylePara elsevierViewall">Lastly&#44; the reported MEs were predominantly regarded as &#8220;totally avoidable&#8221; &#40;82&#37;&#41; compared with the rest of the avoidability categories&#46; In turn&#44; 98&#37; of the NHIs and 93&#37; of the AEs were regarded as &#8220;totally avoidable&#8221; or &#8220;probably avoidable&#8221; &#40;<a class="elsevierStyleCrossRef" href="#tbl0030">Table 6</a>&#41;&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0155">Discussion</span><p id="par0160" class="elsevierStylePara elsevierViewall">The ICU participation rate in our study &#40;33&#37;&#41; is similar to or even greater than in other national multicenter studies carried out to date&#46;<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">12&#44;13</span></a> This may reflect a growing interest in recent years in knowing the true situation of Spanish ICUs regarding patient safety&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a></p><p id="par0165" class="elsevierStylePara elsevierViewall">Among other contributing factors&#44; the appearance of ME in the ICU is conditioned by the severity of the patient and the work load of the nursing personnel&#44; which is usually related to the number of beds&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> However&#44; in our study&#44; although there were no statistically significant differences in either the occupation rate or in the number of patients attended by each nurse&#44; the NEMS was higher in the hospitals of larger size&#46; Despite this observation&#44; we found no statistically significant differences in ME incidence rate&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">Perhaps the size of the hospital is not an appropriate characteristic for grouping ICUs&#46; It therefore might be more interesting to seek a combination between the complexity of the patient and the work load of the professionals in order to classify the different types of Units with a view to conducting future studies of errors in critical patient care&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">According to the results of our study&#44; MEs were the most frequently reported incidents&#44; representing 25&#37; of the total&#46; These findings are consistent with those reported by the ENEAS study in Spain&#44; where the largest proportion of AEs detected in the hospital setting were likewise related to medication&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0180" class="elsevierStylePara elsevierViewall">In a more specific setting such as the ICU&#44; Valentin et al&#46;&#44; in an international multicenter study with a methodological design similar to our own&#44; confirmed that MEs are among the most frequently reported incidents&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a> It should be noted that the mentioned study differed from ours in relation to the types of MEs reported&#44; since only the most common errors were taken into account&#44; i&#46;e&#46;&#44; those that occur in the prescription and administration phases&#46; In contrast&#44; our study included all MEs detected in any phase of the therapeutic chain&#46;</p><p id="par0185" class="elsevierStylePara elsevierViewall">The &#8220;Adverse Drug Event Prevention Study&#8221;&#44;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> a reference publication on MEs in hospitalized patients combining review of the case histories with voluntary declaration of AEs&#44; explains the high incidence of MEs in the ICU as a consequence of the fact that critical patients receive twice as many drugs as the rest of patients&#46; Such findings have been confirmed by Cullen et al&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a></p><p id="par0190" class="elsevierStylePara elsevierViewall">Other reasons that would account for these results are the continuous changes in the clinical condition of the patients&#44; requiring modifications and dose adjustments&#59; the numerous treatments received &#40;many of which are considered to imply high risk&#41;&#59; use of the intravenous route as the most common administration route&#59; and the fact that in many cases the patients are under the effects of sedation&#44; which prevents them from detecting healthcare personnel errors by themselves&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">7&#44;8</span></a></p><p id="par0195" class="elsevierStylePara elsevierViewall">However&#44; the results derived from studies of this kind are highly variable&#44; and such variation may be influenced by the definition of ME used in the investigation&#59; the detection method used to determine this type of incident&#59; the pharmacotherapeutic groups involved&#59; the evaluated phase of the process or chain&#59; and the inclusion or exclusion of the different administration routes employed&#46; All this makes the comparison of such studies difficult&#46;<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">16&#44;17</span></a> In this context&#44; the findings can range from 1&#46;2 MEs per 1000 patients&#47;day when voluntary declaration is considered to 106 MEs per 1000 patients&#47;day when evaluating errors related to continuous perfusions&#44; or 947 MEs per 1000 patients&#47;day when evaluating errors in the prescription phase&#46;<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;19</span></a></p><p id="par0200" class="elsevierStylePara elsevierViewall">It is well known that MEs can occur in any phase of the therapeutic process&#44;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a> although they are more frequent during prescription and administration&#46; Our study&#44; with rates of 34&#37; and 28&#37; in these two phases&#44; respectively&#44; confirms the results obtained by other authors&#46;<a class="elsevierStyleCrossRefs" href="#bib0100"><span class="elsevierStyleSup">20&#8211;24</span></a></p><p id="par0205" class="elsevierStylePara elsevierViewall">It was not the aim of our study to analyze the causes of ME&#44; since the data collection form was not specifically designed for this purpose&#46; However&#44; in the same way as in the study published by Ridley et al&#46;&#44; it should be noted that most of the recorded prescription errors were attributable to ambiguous instructions&#44; incorrect nomenclature&#44; and illegible writing&#44;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a> while the most frequent situations referred to administration errors were omissions and delays in the timing of administration&#46; Similar data have been reported by Valentin et al&#46;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">25</span></a></p><p id="par0210" class="elsevierStylePara elsevierViewall">Regarding the definition of severity&#44; the lack of appropriate scales makes it even more difficult to establish a uniform definition&#44; and therefore to establish comparisons with other studies&#46; However&#44; most studies report a high rate of NHIs&#46;<a class="elsevierStyleCrossRefs" href="#bib0130"><span class="elsevierStyleSup">26&#44;27</span></a> In our case the observed rate was even higher&#58; 18 NHIs per 100 patients&#47;day&#44; representing 84&#37; of all MEs &#40;<a class="elsevierStyleCrossRef" href="#tbl0030">Table 6</a>&#41;&#46;</p><p id="par0215" class="elsevierStylePara elsevierViewall">As in any voluntary declaration study&#44; the professionals might feel intimidated to report cases of severe harm or injury in which they themselves are implicated&#46; However&#44; it should be underscored that in our study there were 51 reports of MEs &#40;14&#37;&#41; that caused reversible patient harm and 5 reports of MEs &#40;4&#37;&#41; that caused permanent damage&#8211;including one case resulting in patient death&#46;</p><p id="par0220" class="elsevierStylePara elsevierViewall">Regarding avoidability&#44; the MEs were mostly considered to be &#8220;totally avoidable&#8221;&#44; compared with the rest of possible avoidability categories&#46; In the same way as in other studies&#44;<a class="elsevierStyleCrossRefs" href="#bib0130"><span class="elsevierStyleSup">26&#8211;28</span></a> the confirmed fact that MEs are mostly avoidable &#40;93&#37; and 98&#37; of the AEs and NHIs&#44; respectively&#44; were avoidable in our study&#41; should cause us to reflect upon the advisability of adopting strategies designed precisely to avoid such situations&#46; The above considerations point to the need for furthering our knowledge of ME and its epidemiology in the critical patient&#46; Only a detailed analysis of the problem will allow us to define strategies capable of ensuring safer medication use&#46;</p><p id="par0225" class="elsevierStylePara elsevierViewall">Among the main limitations of our work&#44; it must be underscored that this has been a descriptive study&#44; and we are therefore unable to confirm any hypotheses referred to associations between variables&#46; Any possible associations will have to be confirmed in posterior analytical studies&#46;</p><p id="par0230" class="elsevierStylePara elsevierViewall">Under-reporting is a limitation inherent to studies that use a voluntary and anonymous reporting system as a tool for data collection&#44; and may be due to a lack of knowledge of what needs to be reported&#44; a lack of awareness that an error has been made&#44; or fear of reprisals&#46; This aspect may have influenced our study&#44; though we consider that there have also been other factors that have clearly conditioned reporting&#44; such as the fact that the study results may have been influenced by the selection bias inherent to those studies in which participation is voluntary&#46; In this context&#44; it is possible that participation in the study was more likely on the part of those hospitals with greater awareness and motivation referred to patient safety&#44; and therefore more inclined to report&#46; Having a medical and nursing coordinator in each participating hospital&#44; and the promotion of professional training may have contributed to increase reporting&#46; On the other hand&#44; the short data collection period involved &#40;24<span class="elsevierStyleHsp" style=""></span>h&#41; might also have favored involvement among the professionals&#44; motivating them to report incidents&#46; In view of the above&#44; we consider that&#44; overall&#44; our study favored the reporting of incidents&#46;</p><p id="par0235" class="elsevierStylePara elsevierViewall">It also must be commented that the SYREC trial was not specifically designed for the detection and reporting of MEs&#44;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> and that consequently the recorded incidence may have been less than would be expected from a study specifically designed for that purpose&#46; Furthermore&#44; in most of the reported MEs the implicated drug was not specified&#44; since the data collection form only required specification of the phase of the therapeutic process or chain in which the incident occurred&#46; For this reason it is not possible to perform a more rigorous analysis of the pharmacotherapeutic groups most often implicated in ME &#8211; in contrast to other studies found in the literature&#46;<a class="elsevierStyleCrossRefs" href="#bib0110"><span class="elsevierStyleSup">22&#44;23</span></a></p><p id="par0240" class="elsevierStylePara elsevierViewall">Another source of bias to be taken into account in studies of this kind&#44; and which may have influenced the number of reported MEs&#44; is the so-called Hawthorne effect&#44; consisting in our case of the adoption of safer medical practices on the day of the study because the professionals feel themselves to be watched&#46;</p><p id="par0245" class="elsevierStylePara elsevierViewall">The classification of the incidents and their consequences contains subjective elements which in our study could be augmented by the fact that all the professionals were enrolled as reporters of incidents&#8211;a situation that favors inter-observer variability&#46; The prior basic training does not allow us to guarantee sufficient experience for correctly categorizing the incidents&#44; and concordance analyses moreover were not made&#46; The use of pre-established definitions and posterior quality control&#44; with a review of all the incidents by the principal investigators of the study&#44; have attempted to minimize this limitation&#46;</p><p id="par0250" class="elsevierStylePara elsevierViewall">Lastly&#44; the short follow-up period&#44; which limits the information on the middle-term consequences of the detected AEs and precludes the detection of AEs whose consequences become manifest only days later&#44; may have caused some AEs to go undetected&#44; underestimating the severity and therefore influencing the results&#46;</p><p id="par0255" class="elsevierStylePara elsevierViewall">Considering the above limitations&#44; the main contribution of this study has been the obtainment of information on the MEs that affect patients admitted to Spanish ICUs&#46; Although there are reference publications corresponding to different countries&#44; epidemiological studies in our own context are also needed to evidence that our ICUs suffer the same safety problems&#8211;thereby helping to increase awareness of the importance of a problem which has received little attention in our setting&#44; and which therefore may have been underestimated to date&#46;</p><p id="par0260" class="elsevierStylePara elsevierViewall">In conclusion&#44; medication error can be regarded as one of the most frequent incidents in critical patients&#44; and is more common in the drug prescription and administration phases&#46; Although most such errors have no clinical consequences&#44; a significant percentage cause patient harm&#44; and a large proportion of them are moreover avoidable&#46; Specific strategies therefore should be adopted to ensure safe drug use in the critical care setting&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0160">Financial support</span><p id="par0265" class="elsevierStylePara elsevierViewall">This study was carried out thanks to a collaboration agreement between the <span class="elsevierStyleGrantSponsor" id="gs0005">Spanish Ministry of Health and the Spanish Society of Intensive Care Medicine &#40;<span class="elsevierStyleItalic">Sociedad Espa&#241;ola de Medicina Intensiva&#44; Cr&#237;tica y Unidades Coronarias</span>&#44; SEMICYUC&#41;</span>&#46;</p></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0165">Conflicts of interest</span><p id="par0270" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:12 [
        0 => array:2 [
          "identificador" => "xres288116"
          "titulo" => array:8 [
            0 => "Abstract"
            1 => "Objective"
            2 => "Design"
            3 => "Setting"
            4 => "Patients"
            5 => "Main variables of interest"
            6 => "Results"
            7 => "Conclusions"
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec271589"
          "titulo" => "Keywords"
        ]
        2 => array:2 [
          "identificador" => "xres288117"
          "titulo" => array:8 [
            0 => "Resumen"
            1 => "Objetivo"
            2 => "Dise&#241;o"
            3 => "&#193;mbito"
            4 => "Pacientes"
            5 => "Variables principales de inter&#233;s"
            6 => "Resultados"
            7 => "Conclusiones"
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec271590"
          "titulo" => "Palabras clave"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introduction"
        ]
        5 => array:3 [
          "identificador" => "sec0010"
          "titulo" => "Patients and methods"
          "secciones" => array:7 [
            0 => array:2 [
              "identificador" => "sec0015"
              "titulo" => "Design"
            ]
            1 => array:2 [
              "identificador" => "sec0020"
              "titulo" => "Inclusion criteria"
            ]
            2 => array:3 [
              "identificador" => "sec0025"
              "titulo" => "Variables and measurements"
              "secciones" => array:2 [
                0 => array:2 [
                  "identificador" => "sec0030"
                  "titulo" => "Primary"
                ]
                1 => array:2 [
                  "identificador" => "sec0035"
                  "titulo" => "Secondary"
                ]
              ]
            ]
            3 => array:2 [
              "identificador" => "sec0040"
              "titulo" => "Procedure"
            ]
            4 => array:2 [
              "identificador" => "sec0045"
              "titulo" => "Data collection quality control"
            ]
            5 => array:2 [
              "identificador" => "sec0050"
              "titulo" => "Statistical analysis"
            ]
            6 => array:2 [
              "identificador" => "sec0055"
              "titulo" => "Confidentiality and ethical aspects"
            ]
          ]
        ]
        6 => array:2 [
          "identificador" => "sec0060"
          "titulo" => "Results"
        ]
        7 => array:2 [
          "identificador" => "sec0065"
          "titulo" => "Discussion"
        ]
        8 => array:2 [
          "identificador" => "sec0070"
          "titulo" => "Financial support"
        ]
        9 => array:2 [
          "identificador" => "sec0075"
          "titulo" => "Conflicts of interest"
        ]
        10 => array:2 [
          "identificador" => "xack66696"
          "titulo" => "Acknowledgements"
        ]
        11 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2012-05-10"
    "fechaAceptado" => "2012-11-06"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec271589"
          "palabras" => array:4 [
            0 => "Critical patient safety"
            1 => "Medication errors"
            2 => "Adverse events"
            3 => "Incident reporting"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec271590"
          "palabras" => array:4 [
            0 => "Seguridad del paciente cr&#237;tico"
            1 => "Errores de medicaci&#243;n"
            2 => "Eventos adversos"
            3 => "Notificaci&#243;n de incidentes"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To estimate the incidence of medication errors in Spanish intensive care units&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0015">Design</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Post hoc study of the SYREC trial&#46; A longitudinal observational study carried out during 24<span class="elsevierStyleHsp" style=""></span>h in patients admitted to the ICU&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0020">Setting</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Spanish intensive care units&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0025">Patients</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Patients admitted to the intensive care unit participating in the SYREC during the period of study&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0030">Main variables of interest</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Risk&#44; individual risk&#44; and rate of medication errors&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0035">Results</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The final study sample consisted of 1017 patients from 79 intensive care units&#59; 591 &#40;58&#37;&#41; were affected by one or more incidents&#46; Of these&#44; 253 &#40;43&#37;&#41; had at least one medication-related incident&#46; The total number of incidents reported was 1424&#44; of which 350 &#40;25&#37;&#41; were medication errors&#46; The risk of suffering at least one incident was 22&#37; &#40;IQR&#58; 8&#8211;50&#37;&#41; while the individual risk was 21&#37; &#40;IQR&#58; 8&#8211;42&#37;&#41;&#46; The medication error rate was 1&#46;13 medication errors per 100 patient-days of stay&#46; Most incidents occurred in the prescription &#40;34&#37;&#41; and administration &#40;28&#37;&#41; phases&#44; 16&#37; resulted in patient harm&#44; and 82&#37; were considered &#8220;totally avoidable&#8221;&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0040">Conclusions</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Medication errors are among the most frequent types of incidents in critically ill patients&#44; and are more common in the prescription and administration stages&#46; Although most such incidents have no clinical consequences&#44; a significant percentage prove harmful for the patient&#44; and a large proportion are avoidable&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0050">Objetivo</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Estimar la incidencia de los errores de medicaci&#243;n en los servicios de Medicina Intensiva espa&#241;oles&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0055">Dise&#241;o</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">An&#225;lisis post hoc del estudio SYREC&#46; Estudio observacional longitudinal con seguimiento de 24<span class="elsevierStyleHsp" style=""></span>h de una cohorte de pacientes ingresados en los servicios de Medicina Intensiva participantes&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0060">&#193;mbito</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Servicios de Medicina Intensiva espa&#241;oles&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0065">Pacientes</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Pacientes ingresados en los servicios de Medicina Intensiva participantes en el estudio SYREC durante el periodo de inclusi&#243;n&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0070">Variables principales de inter&#233;s</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Riesgo&#44; riesgo individual y tasa de errores de medicaci&#243;n&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0075">Resultados</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Participaron 79 servicios de Medicina Intensiva&#44; incluy&#233;ndose 1&#46;017 pacientes&#44; registr&#225;ndose 591 &#40;58&#37;&#41; con al menos un incidente&#46; De estos&#44; 253 &#40;43&#37;&#41; presentaron al menos un incidente relacionado con la medicaci&#243;n&#46; El n&#250;mero total de incidentes notificados fue de 1&#46;424&#44; de los cuales 350 &#40;25&#37;&#41; fueron errores de medicaci&#243;n&#46; El riesgo que tiene un paciente de sufrir un error de medicaci&#243;n por ingresar en un servicio de Medicina Intensiva es del 22&#37; &#40;RIQ&#58; 8&#37;&#44; 50&#37;&#41;&#44; mientras que el riesgo individual es del 21&#37; &#40;RIQ&#58; 8&#37;&#44; 42&#37;&#41;&#46; La tasa de errores de medicaci&#243;n fue de 1&#44;13 errores de medicaci&#243;n por 100 pacientes&#47;d&#237;a de estancia&#46; La mayor&#237;a ocurrieron en la fase de prescripci&#243;n &#40;34&#37;&#41; y administraci&#243;n &#40;28&#37;&#41;&#59; el 16&#37; produjeron da&#241;o al paciente y un 82&#37; se consideraron &#171;sin duda evitables&#187;&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0080">Conclusiones</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Los errores de medicaci&#243;n constituyen una de las clases de incidentes m&#225;s frecuentes en el paciente cr&#237;tico&#44; siendo m&#225;s habituales en las fases de prescripci&#243;n y administraci&#243;n&#46; Aunque la mayor&#237;a no tienen consecuencias cl&#237;nicas&#44; un porcentaje significativo causan un da&#241;o al paciente&#44; siendo en una elevada proporci&#243;n evitables&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Please cite this article as&#58; Merino P&#44; Mart&#237;n MC&#44; Alonso A&#44; Guti&#233;rrez I&#44; &#193;lvarez J&#44; Becerril F&#44; et al&#46; Errores de medicaci&#243;n en los servicios de Medicina Intensiva espa&#241;oles&#46; Med Intensiva&#46; 2013&#59;37&#58;391&#8211;399&#46;</p>"
      ]
    ]
    "multimedia" => array:6 [
      0 => array:7 [
        "identificador" => "tbl0005"
        "etiqueta" => "Table 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">Source&#58; Otero L&#243;pez&#44; et al&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a></p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Category&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Definition&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">A&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Circumstances or situations capable of producing an incident&#44; but which are detected and resolved before they are able to affect the patient&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">B&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">The incident affects the patient but causes no harm&#46; No monitoring or intervention is needed&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">C&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">The incident affects the patient and causes no harm&#44; but monitoring and&#47;or intervention is needed to confirm that no harm has been caused&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">D&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">The incident causes harm that is impossible to determine&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">E&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">The incident contributes to or causes temporary &#40;reversible&#41; patient harm and requires intervention&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">F&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">The incident contributes to or causes temporary &#40;reversible&#41; patient harm and requires or prolongs hospital admission&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">G&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">The incident contributes to or causes permanent &#40;irreversible&#41; patient harm&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">H&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">The incident proves life-threatening for the patient&#44; and intervention is needed to ensure survival&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">I&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">The incident contributes to or causes patient death&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab420314.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Medication error &#40;ME&#41; severity categories &#40;adapted from Ruiz-Jarabo&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a></p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "tbl0010"
        "etiqueta" => "Table 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Term&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Definition&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">No-harm incident &#40;NHI&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">An incident causing no harm to the patient&#44; either because it does not affect the patient or because it lacks consequences&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Adverse event &#40;AE&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Any unforeseen and unexpected incident reported by the professionals and that has caused harm or death as a consequence of medical care&#44; and is not related to the course or possible complications of the patient background disease&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Medication error &#40;ME&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Any NHI or AE detected and reported by the professional&#44; related to the medication&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Risk &#40;cumulative incidence&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">It is calculated by dividing the number of MEs&#44; NHIs or AEs by the total patients meeting the inclusion criteria&#46; The parameter is expressed as a percentage and reflects the probability of suffering ME&#44; NHI or AE as a result of having been admitted to the ICU&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Individual risk&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">It is calculated by dividing the number of patients with at least one ME&#44; NHI or AE by the total of patients included in the study&#46; The parameter is expressed as a percentage and reflects the probability of suffering at least one ME&#44; NHI or AE as a result of having been admitted to the ICU&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Rate &#40;incidence density&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">It is calculated by dividing the number of MEs&#44; NHIs or AEs by the total days of stay in the ICU&#46; The parameter is expressed as the number of MEs&#44; NHIs or AEs per 100 patients&#47;day of stay in the ICU&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab420309.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">Definitions&#46;</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "tbl0015"
        "etiqueta" => "Table 3"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:3 [
          "leyenda" => "<p id="spar0095" class="elsevierStyleSimplePara elsevierViewall">AE&#58; adverse event&#59; NHI&#58; no-harm incident&#59; ICU&#58; Intensive Care Unit&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Hospital size &#40;beds&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Participating ICUs &#40;&#37; of the total&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&#37; of polyvalent ICUs<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">ICU beds in 2006 &#40;mean&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Patients included on the day of the study&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Patients with incidents&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Number of incidents&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">No&#46; NHIs&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">No&#46; AEs&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Small &#40;&#8804;200&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13 &#40;16&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">88&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">115&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Medium &#40;201&#8211;499&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">34 &#40;43&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">88&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">367&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">219&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">513&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">341&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">172&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Large &#40;&#8805;500&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">32 &#40;41&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">562&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">327&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">796&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">517&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">279&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">79 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1017&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">591&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1424&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">943&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">48&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab420310.png"
              ]
            ]
          ]
          "notaPie" => array:1 [
            0 => array:3 [
              "identificador" => "tblfn0005"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0005">&#37; of polyvalent ICUs&#58; percentage of ICUs jointly attending clinical&#44; surgical and coronary patients&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">Number of participating ICUs according to hospital size&#44; type and size of ICU and number of cases contributed&#46;</p>"
        ]
      ]
      3 => array:7 [
        "identificador" => "tbl0020"
        "etiqueta" => "Table 4"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0105" class="elsevierStyleSimplePara elsevierViewall">AE&#58; adverse event&#59; ME&#58; medication error&#59; NHI&#58; no-harm incident&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Risk &#40;&#37;&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Individual risk &#40;&#37;&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Rate &#40;per 100 patients&#47;day&#41;</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Median&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">P 25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">P 75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Median&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">P 25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">P 75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Median&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">P 25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">P 75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="9" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">ME &#40;n</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#61;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">350&#41; &#40;100&#37;&#41;</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;74&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="9" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="9" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">NHI &#40;n</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#61;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">294&#41; &#40;84&#37;&#41;</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;77&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="9" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">AE &#40;n</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#61;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">56&#41; &#40;16&#37;&#41;</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab420311.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0100" class="elsevierStyleSimplePara elsevierViewall">Risk&#44; individual risk and ME&#44; NHI and AE rates&#46;</p>"
        ]
      ]
      4 => array:7 [
        "identificador" => "tbl0025"
        "etiqueta" => "Table 5"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0115" class="elsevierStyleSimplePara elsevierViewall">AE&#58; adverse event&#59; ME&#58; medication error&#59; NHI&#58; no-harm incident&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="6" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Process or phase of the therapeutic process</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">NHI</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">AE</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">ME</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Prescription&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">102&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">119&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">34&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Transcription&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">51&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">58&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dispensation&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">52&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Preparation&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Administration&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">97&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Monitorization&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">294&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">56&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">350&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab420312.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0110" class="elsevierStyleSimplePara elsevierViewall">Process or phase of the therapeutic chain in which the error is detected&#46;</p>"
        ]
      ]
      5 => array:7 [
        "identificador" => "tbl0030"
        "etiqueta" => "Table 6"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0125" class="elsevierStyleSimplePara elsevierViewall">AE&#58; adverse event&#59; ME&#58; medication error&#59; NHI&#58; no-harm incident&#46;</p>"
          "tablatextoimagen" => array:2 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="9" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">ME severity category &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>350&#41; &#40;100&#37;&#41;</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">NHI &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>294&#41; &#40;84&#37;&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="6" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">AE &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>56&#41; &#40;16&#37;&#41;</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">A&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">B&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">C&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">D&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">E&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">F&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">G&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">H&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">I&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">102 &#40;29&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">154 &#40;44&#46;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">38 &#40;10&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">36 &#40;10&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14 &#40;4&#46;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;0&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#46;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;1&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;0&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab420315.png"
              ]
            ]
            1 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="8" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">ME avoidability</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="4" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">NHI &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>294&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="4" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">AE &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>56&#41;</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Totally avoidable&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Possibly avoidable&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Possibly unavoidable&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Totally unavoidable&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Totally avoidable&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Possibly avoidable&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Possibly unavoidable&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Totally unavoidable&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">255 &#40;86&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">34 &#40;11&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;1&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;0&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33 &#40;58&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19 &#40;33&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;1&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;5&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab420313.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0120" class="elsevierStyleSimplePara elsevierViewall">Medication error severity and avoidability&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:28 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Secretaria General de Sanidad&#46; Plan de Calidad para el Sistema Nacional de Salud&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Ministerio de Sanidad y Consumo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:1 [
                        "fecha" => "2006"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Quality of care&#58; patient safety"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "World Health Organization"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:3 [
                        "titulo" => "WHA55&#46;18&#46; Fifty-fifth World Health Assembly"
                        "conferencia" => "Geneva&#44; 18&#47;05&#47;02"
                        "serieFecha" => "2002"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Efectos adversos en la asistencia hospitalaria&#46; Una revisi&#243;n cr&#237;tica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;M&#46; Aranaz"
                            1 => "C&#46; Aibar"
                            2 => "M&#46;T&#46; Gea"
                            3 => "M&#46;T&#46; Le&#243;n"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "2004"
                        "volumen" => "123"
                        "paginaInicial" => "21"
                        "paginaFinal" => "25"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estudio Nacional sobre los Efectos Adversos ligados a la hospitalizaci&#243;n&#46; ENEAS"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;M&#46; Aranaz"
                            1 => "C&#46; Aibar"
                            2 => "J&#46; Vitaller"
                            3 => "P&#46; Ruiz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:1 [
                        "fecha" => "2005"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A look into the nature and causes of human errors in the intensive care unit"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "Y&#46; Donchin"
                            1 => "D&#46; Gopher"
                            2 => "M&#46; Olin"
                            3 => "Y&#46; Badihi"
                            4 => "M&#46; Biesky"
                            5 => "C&#46;L&#46; Sprung"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "1995"
                        "volumen" => "23"
                        "paginaInicial" => "294"
                        "paginaFinal" => "300"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7867355"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The hostile environment of the intensive care unit"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "Y&#46; Donchin"
                            1 => "F&#46;J&#46; Seagull"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Curr Opin Crit Care"
                        "fecha" => "2002"
                        "volumen" => "8"
                        "paginaInicial" => "316"
                        "paginaFinal" => "320"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12386492"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Incidence of adverse drug events and potential adverse drug events&#46; Implications for prevention&#46; ADE Prevention Study Group"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46;W&#46; Bates"
                            1 => "D&#46;J&#46; Cullen"
                            2 => "N&#46; Laird"
                            3 => "L&#46;A&#46; Petersen"
                            4 => "S&#46;D&#46; Small"
                            5 => "D&#46; Servi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1995"
                        "volumen" => "274"
                        "paginaInicial" => "29"
                        "paginaFinal" => "34"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7791255"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Preventable adverse drug events in hospitalized patients&#58; a comparative study of intensive care and general care units"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "D&#46;J&#46; Cullen"
                            1 => "B&#46;J&#46; Sweitzer"
                            2 => "D&#46;W&#46; Bates"
                            3 => "E&#46; Burdick"
                            4 => "A&#46; Edmondson"
                            5 => "L&#46;L&#46; Leape"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "1997"
                        "volumen" => "25"
                        "paginaInicial" => "1289"
                        "paginaFinal" => "1297"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9267940"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0091674908011810"
                          "estado" => "S300"
                          "issn" => "00916749"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Adverse events in Spanish intensive care units&#58; the SYREC study"
                      "autores" => array:1 [
                        0 => array:3 [
                          "colaboracion" => "SYREC Study Investigators"
                          "etal" => false
                          "autores" => array:5 [
                            0 => "P&#46; Merino"
                            1 => "J&#46; &#193;lvarez"
                            2 => "M&#46; Cruz Mart&#237;n"
                            3 => "&#193;&#46; Alonso"
                            4 => "I&#46; Guti&#233;rrez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/intqhc/mzr083"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Qual Health Care"
                        "fecha" => "2012"
                        "volumen" => "24"
                        "paginaInicial" => "105"
                        "paginaFinal" => "113"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22190588"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nine equivalents of nursing manpower use score &#40;NEMS&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46; Reis Miranda"
                            1 => "R&#46; Moreno"
                            2 => "G&#46; Iapichino"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Intensive Care Med"
                        "fecha" => "1997"
                        "volumen" => "23"
                        "paginaInicial" => "760"
                        "paginaFinal" => "765"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9290990"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medication errors&#58; standardizing the terminology and taxonomy&#46; Ruiz Jarabo 2000 grand results"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46;J&#46; Otero L&#243;pez"
                            1 => "C&#46; Codina Jan&#233;"
                            2 => "M&#46;J&#46; Tam&#233;s Alonso"
                            3 => "M&#46; P&#233;rez Encinas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Farm Hosp"
                        "fecha" => "2003"
                        "volumen" => "27"
                        "paginaInicial" => "137"
                        "paginaFinal" => "149"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12835826"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Improvement in process of care and outcome after a multicenter severe sepsis educational program in Spain"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "R&#46; Ferrer"
                            1 => "A&#46; Artigas"
                            2 => "M&#46;M&#46; Levy"
                            3 => "J&#46; Blanco"
                            4 => "G&#46; Gonz&#225;lez-D&#237;az"
                            5 => "J&#46; Garnacho-Montero"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/jama.299.19.2294"
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2008"
                        "volumen" => "299"
                        "paginaInicial" => "2294"
                        "paginaFinal" => "2303"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18492971"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Colonizaci&#243;n y&#47;o infecci&#243;n por hongos en unidades de cuidados intensivos&#46; Estudio multic&#233;ntrico de 1&#46;562 pacientes"
                      "autores" => array:1 [
                        0 => array:3 [
                          "colaboracion" => "Grupo de Estudio de Infecci&#243;n F&#250;ngica"
                          "etal" => false
                          "autores" => array:6 [
                            0 => "F&#46; &#193;lvarez-Lerma"
                            1 => "M&#46; Palomar"
                            2 => "C&#46; Le&#243;n"
                            3 => "P&#46; Olaechea"
                            4 => "E&#46; Cerd&#225;"
                            5 => "B&#46; Bermejo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "2003"
                        "volumen" => "121"
                        "paginaInicial" => "161"
                        "paginaFinal" => "166"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The quality and safety of intensive care medicine in Spain&#46; More than just words"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;C&#46; Mart&#237;n Delgado"
                            1 => "F&#46; Gordo-Vidal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.medin.2011.02.003"
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Intensiva"
                        "fecha" => "2011"
                        "volumen" => "35"
                        "paginaInicial" => "201"
                        "paginaFinal" => "205"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21414688"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nurses relate the contributing factors involved in medication errors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "F&#46;I&#46; Tang"
                            1 => "S&#46;J&#46; Sheu"
                            2 => "S&#46; Yu"
                            3 => "I&#46;L&#46; Wei"
                            4 => "C&#46;H&#46; Chen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2702.2005.01540.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Nurs"
                        "fecha" => "2007"
                        "volumen" => "16"
                        "paginaInicial" => "447"
                        "paginaFinal" => "457"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17335520"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Patient safety in intensive care&#58; results from the multinational Sentinel Events Evaluation &#40;SEE&#41; study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Valentin"
                            1 => "M&#46; Capuzzo"
                            2 => "B&#46; Guidet"
                            3 => "R&#46;P&#46; Moreno"
                            4 => "L&#46; Dolanski"
                            5 => "P&#46; Bauer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00134-006-0290-7"
                      "Revista" => array:6 [
                        "tituloSerie" => "Intensive Care Med"
                        "fecha" => "2006"
                        "volumen" => "32"
                        "paginaInicial" => "1591"
                        "paginaFinal" => "1598"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16874492"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Principles and practices of medication safety in the ICU"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46; Kane-Gill"
                            1 => "R&#46;J&#46; Weber"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ccc.2006.02.005"
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Clin"
                        "fecha" => "2006"
                        "volumen" => "22"
                        "paginaInicial" => "273"
                        "paginaFinal" => "290"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16678000"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medication errors involving continuously infused medications in a surgical intensive care unit"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46;M&#46; Herout"
                            1 => "B&#46;L&#46; Erstad"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/01.CCM.0000108876.12846.B7"
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "2004"
                        "volumen" => "32"
                        "paginaInicial" => "428"
                        "paginaFinal" => "432"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14758159"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Adverse drug events in intensive care units&#58; risk factors&#44; impact&#44; and the role of team care"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46;L&#46; Kane-Gill"
                            1 => "J&#46; Jacobi"
                            2 => "J&#46;M&#46; Rothschild"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/CCM.0b013e3181dd8364"
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "2010"
                        "volumen" => "38"
                        "paginaInicial" => "S83"
                        "paginaFinal" => "S89"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20502179"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prescription errors in UK critical care units"
                      "autores" => array:1 [
                        0 => array:3 [
                          "colaboracion" => "Intensive Care Society&#39;s Working Group on Adverse Incidents"
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46;A&#46; Ridley"
                            1 => "S&#46;A&#46; Booth"
                            2 => "C&#46;M&#46; Thompson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2044.2004.03969.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Anaesthesia"
                        "fecha" => "2004"
                        "volumen" => "59"
                        "paginaInicial" => "1193"
                        "paginaFinal" => "1200"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15549978"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medication errors at the administration stage in an intensive care unit"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "E&#46; Tissot"
                            1 => "C&#46; Cornette"
                            2 => "P&#46; Demoly"
                            3 => "M&#46; Jacquet"
                            4 => "F&#46; Barale"
                            5 => "G&#46; Capellier"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Intensive Care Med"
                        "fecha" => "1999"
                        "volumen" => "25"
                        "paginaInicial" => "353"
                        "paginaFinal" => "359"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10342507"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medication administration errors in adult patients in the ICU"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46;D&#46; Calabrese"
                            1 => "B&#46;L&#46; Erstad"
                            2 => "K&#46; Brandl"
                            3 => "J&#46;F&#46; Barletta"
                            4 => "S&#46;L&#46; Kane"
                            5 => "D&#46;S&#46; Sherman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s001340101065"
                      "Revista" => array:7 [
                        "tituloSerie" => "Intensive Care Med"
                        "fecha" => "2001"
                        "volumen" => "27"
                        "paginaInicial" => "1592"
                        "paginaFinal" => "1598"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11685299"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673699011046"
                          "estado" => "S300"
                          "issn" => "01406736"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Frequency and determinants of drug administration errors in the intensive care unit"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "P&#46;M&#46; Van den Bemt"
                            1 => "R&#46; Fijn"
                            2 => "P&#46;H&#46; van der Voort"
                            3 => "A&#46;A&#46; Gossen"
                            4 => "T&#46;C&#46; Egberts"
                            5 => "J&#46;R&#46; Brouwers"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "2002"
                        "volumen" => "30"
                        "paginaInicial" => "846"
                        "paginaFinal" => "850"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11940757"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Errors in preparation and administration of intravenous medications in the intensive care unit of a teaching hospital&#58; an observational study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "F&#46; Fahimi"
                            1 => "P&#46; Ariapanah"
                            2 => "M&#46; Faizi"
                            3 => "B&#46; Shafaghi"
                            4 => "R&#46; Namdar"
                            5 => "M&#46;T&#46; Ardakani"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.aucc.2007.10.004"
                      "Revista" => array:6 [
                        "tituloSerie" => "Aust Crit Care"
                        "fecha" => "2008"
                        "volumen" => "21"
                        "paginaInicial" => "110"
                        "paginaFinal" => "116"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18387813"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib0125"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Errors in administration of parenteral drugs in intensive care units&#58; multinational prospective study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Valentin"
                            1 => "M&#46; Capuzzo"
                            2 => "B&#46; Guidet"
                            3 => "R&#46; Moreno"
                            4 => "B&#46; Metnitz"
                            5 => "P&#46; Bauer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2009"
                        "volumen" => "338"
                        "paginaInicial" => "b814"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19282436"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib0130"
              "etiqueta" => "26"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The Critical Care Safety Study&#58; the incidence and nature of adverse events and serious medical errors in intensive care"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;M&#46; Rothschild"
                            1 => "C&#46;P&#46; Landrigan"
                            2 => "J&#46;W&#46; Cronin"
                            3 => "R&#46; Kaushal"
                            4 => "S&#46;W&#46; Lockley"
                            5 => "E&#46; Burdick"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "2005"
                        "volumen" => "33"
                        "paginaInicial" => "1694"
                        "paginaFinal" => "1700"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16096443"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib0135"
              "etiqueta" => "27"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medication errors and adverse drug events in an intensive care unit&#58; direct observation approach for detection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "B&#46;J&#46; Kopp"
                            1 => "B&#46;L&#46; Erstad"
                            2 => "M&#46;E&#46; Allen"
                            3 => "A&#46;A&#46; Theodorou"
                            4 => "G&#46; Priestley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "2006"
                        "volumen" => "34"
                        "paginaInicial" => "415"
                        "paginaFinal" => "425"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16424723"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib0140"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Adverse drug events and medication errors&#58; detection and classification methods"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46; Morimoto"
                            1 => "T&#46;K&#46; Gandhi"
                            2 => "A&#46;C&#46; Seger"
                            3 => "T&#46;C&#46; Hsieh"
                            4 => "D&#46;W&#46; Bates"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/qhc.13.4.306"
                      "Revista" => array:6 [
                        "tituloSerie" => "Qual Saf Health Care"
                        "fecha" => "2004"
                        "volumen" => "13"
                        "paginaInicial" => "306"
                        "paginaFinal" => "314"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15289635"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack66696"
        "titulo" => "Acknowledgements"
        "texto" => "<p id="par0275" class="elsevierStylePara elsevierViewall">The authors of the study thank the coordinators of the participating ICUs for the support provided in carrying out this study&#46;</p> <p id="par0280" class="elsevierStylePara elsevierViewall">C&#225;novas Robles J&#44; Perales Pastor R&#44; Hospital General Universitario de Alicante &#40;Alicante&#41;&#59; S&#225;nchez Ortega D&#44; Serrano Calvache JA&#44; Hospital de Torrec&#225;rdenas &#40;Almer&#237;a&#41;&#59; De Rojas Rom&#225;n JP&#44; Ramos Carbonero Y&#44; Hospital Comarcal de Antequera &#40;Antequera&#41;&#59; Guti&#233;rrez Fern&#225;ndez MJ&#44; Fern&#225;ndez &#193;lvarez V&#44; Hospital San Agust&#237;n &#40;Avil&#233;s&#41;&#59; Umaran Sarachu MI&#44; Monguillo Martiregui MJ&#44; Hospital de Cruces &#40;Baracaldo&#41;&#59; Fern&#225;ndez Dorado F&#44; Figueras Coloma E&#44; Centro M&#233;dico Delfos &#40;Barcelona&#41;&#59; Morillas P&#233;rez J&#44; Portillo Jaurena E&#44; SCIAS-Hospital de Barcelona &#40;Barcelona&#41;&#59; S&#225;nchez Segura JM&#44; Sola Sole N&#44; Hospital Santa Creu i Sant Pau &#40;Barcelona&#41;&#59; Zavala Zegarra E&#44; Cirerea A&#44; Hospital Cl&#237;nic - UCI Quir&#250;rgica &#40;Barcelona&#41;&#59; V&#225;zquez S&#225;nchez A&#44; Abad Peruga V&#44; Hospital del Mar &#40;Barcelona&#41;&#59; Robles Gonz&#225;lez A&#44; Borja Garc&#237;a MI&#44; Hospital Vall D&#8217;Hebron-Traumatolog&#237;a &#40;Barcelona&#41;&#59; Bellot Iglesias JL&#44; Mart&#237;nez Molina M&#44; Hospital de Baza &#40;Baza&#41;&#59; Romero Pellerrejo J&#44; Campillo Temi&#241;o C&#44; Complejo Hospitalario de Burgos &#40;Burgos&#41;&#59; Mart&#237;nez Hern&#225;ndez J&#44; Alarc&#243;n Simarro N&#44; Hospital Santa Mar&#237;a del Rosell &#40;Cartagena&#41;&#59; &#193;lvaro S&#225;nchez R&#44; Bernat Adell A&#44; Hospital Universitario Asociado General de Castell&#243;&#44; &#40;Castell&#243;&#41;&#59; Molina Dom&#237;nguez E&#44; Ortega Carnicer J&#44; Hospital General de Ciudad Real &#40;Ciudad Real&#41;&#59; Alcal&#225; L&#243;pez A&#44; Pastor M&#44; Hospital General Universitario de Elche &#40;Elche&#41;&#59; Palomeque Rico A&#44; Nicol&#225;s Zambudio G&#44; Hospital Sant Joan de Deu &#40;Espluges&#41;&#59; Alonso Ovies A&#44; Balugo Huertas S&#44; Hospital de Fuenlabrada &#40;Fuenlabrada&#41;&#59; Audicana Uriarte J&#44; S&#225;nchez Villamar AM&#44; Hospital de Galdakao &#40;Galdakao&#41;&#59; &#193;lvarez Villuendas A&#44; Garfingou Llenas D&#44; Hospital Dr&#46; Josep Trueta &#40;Girona&#41;&#59; Roca Guiseris J&#44; Garc&#237;a R&#44; Hospital Virgen de las Nieves &#40;Granada&#41;&#59; Fern&#225;ndez del Campo R&#44; Buend&#237;a F&#44; Hospital de Hell&#237;n &#40;Hell&#237;n&#41;&#59; Bartual Lobato E&#44; Garc&#237;a Verdejo JA&#44; Hospital Can Misses &#40;Ibiza&#41;&#59; Verduras Ruiz MA&#44; Rodrigo Frontelo R&#44; Hospital Severo Ochoa &#40;Legan&#233;s&#41;&#59; Pav&#237;a Pesquera MC&#44; Pardos Peir&#243;s E&#44; Hospital San Pedro &#40;Logro&#241;o&#41;&#59; Blanco P&#233;rez J&#44; Murado Bouso AM&#44; Hospital Xeral-Calde Lugo &#40;Lugo&#41;&#59; G&#243;mez Tello V&#44; del Pozo Y&#44; Cl&#237;nica Moncloa &#40;Madrid&#41;&#59; Reyes Garc&#237;a A&#44; Toledano Pe&#241;a J&#44; Hospital Universitario de la Princesa &#40;Madrid&#41;&#59; Ramos Polo J&#44; Suay Ojalvo C&#44; Hospital Cl&#237;nico San Carlos &#40;Madrid&#41;&#59; Men&#233;ndez de Suso JJ&#44; Segovia Gait&#225;n M&#44; Hospital San Rafael &#40;Madrid&#41;&#59; S&#225;enz Casco L&#44; Andr&#233;s Sarri&#225; M&#44; Hospital Central de la Defensa G&#243;mez Ulla &#40;Madrid&#41;&#59; Jim&#233;nez Lend&#237;nez M&#44; Romero C&#44; Hospital Universitario La Paz &#40;Madrid&#41;&#59; Arias Verd&#250; MD&#44; Garc&#237;a Santana JL&#44; Hospital Parque San Antonio &#40;M&#225;laga&#41;&#59; Arboleda S&#225;nchez JA&#44; Velasco Bueno JM&#44; Hospital Costa del Sol &#40;Marbella&#41;&#59; Solsona Perlasia M&#44; Vilalta Llibre M&#44; Consorci Sanitari del Maresme &#40;CSdM&#41; &#40;Matar&#243;&#41;&#59; Garc&#237;a Fern&#225;ndez AM&#44; Morales Adeva L&#44; Hospital de M&#233;rida &#40;M&#233;rida&#41;&#59; Galdos Anuncibay P&#44; Arias Castro I&#44; Hospital General de M&#243;stoles &#40;M&#243;stoles&#41;&#59; G&#243;mez Ramos MJ&#44; Cevidanes M&#44; Hospital General Universitario Reina Sof&#237;a &#40;Murcia&#41;&#59; Mart&#237;nez Fresneda M&#44; Banacloche Cano C&#44; Hospital Virgen de la Arrixaca &#40;Murcia&#41;&#59; Carrillo Alcaraz A&#44; Pe&#241;alver F&#44; Hospital Morales Meseguer &#40;Murcia&#41;&#59; Iglesias Fraile L&#44; &#193;lvarez M&#233;ndez B&#44; Hospital General de Asturias &#40;Oviedo&#41;&#59; Rialp Cervera G&#44; Bestard Soc&#237;as C&#44; Hospital Son Ll&#224;tzer &#40;Palma de Mallorca&#41;&#59; Rodr&#237;guez Albarr&#225;n F&#44; Ballester Belcos R&#44; Cl&#237;nica San Miguel &#40;Pamplona&#41;&#59; Ramos Castro J&#44; Herranz Ayesa MV&#44; Hospital Virgen del Camino &#40;Pamplona&#41;&#59; Mart&#237;nez Urionabarrenetxea K&#44; Elizondo Soto A&#44; Hospital de Navarra &#40;Pamplona&#41;&#59; Gil Cebri&#225;n J&#44; Delgado Poullet N&#44; Hospital Universitario Puerto Real &#40;Puerto Real&#41;&#59; Prieto Valderrey F&#44; Nieto Galeano J&#44; Hospital Santa B&#225;rbara &#40;Puertollano&#41;&#59; Rovira Angles C&#44; Cerrillo E&#44; Hospital Universitario Sant Joan de Reus &#40;Reus&#41;&#59; Dom&#237;nguez L&#243;pez S&#44; Malnero L&#243;pez M&#44; Hospital Valle del Nal&#243;n &#40;Ria&#241;o&#41;&#59; Baigorri Gonz&#225;lez F&#44; Jam Gatell R&#44; Hospital de Sabadell-Corporaci&#243; Parc Taul&#237; &#40;Sabadell&#41;&#59; Lacueva Moya V&#44; Hern&#225;ndez Santamar&#237;a F&#44; Hospital de Sagunt &#40;Sagunto&#41;&#59; Gonz&#225;lez Robledo J&#44; Coca Hern&#225;ndez MA&#44; Hospital Universitario de Salamanca &#40;Salamanca&#41;&#59; Azk&#225;rate Ayerdi B&#44; Marcos A&#44; Hospital Donosita &#40;San Sebasti&#225;n&#41;&#59; Rull Rodr&#237;guez VE&#44; Morras Pineda B&#44; Complejo Hospitalario de Soria&#8211;Hospital de Santa B&#225;rbara &#40;Soria&#41;&#59; Gilavert Cuevas MC&#44; Aragon&#233;s M&#44; Hospital Joan XXIII &#40;Tarragona&#41;&#59; Jurado Castro MT&#44; Bell Ribatallada M&#44; Hospital de Terrasa &#40;Terrasa&#41;&#59; P&#233;rez-Pedrero S&#225;nchez-Belmonte MJ&#44; Pinilla L&#243;pez A&#44; Hospital Virgen de la Salud &#40;Toledo&#41;&#59; V&#225;zquez Casas JR&#44; Herrero G&#243;mez E&#44; Hospital Verge de la Cinta &#40;Tortosa&#41;&#59; Soto Ib&#225;&#241;ez JM&#44; Romero Mor&#225;n MA&#44; Hospital Universitario Dr&#46; Peset &#40;Valencia&#41;&#59; Garc&#237;a Galiana E&#44; Fern&#225;ndez Mart&#237;nez A&#44; Fundaci&#243;n Instituto Valenciano de Oncolog&#237;a &#40;Valencia&#41;&#59; Dom&#237;nguez Quintero LA&#44; Acebes Sancho BE&#44; Dom&#237;nguez Quintero LA&#44; Palencia Garc&#237;a MA&#44; Hospital R&#237;o Hortega&#8211;Polivalente &#40;Valladolid&#41;&#59; Tiz&#243;n Varela AI&#44; de Castro Rodr&#237;guez P&#44; Complexo Hospitalario Universitario de Vigo&#8211;Hospital Xeral C&#237;es &#40;Vigo&#41;&#59; Manzano Ram&#237;rez A&#44; Ruiz de Ofenda E&#44; Hospital Santiago Ap&#243;stol &#40;Vitoria&#41;&#59; Marcos Guti&#233;rrez A&#44; Larruscain Le&#243;n MV&#44; Hospital Virgen de la Concha &#40;Zamora&#41;&#59; Temi&#241;o Palomera S&#44; Lasheras Palomero L&#44; Mutua de Accidentes de Zaragoza &#40;Zaragoza&#41;&#59; Guti&#233;rrez C&#237;a I&#44; Moreno MA&#44; Hospital Cl&#237;nico Universitario Lozano Blesa&#8211;UCI Quir&#250;rgica &#40;Zaragoza&#41;&#59; Tirado Angles G&#44; Gonz&#225;lez Caballero M&#44; Hospital Royo Villanova &#40;Zaragoza&#41;&#59; Valero Garc&#237;a R&#44; Casa Venta J&#44; Hospital Universitario Miguel Servet&#8211;Coronaria &#40;Zaragoza&#41;&#59; Garc&#237;a Mangas P&#44; Mahave Carrasco R&#44; Hospital Universitario Miguel Servet&#8211;Polivalente &#40;Zaragoza&#41;&#59; Olmos P&#233;rez F&#44; Villabona Resano J&#44; Hospital Universitario Miguel Servet&#8211;Cirug&#237;a Cardiaca &#40;Zaragoza&#41;&#59; Williams L&#44; Pati&#241;o Y&#44; Centro de Especialidades Anzo&#225;tegui&#44; Lecher&#237;a &#40;Venezuela&#41;&#59; Margarit Ribas A&#44; Flamarique Zaratiegui MT&#44; Hospital Nostra Senyora de Meritxell&#44; Escaldes-Engordany &#40;Andorra&#41;&#59; Ortega RA&#44; S&#225;nchez Reinoso J&#44; San Juan Bautista&#44; Catamarca &#40;Argentina&#41;&#59; Diosdado Iraola Ferrer M&#44; Mora P&#233;rez Y&#44; Hospital Universitario Dr&#46; Gustavo Alderegu&#237;a Lima&#44; Cienfuegos &#40;Cuba&#41;&#59; Carrazana Ososrio V&#44; Prieto Fuentemayor JR&#44; Hospital Cl&#237;nico-Quir&#250;rgico Luc&#237;a &#205;&#241;iguez Land&#237;n&#44; Holgu&#237;n &#40;Cuba&#41;&#59; D&#237;az &#193;guila H&#44; Companioni Sola Y&#44; Hospital &#171;M&#225;rtires de 9 de Abril&#187;&#44; Sagua la Grande &#40;Cuba&#41;&#59; Morales Valderas A&#44; Sol&#237;s Sotero M&#44; Hospital Universitario Arnaldo Milian Castro&#44; Santa Clara &#40;Cuba&#41;&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735727/0000003700000006/v1_201310310047/S2173572713000726/v1_201310310047/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "423"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Original"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735727/0000003700000006/v1_201310310047/S2173572713000726/v1_201310310047/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572713000726?idApp=WMIE"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Original
Medication errors in Spanish intensive care units
Errores de medicación en los servicios de Medicina Intensiva españoles
P. Merinoa,
Corresponding author
pazmerino@telefonica.net

Corresponding author.
, M.C. Martínb, A. Alonsoc, I. Gutiérrezd, J. Álvareze, F. Becerrilf, SYREC Study Investigators
a Servicio de Medicina Intensiva, Hospital Can Misses, Ibiza, Spain
b Servicio de Medicina Intensiva, Hospital de Torrejón, Torrejón, Spain
c Servicio de Medicina Intensiva, Hospital de Fuenlabrada, Fuenlabrada, Spain
d Servicio de Medicina Intensiva, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain
e Servicio de Farmacia, Hospital de Fuenlabrada, Fuenlabrada, Spain
f Servicio de Farmacia, Hospital Can Misses, Ibiza, Spain
Read
8868
Times
was read the article
3056
Total PDF
5812
Total HTML
Share statistics
 array:24 [
  "pii" => "S2173572713000726"
  "issn" => "21735727"
  "doi" => "10.1016/j.medine.2012.11.004"
  "estado" => "S300"
  "fechaPublicacion" => "2013-08-01"
  "aid" => "532"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and SEMICYUC"
  "copyrightAnyo" => "2012"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Med Intensiva. 2013;37:391-9"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3350
    "formatos" => array:3 [
      "EPUB" => 152
      "HTML" => 2327
      "PDF" => 871
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S021056911200321X"
      "issn" => "02105691"
      "doi" => "10.1016/j.medin.2012.11.002"
      "estado" => "S300"
      "fechaPublicacion" => "2013-08-01"
      "aid" => "532"
      "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and SEMICYUC"
      "documento" => "article"
      "crossmark" => 0
      "subdocumento" => "fla"
      "cita" => "Med Intensiva. 2013;37:391-9"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 6345
        "formatos" => array:3 [
          "EPUB" => 154
          "HTML" => 3689
          "PDF" => 2502
        ]
      ]
      "es" => array:12 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Original</span>"
        "titulo" => "Errores de medicaci&#243;n en los servicios de Medicina Intensiva espa&#241;oles"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "tieneResumen" => array:2 [
          0 => "es"
          1 => "en"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "391"
            "paginaFinal" => "399"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Medication errors in Spanish intensive care units"
          ]
        ]
        "contieneResumen" => array:2 [
          "es" => true
          "en" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "P&#46; Merino, M&#46;C&#46; Mart&#237;n, A&#46; Alonso, I&#46; Guti&#233;rrez, J&#46; &#193;lvarez, F&#46; Becerril"
            "autores" => array:7 [
              0 => array:2 [
                "nombre" => "P&#46;"
                "apellidos" => "Merino"
              ]
              1 => array:2 [
                "nombre" => "M&#46;C&#46;"
                "apellidos" => "Mart&#237;n"
              ]
              2 => array:2 [
                "nombre" => "A&#46;"
                "apellidos" => "Alonso"
              ]
              3 => array:2 [
                "nombre" => "I&#46;"
                "apellidos" => "Guti&#233;rrez"
              ]
              4 => array:2 [
                "nombre" => "J&#46;"
                "apellidos" => "&#193;lvarez"
              ]
              5 => array:2 [
                "nombre" => "F&#46;"
                "apellidos" => "Becerril"
              ]
              6 => array:1 [
                "colaborador" => "coordinadores del estudio SYREC"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2173572713000726"
          "doi" => "10.1016/j.medine.2012.11.004"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572713000726?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021056911200321X?idApp=WMIE"
      "url" => "/02105691/0000003700000006/v1_201307251510/S021056911200321X/v1_201307251510/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2173572713000702"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2013.01.007"
    "estado" => "S300"
    "fechaPublicacion" => "2013-08-01"
    "aid" => "559"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and SEMICYUC"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "ssu"
    "cita" => "Med Intensiva. 2013;37:416-22"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2646
      "formatos" => array:3 [
        "EPUB" => 209
        "HTML" => 1727
        "PDF" => 710
      ]
    ]
    "en" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Review</span>"
      "titulo" => "Role of biomarkers in the differential diagnosis of acute respiratory failure in the immediate postoperative period of lung transplantation"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "416"
          "paginaFinal" => "422"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Papel de los biomarcadores en el diagn&#243;stico diferencial de la insuficiencia respiratoria aguda en el postoperatorio inmediato del trasplante pulmonar"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "L&#46; Ruano, J&#46; Sacanell, A&#46; Roman, J&#46; Rello"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Ruano"
            ]
            1 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Sacanell"
            ]
            2 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Roman"
            ]
            3 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Rello"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0210569113000089"
        "doi" => "10.1016/j.medin.2013.01.005"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569113000089?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572713000702?idApp=WMIE"
    "url" => "/21735727/0000003700000006/v1_201310310047/S2173572713000702/v1_201310310047/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2173572713000714"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2012.07.010"
    "estado" => "S300"
    "fechaPublicacion" => "2013-08-01"
    "aid" => "489"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and SEMICYUC"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Med Intensiva. 2013;37:375-82"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2733
      "formatos" => array:3 [
        "EPUB" => 152
        "HTML" => 1862
        "PDF" => 719
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original</span>"
      "titulo" => "Utility of diffusion-weighted magnetic resonance imaging in severe focal traumatic brain injuries"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "375"
          "paginaFinal" => "382"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Utilidad de la resonancia magn&#233;tica potenciada en difusi&#243;n en pacientes con lesiones focales por traumatismo craneoencef&#225;lico grave"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1220
              "Ancho" => 1663
              "Tamanyo" => 112233
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Patient outcome according to the ADC findings&#44; globally and corresponding to the three measurement timepoints&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "F&#46; Prieto-Valderrey, J&#46;R&#46; Mu&#241;iz-Montes, J&#46;A&#46; L&#243;pez-Garc&#237;a, J&#46; Villegas-del Ojo, J&#46; M&#225;laga-Gil, R&#46; Galv&#225;n-Garc&#237;a"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Prieto-Valderrey"
            ]
            1 => array:2 [
              "nombre" => "J&#46;R&#46;"
              "apellidos" => "Mu&#241;iz-Montes"
            ]
            2 => array:2 [
              "nombre" => "J&#46;A&#46;"
              "apellidos" => "L&#243;pez-Garc&#237;a"
            ]
            3 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Villegas-del Ojo"
            ]
            4 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "M&#225;laga-Gil"
            ]
            5 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Galv&#225;n-Garc&#237;a"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0210569112002318"
        "doi" => "10.1016/j.medin.2012.07.002"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569112002318?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572713000714?idApp=WMIE"
    "url" => "/21735727/0000003700000006/v1_201310310047/S2173572713000714/v1_201310310047/en/main.assets"
  ]
  "en" => array:20 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Original</span>"
    "titulo" => "Medication errors in Spanish intensive care units"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "391"
        "paginaFinal" => "399"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "P&#46; Merino, M&#46;C&#46; Mart&#237;n, A&#46; Alonso, I&#46; Guti&#233;rrez, J&#46; &#193;lvarez, F&#46; Becerril"
        "autores" => array:7 [
          0 => array:4 [
            "nombre" => "P&#46;"
            "apellidos" => "Merino"
            "email" => array:1 [
              0 => "pazmerino&#64;telefonica&#46;net"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "M&#46;C&#46;"
            "apellidos" => "Mart&#237;n"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Alonso"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "I&#46;"
            "apellidos" => "Guti&#233;rrez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "J&#46;"
            "apellidos" => "&#193;lvarez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">e</span>"
                "identificador" => "aff0025"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "F&#46;"
            "apellidos" => "Becerril"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">f</span>"
                "identificador" => "aff0030"
              ]
            ]
          ]
          6 => array:1 [
            "colaborador" => "SYREC Study Investigators"
          ]
        ]
        "afiliaciones" => array:6 [
          0 => array:3 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital Can Misses&#44; Ibiza&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital de Torrej&#243;n&#44; Torrej&#243;n&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital de Fuenlabrada&#44; Fuenlabrada&#44; Spain"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital Cl&#237;nico Universitario Lozano Blesa&#44; Zaragoza&#44; Spain"
            "etiqueta" => "d"
            "identificador" => "aff0020"
          ]
          4 => array:3 [
            "entidad" => "Servicio de Farmacia&#44; Hospital de Fuenlabrada&#44; Fuenlabrada&#44; Spain"
            "etiqueta" => "e"
            "identificador" => "aff0025"
          ]
          5 => array:3 [
            "entidad" => "Servicio de Farmacia&#44; Hospital Can Misses&#44; Ibiza&#44; Spain"
            "etiqueta" => "f"
            "identificador" => "aff0030"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Errores de medicaci&#243;n en los servicios de Medicina Intensiva espa&#241;oles"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">It is now recognized that providing medical care entails excessive risks compared with other activities or even with other situations considered to pose risks&#46; In addition to the personal patient health consequences of such excessive risks&#44; mention must be made of their important economic and social impact&#46; Consequently&#44; the identification and prevention of these risks constitute a priority concern for the quality policies of healthcare systems&#44; with implication of the health authorities and organizations of many developed countries&#44; including Spain&#44;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> in addition to international organizations such as the European Union&#44; the European Council&#44; and the World Health Organization &#40;WHO&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">In this context&#44; reference multicenter studies have been made in different countries with the purpose of globally analyzing the adverse events &#40;AEs&#41; associated with medical care in hospitals&#8211;the estimated incidence varying between 4 and 17&#37;&#46; These studies have found problems related with the use of drugs to be one of the most frequent types of AEs&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">In Spain&#44; the National Study on Adverse Effects &#40;<span class="elsevierStyleItalic">Estudio Nacional de Efectos Adversos</span>&#44; ENEAS 2005&#41; confirmed these results&#46; Approximately 10&#37; of the patients reporting to hospital presented AEs&#44; and drugs were likewise the most frequent cause &#40;37&#46;4&#37;&#41;&#46; Furthermore&#44; of these events&#44; a large proportion &#40;34&#46;8&#37;&#41; were avoidable&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">In relation to medication use&#44; it must be remembered that in addition to the intrinsic risk of adverse reactions when used under appropriate conditions&#44; drug substances also cause many AEs as a consequence of failure or error during their clinical use&#46; Such events are referred to as &#8220;medication errors&#8221; &#40;MEs&#41;&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">In the context of &#8220;safe drug use&#8221;&#44; it is stressed that in order to guarantee patient safety&#44; error-proof drug utilization systems must be developed&#44; with the adoption of measures to ensure that the risk is minimized&#44; or at least to ensure that any such errors do not cause patient harm&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">The problem is particularly important in critically ill patients&#44; where drug substances constitute one of the main management resources&#46; The fact that many of the drugs are considered to pose a high risk and are administered via the intravenous route&#44; together with the severity and complexity of these patients&#44; and the need for optimum communication among the different professionals&#44; all contribute to increase the risk of AEs&#46;<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5&#8211;8</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">In Spain there is little information available on AEs in the critical care setting&#44; and there are even fewer data referred to medication-related AEs&#46; For this reason&#44; a collaboration agreement was established between the Spanish Ministry of Health and the Spanish Society of Intensive Care Medicine &#40;<span class="elsevierStyleItalic">Sociedad Espa&#241;ola de Medicina Intensiva&#44; Cr&#237;tica y Unidades Coronarias</span>&#44; SEMICYUC&#41; for conducting the multicenter &#8220;Safety and Risk in the Critical Patient&#8221; &#40;&#8220;<span class="elsevierStyleItalic">Seguridad y Riesgo en el Enfermo Critico</span>&#8221;&#44; SYREC&#41; trial&#44; with the aim of establishing the incidence of AEs and of no-harm incidents &#40;NHIs&#41;&#44; classifying them and evaluating their impact and avoidability&#46; The results of this trial have recently been published&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">The objectives of this study were to estimate the incidence of medication-related NHIs and AEs in the Spanish Intensive Care Units &#40;ICUs&#41;&#44; and to analyze their characteristics&#44; severity and avoidability&#44; based on the findings of the SYREC trial&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Patients and methods</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Design</span><p id="par0045" class="elsevierStylePara elsevierViewall">A longitudinal observational study with 24<span class="elsevierStyleHsp" style=""></span>h of follow-up was carried out&#44; involving a cohort of patients admitted to the ICUs participating in the post hoc study of the SYREC trial&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Inclusion criteria</span><p id="par0050" class="elsevierStylePara elsevierViewall">The study comprised all patients admitted to the participating ICUs during the observation period&#44; including those admitted&#44; those discharged&#44; and those who died during the 24<span class="elsevierStyleHsp" style=""></span>h of follow-up&#46; We included the NHIs and AEs that occurred&#44; were detected and reported during the observation period in the Unit&#44; as well as those incidents and events occurring outside the Unit but which represented the reason for admission to the latter&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Variables and measurements</span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Primary</span><p id="par0055" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Incidence of MEs</span> &#40;risk&#44; individual risk and rate&#41;&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Secondary</span><p id="par0060" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Related to the hospital and the ICU&#58;</span> number of hospital beds&#44; number of beds in the ICU&#44; type of Unit &#40;clinical&#44; surgical&#44; coronary&#44; traumatologic&#44; polyvalent&#44; pediatric&#44; others&#41;&#44; degree of occupation and work load quantified by means of the &#8220;<span class="elsevierStyleItalic">Nine Equivalents of nursing Manpower use Score&#8221;</span> &#40;NEMS&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a></p><p id="par0065" class="elsevierStylePara elsevierViewall">Related to the patient&#58; age and sex&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Characteristics of the ME&#58;</span> process or step in the therapeutic chain in which the error originated and type of error according to the ME classification of the Ruiz-Jarabo group&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a></p><p id="par0075" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Severity of the ME&#58;</span> this was assessed based on an adaptation of the ME classification of the Ruiz-Jarabo group&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> The changes introduced affected categories A and B&#44; which were merged&#46; Because of the difficulties sometimes found in assessing the consequences of the incident&#44; we added a new category&#58; category D &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0080" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Avoidability of the ME&#58;</span> in accordance with assessment as established by the observer&#44; NHIs and AEs were classified as totally avoidable&#44; possibly avoidable&#44; possibly unavoidable and unavoidable&#46;</p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Procedure</span><p id="par0085" class="elsevierStylePara elsevierViewall">All Spanish ICUs &#40;220 in total&#41; were invited to participate through the SEMICYUC website&#44; by e-mail and conventional mail&#46; One hundred Units accepted&#44; of which 21 finally did not complete the study and were thus excluded&#46; With the purpose of standardizing the data collection criteria&#44; two coordinators were assigned in each Unit&#8211;a physician and nurse&#8211;and received a document with the study design and instructions&#44; as well as supporting and training material for distribution among all the professionals of the Unit before the start of the observation period&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">For data collection we developed a questionnaire that was distributed in paper format&#46; On the day of the study all the physicians&#44; nurses and auxiliary personnel completed the corresponding questionnaires on a voluntary and anonymous basis&#46; The coordinators of each center checked correct completion of the questionnaires and converted them to electronic &#40;digital&#41; format for submission to the principal study investigators by e-mail&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Data collection quality control</span><p id="par0095" class="elsevierStylePara elsevierViewall">All the reported incidents were individually reviewed by the principal study investigators&#46; A consensus meeting was then held to examine the discrepancies and decide their inclusion or exclusion&#44; as well as to reclassify those data which were considered to have been wrongly classified&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">Statistical analysis</span><p id="par0100" class="elsevierStylePara elsevierViewall">The univariate analyses included the absolute frequency measures for each center&#44; i&#46;e&#46;&#44; number of patients&#44; total number of MEs&#44; NHIs&#44; AEs&#44; and the rest of the study variables&#46; As relative frequency measures we calculated the risk &#40;cumulative incidence&#41; and the rate &#40;incidence density&#41; for each ME&#44; NHI and AE&#46; <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> describes the definitions used&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0105" class="elsevierStylePara elsevierViewall">Qualitative variables were reported as frequency distributions&#46; As central tendency measures for the quantitative variables we used the mean and standard deviation &#40;SD&#41; as a measure of dispersion&#44; or the median and interquartile range &#40;IQR&#41; in the case of asymmetrical distributions&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">In the bivariate analyses&#44; use was made of the chi-squared test to explore possible associations between qualitative variables&#46; Differences in means in turn were contrasted using the Student t-test for independent samples&#44; or analysis of variance &#40;ANOVA&#41; for more than two means when the variables showed a normal distribution&#44; following evaluation of the homogeneity of variances&#46; In the case of asymmetrical distributions we used the median test as hypothesis contrasting test&#46; Statistical significance was considered for p &#60; 0&#46;05&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">The data obtained were entered in a MS Access database&#44; followed by statistical processing with the SPSS version 15&#46;0 statistical package&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0145">Confidentiality and ethical aspects</span><p id="par0120" class="elsevierStylePara elsevierViewall">The confidentiality and anonymity of the information obtained in relation to the patients&#44; professionals and ICUs participating in the study were observed at all times&#46; The results of this study are not binding for the professionals or for the patients in any direct way&#44; and both the positive and the negative results have been published&#46; Since the study was of an observational nature&#44; with no interventions of any kind&#44; the obtainment of informed consent was not considered necessary&#46; Each ICU was responsible for obtaining the pertinent permissions at local level&#46;</p></span></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0150">Results</span><p id="par0125" class="elsevierStylePara elsevierViewall">Seventy-nine ICUs pertaining to 76 hospitals participated in the study&#46; A total of 84&#37; of the participating ICUs belonged to large or medium sized hospital centers&#46; In relation to the type of Unit&#44; most were polyvalent ICUs&#44; particularly in the small and medium-sized hospitals &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#41;&#46; Mean ICU occupation on the day of follow-up was 80&#37; &#40;IQR 64&#8211;99&#37;&#41;&#46; There was no statistically significant association between this variable and the size of the hospital&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0130" class="elsevierStylePara elsevierViewall">The nursing work load as rated with the NEMS was analyzed in the 65 hospitals for which such information was available&#46; A statistically significant association was observed between the mean work load and the size of the hospital&#44; with greater work loads in large hospitals than in small centers&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">A total of 1017 patients were included in the study&#46; Of these&#44; 591 &#40;58&#37;&#41; registered at least one incident &#91;381 &#40;64&#46;5&#37;&#41; males and 210 &#40;35&#46;5&#37;&#41; females&#93;&#46; Among the mentioned 591 patients&#44; 253 &#40;43&#37;&#41; suffered at least one ME&#46; The mean age of the males was 61&#46;52 years &#40;SD 16&#46;38&#41;&#44; versus 61&#46;84 years &#40;SD 17&#46;35&#41; in the case of the females&#46; The overall mean age was 61&#46;63 years &#40;SD 16&#46;72&#41;&#46; There were no statistically significant differences in terms of incidence between males and females&#46; Likewise&#44; the percentage of patients with MEs was similar&#44; independently of the size of the hospital &#40;p &#61; 0&#46;34&#41;&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">A total of 1424 incidents were reported&#46; Of these&#44; 350 &#40;25&#37;&#41; were medication-related&#44; and represented the most frequently reported type of incidents&#46; <a class="elsevierStyleCrossRef" href="#tbl0020">Table 4</a> shows the results corresponding to risk&#44; individual risk and rate for the reported MEs&#44; NHIs and AEs&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><p id="par0145" class="elsevierStylePara elsevierViewall">Regarding the characteristics of the MEs according to the process or step in the therapeutic chain in which they originated&#44; those occurring in the prescription phase were the most frequent &#40;34&#37; of all cases&#41;&#44; followed by administration-related MEs &#40;28&#37; of the total reported MEs&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0025">Table 5</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0025"></elsevierMultimedia><p id="par0150" class="elsevierStylePara elsevierViewall">Considering the possible consequences of the MEs based on the classification of severity&#44; 83&#37; were reported as NHIs principally corresponding to categories A and B &#40;<a class="elsevierStyleCrossRef" href="#tbl0030">Table 6</a>&#41;&#46; Medication errors related to prescription&#44; transcription&#44; dispensation and administration were the most frequent types resulting in NHIs&#46; The preparation and monitorization errors showed no significant differences in frequency between NHIs and AEs&#46;</p><elsevierMultimedia ident="tbl0030"></elsevierMultimedia><p id="par0155" class="elsevierStylePara elsevierViewall">Lastly&#44; the reported MEs were predominantly regarded as &#8220;totally avoidable&#8221; &#40;82&#37;&#41; compared with the rest of the avoidability categories&#46; In turn&#44; 98&#37; of the NHIs and 93&#37; of the AEs were regarded as &#8220;totally avoidable&#8221; or &#8220;probably avoidable&#8221; &#40;<a class="elsevierStyleCrossRef" href="#tbl0030">Table 6</a>&#41;&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0155">Discussion</span><p id="par0160" class="elsevierStylePara elsevierViewall">The ICU participation rate in our study &#40;33&#37;&#41; is similar to or even greater than in other national multicenter studies carried out to date&#46;<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">12&#44;13</span></a> This may reflect a growing interest in recent years in knowing the true situation of Spanish ICUs regarding patient safety&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">14</span></a></p><p id="par0165" class="elsevierStylePara elsevierViewall">Among other contributing factors&#44; the appearance of ME in the ICU is conditioned by the severity of the patient and the work load of the nursing personnel&#44; which is usually related to the number of beds&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> However&#44; in our study&#44; although there were no statistically significant differences in either the occupation rate or in the number of patients attended by each nurse&#44; the NEMS was higher in the hospitals of larger size&#46; Despite this observation&#44; we found no statistically significant differences in ME incidence rate&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">Perhaps the size of the hospital is not an appropriate characteristic for grouping ICUs&#46; It therefore might be more interesting to seek a combination between the complexity of the patient and the work load of the professionals in order to classify the different types of Units with a view to conducting future studies of errors in critical patient care&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">According to the results of our study&#44; MEs were the most frequently reported incidents&#44; representing 25&#37; of the total&#46; These findings are consistent with those reported by the ENEAS study in Spain&#44; where the largest proportion of AEs detected in the hospital setting were likewise related to medication&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0180" class="elsevierStylePara elsevierViewall">In a more specific setting such as the ICU&#44; Valentin et al&#46;&#44; in an international multicenter study with a methodological design similar to our own&#44; confirmed that MEs are among the most frequently reported incidents&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a> It should be noted that the mentioned study differed from ours in relation to the types of MEs reported&#44; since only the most common errors were taken into account&#44; i&#46;e&#46;&#44; those that occur in the prescription and administration phases&#46; In contrast&#44; our study included all MEs detected in any phase of the therapeutic chain&#46;</p><p id="par0185" class="elsevierStylePara elsevierViewall">The &#8220;Adverse Drug Event Prevention Study&#8221;&#44;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> a reference publication on MEs in hospitalized patients combining review of the case histories with voluntary declaration of AEs&#44; explains the high incidence of MEs in the ICU as a consequence of the fact that critical patients receive twice as many drugs as the rest of patients&#46; Such findings have been confirmed by Cullen et al&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a></p><p id="par0190" class="elsevierStylePara elsevierViewall">Other reasons that would account for these results are the continuous changes in the clinical condition of the patients&#44; requiring modifications and dose adjustments&#59; the numerous treatments received &#40;many of which are considered to imply high risk&#41;&#59; use of the intravenous route as the most common administration route&#59; and the fact that in many cases the patients are under the effects of sedation&#44; which prevents them from detecting healthcare personnel errors by themselves&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">7&#44;8</span></a></p><p id="par0195" class="elsevierStylePara elsevierViewall">However&#44; the results derived from studies of this kind are highly variable&#44; and such variation may be influenced by the definition of ME used in the investigation&#59; the detection method used to determine this type of incident&#59; the pharmacotherapeutic groups involved&#59; the evaluated phase of the process or chain&#59; and the inclusion or exclusion of the different administration routes employed&#46; All this makes the comparison of such studies difficult&#46;<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">16&#44;17</span></a> In this context&#44; the findings can range from 1&#46;2 MEs per 1000 patients&#47;day when voluntary declaration is considered to 106 MEs per 1000 patients&#47;day when evaluating errors related to continuous perfusions&#44; or 947 MEs per 1000 patients&#47;day when evaluating errors in the prescription phase&#46;<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;19</span></a></p><p id="par0200" class="elsevierStylePara elsevierViewall">It is well known that MEs can occur in any phase of the therapeutic process&#44;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a> although they are more frequent during prescription and administration&#46; Our study&#44; with rates of 34&#37; and 28&#37; in these two phases&#44; respectively&#44; confirms the results obtained by other authors&#46;<a class="elsevierStyleCrossRefs" href="#bib0100"><span class="elsevierStyleSup">20&#8211;24</span></a></p><p id="par0205" class="elsevierStylePara elsevierViewall">It was not the aim of our study to analyze the causes of ME&#44; since the data collection form was not specifically designed for this purpose&#46; However&#44; in the same way as in the study published by Ridley et al&#46;&#44; it should be noted that most of the recorded prescription errors were attributable to ambiguous instructions&#44; incorrect nomenclature&#44; and illegible writing&#44;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a> while the most frequent situations referred to administration errors were omissions and delays in the timing of administration&#46; Similar data have been reported by Valentin et al&#46;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">25</span></a></p><p id="par0210" class="elsevierStylePara elsevierViewall">Regarding the definition of severity&#44; the lack of appropriate scales makes it even more difficult to establish a uniform definition&#44; and therefore to establish comparisons with other studies&#46; However&#44; most studies report a high rate of NHIs&#46;<a class="elsevierStyleCrossRefs" href="#bib0130"><span class="elsevierStyleSup">26&#44;27</span></a> In our case the observed rate was even higher&#58; 18 NHIs per 100 patients&#47;day&#44; representing 84&#37; of all MEs &#40;<a class="elsevierStyleCrossRef" href="#tbl0030">Table 6</a>&#41;&#46;</p><p id="par0215" class="elsevierStylePara elsevierViewall">As in any voluntary declaration study&#44; the professionals might feel intimidated to report cases of severe harm or injury in which they themselves are implicated&#46; However&#44; it should be underscored that in our study there were 51 reports of MEs &#40;14&#37;&#41; that caused reversible patient harm and 5 reports of MEs &#40;4&#37;&#41; that caused permanent damage&#8211;including one case resulting in patient death&#46;</p><p id="par0220" class="elsevierStylePara elsevierViewall">Regarding avoidability&#44; the MEs were mostly considered to be &#8220;totally avoidable&#8221;&#44; compared with the rest of possible avoidability categories&#46; In the same way as in other studies&#44;<a class="elsevierStyleCrossRefs" href="#bib0130"><span class="elsevierStyleSup">26&#8211;28</span></a> the confirmed fact that MEs are mostly avoidable &#40;93&#37; and 98&#37; of the AEs and NHIs&#44; respectively&#44; were avoidable in our study&#41; should cause us to reflect upon the advisability of adopting strategies designed precisely to avoid such situations&#46; The above considerations point to the need for furthering our knowledge of ME and its epidemiology in the critical patient&#46; Only a detailed analysis of the problem will allow us to define strategies capable of ensuring safer medication use&#46;</p><p id="par0225" class="elsevierStylePara elsevierViewall">Among the main limitations of our work&#44; it must be underscored that this has been a descriptive study&#44; and we are therefore unable to confirm any hypotheses referred to associations between variables&#46; Any possible associations will have to be confirmed in posterior analytical studies&#46;</p><p id="par0230" class="elsevierStylePara elsevierViewall">Under-reporting is a limitation inherent to studies that use a voluntary and anonymous reporting system as a tool for data collection&#44; and may be due to a lack of knowledge of what needs to be reported&#44; a lack of awareness that an error has been made&#44; or fear of reprisals&#46; This aspect may have influenced our study&#44; though we consider that there have also been other factors that have clearly conditioned reporting&#44; such as the fact that the study results may have been influenced by the selection bias inherent to those studies in which participation is voluntary&#46; In this context&#44; it is possible that participation in the study was more likely on the part of those hospitals with greater awareness and motivation referred to patient safety&#44; and therefore more inclined to report&#46; Having a medical and nursing coordinator in each participating hospital&#44; and the promotion of professional training may have contributed to increase reporting&#46; On the other hand&#44; the short data collection period involved &#40;24<span class="elsevierStyleHsp" style=""></span>h&#41; might also have favored involvement among the professionals&#44; motivating them to report incidents&#46; In view of the above&#44; we consider that&#44; overall&#44; our study favored the reporting of incidents&#46;</p><p id="par0235" class="elsevierStylePara elsevierViewall">It also must be commented that the SYREC trial was not specifically designed for the detection and reporting of MEs&#44;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> and that consequently the recorded incidence may have been less than would be expected from a study specifically designed for that purpose&#46; Furthermore&#44; in most of the reported MEs the implicated drug was not specified&#44; since the data collection form only required specification of the phase of the therapeutic process or chain in which the incident occurred&#46; For this reason it is not possible to perform a more rigorous analysis of the pharmacotherapeutic groups most often implicated in ME &#8211; in contrast to other studies found in the literature&#46;<a class="elsevierStyleCrossRefs" href="#bib0110"><span class="elsevierStyleSup">22&#44;23</span></a></p><p id="par0240" class="elsevierStylePara elsevierViewall">Another source of bias to be taken into account in studies of this kind&#44; and which may have influenced the number of reported MEs&#44; is the so-called Hawthorne effect&#44; consisting in our case of the adoption of safer medical practices on the day of the study because the professionals feel themselves to be watched&#46;</p><p id="par0245" class="elsevierStylePara elsevierViewall">The classification of the incidents and their consequences contains subjective elements which in our study could be augmented by the fact that all the professionals were enrolled as reporters of incidents&#8211;a situation that favors inter-observer variability&#46; The prior basic training does not allow us to guarantee sufficient experience for correctly categorizing the incidents&#44; and concordance analyses moreover were not made&#46; The use of pre-established definitions and posterior quality control&#44; with a review of all the incidents by the principal investigators of the study&#44; have attempted to minimize this limitation&#46;</p><p id="par0250" class="elsevierStylePara elsevierViewall">Lastly&#44; the short follow-up period&#44; which limits the information on the middle-term consequences of the detected AEs and precludes the detection of AEs whose consequences become manifest only days later&#44; may have caused some AEs to go undetected&#44; underestimating the severity and therefore influencing the results&#46;</p><p id="par0255" class="elsevierStylePara elsevierViewall">Considering the above limitations&#44; the main contribution of this study has been the obtainment of information on the MEs that affect patients admitted to Spanish ICUs&#46; Although there are reference publications corresponding to different countries&#44; epidemiological studies in our own context are also needed to evidence that our ICUs suffer the same safety problems&#8211;thereby helping to increase awareness of the importance of a problem which has received little attention in our setting&#44; and which therefore may have been underestimated to date&#46;</p><p id="par0260" class="elsevierStylePara elsevierViewall">In conclusion&#44; medication error can be regarded as one of the most frequent incidents in critical patients&#44; and is more common in the drug prescription and administration phases&#46; Although most such errors have no clinical consequences&#44; a significant percentage cause patient harm&#44; and a large proportion of them are moreover avoidable&#46; Specific strategies therefore should be adopted to ensure safe drug use in the critical care setting&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0160">Financial support</span><p id="par0265" class="elsevierStylePara elsevierViewall">This study was carried out thanks to a collaboration agreement between the <span class="elsevierStyleGrantSponsor" id="gs0005">Spanish Ministry of Health and the Spanish Society of Intensive Care Medicine &#40;<span class="elsevierStyleItalic">Sociedad Espa&#241;ola de Medicina Intensiva&#44; Cr&#237;tica y Unidades Coronarias</span>&#44; SEMICYUC&#41;</span>&#46;</p></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0165">Conflicts of interest</span><p id="par0270" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:12 [
        0 => array:2 [
          "identificador" => "xres288116"
          "titulo" => array:8 [
            0 => "Abstract"
            1 => "Objective"
            2 => "Design"
            3 => "Setting"
            4 => "Patients"
            5 => "Main variables of interest"
            6 => "Results"
            7 => "Conclusions"
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec271589"
          "titulo" => "Keywords"
        ]
        2 => array:2 [
          "identificador" => "xres288117"
          "titulo" => array:8 [
            0 => "Resumen"
            1 => "Objetivo"
            2 => "Dise&#241;o"
            3 => "&#193;mbito"
            4 => "Pacientes"
            5 => "Variables principales de inter&#233;s"
            6 => "Resultados"
            7 => "Conclusiones"
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec271590"
          "titulo" => "Palabras clave"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introduction"
        ]
        5 => array:3 [
          "identificador" => "sec0010"
          "titulo" => "Patients and methods"
          "secciones" => array:7 [
            0 => array:2 [
              "identificador" => "sec0015"
              "titulo" => "Design"
            ]
            1 => array:2 [
              "identificador" => "sec0020"
              "titulo" => "Inclusion criteria"
            ]
            2 => array:3 [
              "identificador" => "sec0025"
              "titulo" => "Variables and measurements"
              "secciones" => array:2 [
                0 => array:2 [
                  "identificador" => "sec0030"
                  "titulo" => "Primary"
                ]
                1 => array:2 [
                  "identificador" => "sec0035"
                  "titulo" => "Secondary"
                ]
              ]
            ]
            3 => array:2 [
              "identificador" => "sec0040"
              "titulo" => "Procedure"
            ]
            4 => array:2 [
              "identificador" => "sec0045"
              "titulo" => "Data collection quality control"
            ]
            5 => array:2 [
              "identificador" => "sec0050"
              "titulo" => "Statistical analysis"
            ]
            6 => array:2 [
              "identificador" => "sec0055"
              "titulo" => "Confidentiality and ethical aspects"
            ]
          ]
        ]
        6 => array:2 [
          "identificador" => "sec0060"
          "titulo" => "Results"
        ]
        7 => array:2 [
          "identificador" => "sec0065"
          "titulo" => "Discussion"
        ]
        8 => array:2 [
          "identificador" => "sec0070"
          "titulo" => "Financial support"
        ]
        9 => array:2 [
          "identificador" => "sec0075"
          "titulo" => "Conflicts of interest"
        ]
        10 => array:2 [
          "identificador" => "xack66696"
          "titulo" => "Acknowledgements"
        ]
        11 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2012-05-10"
    "fechaAceptado" => "2012-11-06"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec271589"
          "palabras" => array:4 [
            0 => "Critical patient safety"
            1 => "Medication errors"
            2 => "Adverse events"
            3 => "Incident reporting"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec271590"
          "palabras" => array:4 [
            0 => "Seguridad del paciente cr&#237;tico"
            1 => "Errores de medicaci&#243;n"
            2 => "Eventos adversos"
            3 => "Notificaci&#243;n de incidentes"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To estimate the incidence of medication errors in Spanish intensive care units&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0015">Design</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Post hoc study of the SYREC trial&#46; A longitudinal observational study carried out during 24<span class="elsevierStyleHsp" style=""></span>h in patients admitted to the ICU&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0020">Setting</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Spanish intensive care units&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0025">Patients</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Patients admitted to the intensive care unit participating in the SYREC during the period of study&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0030">Main variables of interest</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Risk&#44; individual risk&#44; and rate of medication errors&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0035">Results</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The final study sample consisted of 1017 patients from 79 intensive care units&#59; 591 &#40;58&#37;&#41; were affected by one or more incidents&#46; Of these&#44; 253 &#40;43&#37;&#41; had at least one medication-related incident&#46; The total number of incidents reported was 1424&#44; of which 350 &#40;25&#37;&#41; were medication errors&#46; The risk of suffering at least one incident was 22&#37; &#40;IQR&#58; 8&#8211;50&#37;&#41; while the individual risk was 21&#37; &#40;IQR&#58; 8&#8211;42&#37;&#41;&#46; The medication error rate was 1&#46;13 medication errors per 100 patient-days of stay&#46; Most incidents occurred in the prescription &#40;34&#37;&#41; and administration &#40;28&#37;&#41; phases&#44; 16&#37; resulted in patient harm&#44; and 82&#37; were considered &#8220;totally avoidable&#8221;&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0040">Conclusions</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Medication errors are among the most frequent types of incidents in critically ill patients&#44; and are more common in the prescription and administration stages&#46; Although most such incidents have no clinical consequences&#44; a significant percentage prove harmful for the patient&#44; and a large proportion are avoidable&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0050">Objetivo</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Estimar la incidencia de los errores de medicaci&#243;n en los servicios de Medicina Intensiva espa&#241;oles&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0055">Dise&#241;o</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">An&#225;lisis post hoc del estudio SYREC&#46; Estudio observacional longitudinal con seguimiento de 24<span class="elsevierStyleHsp" style=""></span>h de una cohorte de pacientes ingresados en los servicios de Medicina Intensiva participantes&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0060">&#193;mbito</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Servicios de Medicina Intensiva espa&#241;oles&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0065">Pacientes</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Pacientes ingresados en los servicios de Medicina Intensiva participantes en el estudio SYREC durante el periodo de inclusi&#243;n&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0070">Variables principales de inter&#233;s</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Riesgo&#44; riesgo individual y tasa de errores de medicaci&#243;n&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0075">Resultados</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Participaron 79 servicios de Medicina Intensiva&#44; incluy&#233;ndose 1&#46;017 pacientes&#44; registr&#225;ndose 591 &#40;58&#37;&#41; con al menos un incidente&#46; De estos&#44; 253 &#40;43&#37;&#41; presentaron al menos un incidente relacionado con la medicaci&#243;n&#46; El n&#250;mero total de incidentes notificados fue de 1&#46;424&#44; de los cuales 350 &#40;25&#37;&#41; fueron errores de medicaci&#243;n&#46; El riesgo que tiene un paciente de sufrir un error de medicaci&#243;n por ingresar en un servicio de Medicina Intensiva es del 22&#37; &#40;RIQ&#58; 8&#37;&#44; 50&#37;&#41;&#44; mientras que el riesgo individual es del 21&#37; &#40;RIQ&#58; 8&#37;&#44; 42&#37;&#41;&#46; La tasa de errores de medicaci&#243;n fue de 1&#44;13 errores de medicaci&#243;n por 100 pacientes&#47;d&#237;a de estancia&#46; La mayor&#237;a ocurrieron en la fase de prescripci&#243;n &#40;34&#37;&#41; y administraci&#243;n &#40;28&#37;&#41;&#59; el 16&#37; produjeron da&#241;o al paciente y un 82&#37; se consideraron &#171;sin duda evitables&#187;&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0080">Conclusiones</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Los errores de medicaci&#243;n constituyen una de las clases de incidentes m&#225;s frecuentes en el paciente cr&#237;tico&#44; siendo m&#225;s habituales en las fases de prescripci&#243;n y administraci&#243;n&#46; Aunque la mayor&#237;a no tienen consecuencias cl&#237;nicas&#44; un porcentaje significativo causan un da&#241;o al paciente&#44; siendo en una elevada proporci&#243;n evitables&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Please cite this article as&#58; Merino P&#44; Mart&#237;n MC&#44; Alonso A&#44; Guti&#233;rrez I&#44; &#193;lvarez J&#44; Becerril F&#44; et al&#46; Errores de medicaci&#243;n en los servicios de Medicina Intensiva espa&#241;oles&#46; Med Intensiva&#46; 2013&#59;37&#58;391&#8211;399&#46;</p>"
      ]
    ]
    "multimedia" => array:6 [
      0 => array:7 [
        "identificador" => "tbl0005"
        "etiqueta" => "Table 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">Source&#58; Otero L&#243;pez&#44; et al&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a></p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Category&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Definition&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">A&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Circumstances or situations capable of producing an incident&#44; but which are detected and resolved before they are able to affect the patient&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">B&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">The incident affects the patient but causes no harm&#46; No monitoring or intervention is needed&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">C&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">The incident affects the patient and causes no harm&#44; but monitoring and&#47;or intervention is needed to confirm that no harm has been caused&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">D&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">The incident causes harm that is impossible to determine&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">E&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">The incident contributes to or causes temporary &#40;reversible&#41; patient harm and requires intervention&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">F&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">The incident contributes to or causes temporary &#40;reversible&#41; patient harm and requires or prolongs hospital admission&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">G&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">The incident contributes to or causes permanent &#40;irreversible&#41; patient harm&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">H&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">The incident proves life-threatening for the patient&#44; and intervention is needed to ensure survival&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">I&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">The incident contributes to or causes patient death&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab420314.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Medication error &#40;ME&#41; severity categories &#40;adapted from Ruiz-Jarabo&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a></p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "tbl0010"
        "etiqueta" => "Table 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Term&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Definition&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">No-harm incident &#40;NHI&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">An incident causing no harm to the patient&#44; either because it does not affect the patient or because it lacks consequences&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Adverse event &#40;AE&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Any unforeseen and unexpected incident reported by the professionals and that has caused harm or death as a consequence of medical care&#44; and is not related to the course or possible complications of the patient background disease&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Medication error &#40;ME&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Any NHI or AE detected and reported by the professional&#44; related to the medication&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Risk &#40;cumulative incidence&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">It is calculated by dividing the number of MEs&#44; NHIs or AEs by the total patients meeting the inclusion criteria&#46; The parameter is expressed as a percentage and reflects the probability of suffering ME&#44; NHI or AE as a result of having been admitted to the ICU&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Individual risk&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">It is calculated by dividing the number of patients with at least one ME&#44; NHI or AE by the total of patients included in the study&#46; The parameter is expressed as a percentage and reflects the probability of suffering at least one ME&#44; NHI or AE as a result of having been admitted to the ICU&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Rate &#40;incidence density&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">It is calculated by dividing the number of MEs&#44; NHIs or AEs by the total days of stay in the ICU&#46; The parameter is expressed as the number of MEs&#44; NHIs or AEs per 100 patients&#47;day of stay in the ICU&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab420309.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">Definitions&#46;</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "tbl0015"
        "etiqueta" => "Table 3"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:3 [
          "leyenda" => "<p id="spar0095" class="elsevierStyleSimplePara elsevierViewall">AE&#58; adverse event&#59; NHI&#58; no-harm incident&#59; ICU&#58; Intensive Care Unit&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Hospital size &#40;beds&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Participating ICUs &#40;&#37; of the total&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&#37; of polyvalent ICUs<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">ICU beds in 2006 &#40;mean&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Patients included on the day of the study&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Patients with incidents&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Number of incidents&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">No&#46; NHIs&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">No&#46; AEs&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Small &#40;&#8804;200&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13 &#40;16&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">99&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">88&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">115&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Medium &#40;201&#8211;499&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">34 &#40;43&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">88&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">367&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">219&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">513&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">341&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">172&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Large &#40;&#8805;500&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">32 &#40;41&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">562&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">327&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">796&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">517&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">279&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">79 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1017&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">591&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1424&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">943&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">48&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab420310.png"
              ]
            ]
          ]
          "notaPie" => array:1 [
            0 => array:3 [
              "identificador" => "tblfn0005"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0005">&#37; of polyvalent ICUs&#58; percentage of ICUs jointly attending clinical&#44; surgical and coronary patients&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">Number of participating ICUs according to hospital size&#44; type and size of ICU and number of cases contributed&#46;</p>"
        ]
      ]
      3 => array:7 [
        "identificador" => "tbl0020"
        "etiqueta" => "Table 4"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0105" class="elsevierStyleSimplePara elsevierViewall">AE&#58; adverse event&#59; ME&#58; medication error&#59; NHI&#58; no-harm incident&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Risk &#40;&#37;&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Individual risk &#40;&#37;&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Rate &#40;per 100 patients&#47;day&#41;</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Median&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">P 25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">P 75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Median&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">P 25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">P 75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Median&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">P 25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">P 75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="9" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">ME &#40;n</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#61;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">350&#41; &#40;100&#37;&#41;</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;74&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="9" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="9" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">NHI &#40;n</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#61;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">294&#41; &#40;84&#37;&#41;</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;77&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="9" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">AE &#40;n</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">&#61;</span><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">56&#41; &#40;16&#37;&#41;</span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab420311.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0100" class="elsevierStyleSimplePara elsevierViewall">Risk&#44; individual risk and ME&#44; NHI and AE rates&#46;</p>"
        ]
      ]
      4 => array:7 [
        "identificador" => "tbl0025"
        "etiqueta" => "Table 5"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0115" class="elsevierStyleSimplePara elsevierViewall">AE&#58; adverse event&#59; ME&#58; medication error&#59; NHI&#58; no-harm incident&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="6" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Process or phase of the therapeutic process</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">NHI</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">AE</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">ME</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Prescription&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">102&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">119&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">34&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Transcription&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">51&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">58&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dispensation&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">52&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Preparation&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Administration&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">97&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Monitorization&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">294&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">56&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">350&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab420312.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0110" class="elsevierStyleSimplePara elsevierViewall">Process or phase of the therapeutic chain in which the error is detected&#46;</p>"
        ]
      ]
      5 => array:7 [
        "identificador" => "tbl0030"
        "etiqueta" => "Table 6"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0125" class="elsevierStyleSimplePara elsevierViewall">AE&#58; adverse event&#59; ME&#58; medication error&#59; NHI&#58; no-harm incident&#46;</p>"
          "tablatextoimagen" => array:2 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="9" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">ME severity category &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>350&#41; &#40;100&#37;&#41;</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">NHI &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>294&#41; &#40;84&#37;&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="6" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">AE &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>56&#41; &#40;16&#37;&#41;</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">A&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">B&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">C&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">D&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">E&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">F&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">G&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">H&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">I&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">102 &#40;29&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">154 &#40;44&#46;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">38 &#40;10&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">36 &#40;10&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14 &#40;4&#46;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;0&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#46;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;1&#46;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;0&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab420315.png"
              ]
            ]
            1 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="8" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">ME avoidability</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="4" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">NHI &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>294&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="4" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">AE &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>56&#41;</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Totally avoidable&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Possibly avoidable&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Possibly unavoidable&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Totally unavoidable&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Totally avoidable&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Possibly avoidable&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Possibly unavoidable&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Totally unavoidable&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">255 &#40;86&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">34 &#40;11&#46;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;1&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;0&#46;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33 &#40;58&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19 &#40;33&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;1&#46;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;5&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab420313.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0120" class="elsevierStyleSimplePara elsevierViewall">Medication error severity and avoidability&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:28 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Secretaria General de Sanidad&#46; Plan de Calidad para el Sistema Nacional de Salud&#46;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "Ministerio de Sanidad y Consumo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:1 [
                        "fecha" => "2006"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Quality of care&#58; patient safety"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "World Health Organization"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:3 [
                        "titulo" => "WHA55&#46;18&#46; Fifty-fifth World Health Assembly"
                        "conferencia" => "Geneva&#44; 18&#47;05&#47;02"
                        "serieFecha" => "2002"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Efectos adversos en la asistencia hospitalaria&#46; Una revisi&#243;n cr&#237;tica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;M&#46; Aranaz"
                            1 => "C&#46; Aibar"
                            2 => "M&#46;T&#46; Gea"
                            3 => "M&#46;T&#46; Le&#243;n"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "2004"
                        "volumen" => "123"
                        "paginaInicial" => "21"
                        "paginaFinal" => "25"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estudio Nacional sobre los Efectos Adversos ligados a la hospitalizaci&#243;n&#46; ENEAS"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;M&#46; Aranaz"
                            1 => "C&#46; Aibar"
                            2 => "J&#46; Vitaller"
                            3 => "P&#46; Ruiz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:1 [
                        "fecha" => "2005"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A look into the nature and causes of human errors in the intensive care unit"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "Y&#46; Donchin"
                            1 => "D&#46; Gopher"
                            2 => "M&#46; Olin"
                            3 => "Y&#46; Badihi"
                            4 => "M&#46; Biesky"
                            5 => "C&#46;L&#46; Sprung"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "1995"
                        "volumen" => "23"
                        "paginaInicial" => "294"
                        "paginaFinal" => "300"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7867355"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The hostile environment of the intensive care unit"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "Y&#46; Donchin"
                            1 => "F&#46;J&#46; Seagull"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Curr Opin Crit Care"
                        "fecha" => "2002"
                        "volumen" => "8"
                        "paginaInicial" => "316"
                        "paginaFinal" => "320"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12386492"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Incidence of adverse drug events and potential adverse drug events&#46; Implications for prevention&#46; ADE Prevention Study Group"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46;W&#46; Bates"
                            1 => "D&#46;J&#46; Cullen"
                            2 => "N&#46; Laird"
                            3 => "L&#46;A&#46; Petersen"
                            4 => "S&#46;D&#46; Small"
                            5 => "D&#46; Servi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1995"
                        "volumen" => "274"
                        "paginaInicial" => "29"
                        "paginaFinal" => "34"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7791255"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Preventable adverse drug events in hospitalized patients&#58; a comparative study of intensive care and general care units"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "D&#46;J&#46; Cullen"
                            1 => "B&#46;J&#46; Sweitzer"
                            2 => "D&#46;W&#46; Bates"
                            3 => "E&#46; Burdick"
                            4 => "A&#46; Edmondson"
                            5 => "L&#46;L&#46; Leape"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "1997"
                        "volumen" => "25"
                        "paginaInicial" => "1289"
                        "paginaFinal" => "1297"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9267940"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0091674908011810"
                          "estado" => "S300"
                          "issn" => "00916749"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Adverse events in Spanish intensive care units&#58; the SYREC study"
                      "autores" => array:1 [
                        0 => array:3 [
                          "colaboracion" => "SYREC Study Investigators"
                          "etal" => false
                          "autores" => array:5 [
                            0 => "P&#46; Merino"
                            1 => "J&#46; &#193;lvarez"
                            2 => "M&#46; Cruz Mart&#237;n"
                            3 => "&#193;&#46; Alonso"
                            4 => "I&#46; Guti&#233;rrez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/intqhc/mzr083"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Qual Health Care"
                        "fecha" => "2012"
                        "volumen" => "24"
                        "paginaInicial" => "105"
                        "paginaFinal" => "113"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22190588"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nine equivalents of nursing manpower use score &#40;NEMS&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46; Reis Miranda"
                            1 => "R&#46; Moreno"
                            2 => "G&#46; Iapichino"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Intensive Care Med"
                        "fecha" => "1997"
                        "volumen" => "23"
                        "paginaInicial" => "760"
                        "paginaFinal" => "765"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9290990"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medication errors&#58; standardizing the terminology and taxonomy&#46; Ruiz Jarabo 2000 grand results"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46;J&#46; Otero L&#243;pez"
                            1 => "C&#46; Codina Jan&#233;"
                            2 => "M&#46;J&#46; Tam&#233;s Alonso"
                            3 => "M&#46; P&#233;rez Encinas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Farm Hosp"
                        "fecha" => "2003"
                        "volumen" => "27"
                        "paginaInicial" => "137"
                        "paginaFinal" => "149"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12835826"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Improvement in process of care and outcome after a multicenter severe sepsis educational program in Spain"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "R&#46; Ferrer"
                            1 => "A&#46; Artigas"
                            2 => "M&#46;M&#46; Levy"
                            3 => "J&#46; Blanco"
                            4 => "G&#46; Gonz&#225;lez-D&#237;az"
                            5 => "J&#46; Garnacho-Montero"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/jama.299.19.2294"
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2008"
                        "volumen" => "299"
                        "paginaInicial" => "2294"
                        "paginaFinal" => "2303"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18492971"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Colonizaci&#243;n y&#47;o infecci&#243;n por hongos en unidades de cuidados intensivos&#46; Estudio multic&#233;ntrico de 1&#46;562 pacientes"
                      "autores" => array:1 [
                        0 => array:3 [
                          "colaboracion" => "Grupo de Estudio de Infecci&#243;n F&#250;ngica"
                          "etal" => false
                          "autores" => array:6 [
                            0 => "F&#46; &#193;lvarez-Lerma"
                            1 => "M&#46; Palomar"
                            2 => "C&#46; Le&#243;n"
                            3 => "P&#46; Olaechea"
                            4 => "E&#46; Cerd&#225;"
                            5 => "B&#46; Bermejo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "2003"
                        "volumen" => "121"
                        "paginaInicial" => "161"
                        "paginaFinal" => "166"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The quality and safety of intensive care medicine in Spain&#46; More than just words"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;C&#46; Mart&#237;n Delgado"
                            1 => "F&#46; Gordo-Vidal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.medin.2011.02.003"
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Intensiva"
                        "fecha" => "2011"
                        "volumen" => "35"
                        "paginaInicial" => "201"
                        "paginaFinal" => "205"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21414688"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nurses relate the contributing factors involved in medication errors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "F&#46;I&#46; Tang"
                            1 => "S&#46;J&#46; Sheu"
                            2 => "S&#46; Yu"
                            3 => "I&#46;L&#46; Wei"
                            4 => "C&#46;H&#46; Chen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2702.2005.01540.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Nurs"
                        "fecha" => "2007"
                        "volumen" => "16"
                        "paginaInicial" => "447"
                        "paginaFinal" => "457"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17335520"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Patient safety in intensive care&#58; results from the multinational Sentinel Events Evaluation &#40;SEE&#41; study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Valentin"
                            1 => "M&#46; Capuzzo"
                            2 => "B&#46; Guidet"
                            3 => "R&#46;P&#46; Moreno"
                            4 => "L&#46; Dolanski"
                            5 => "P&#46; Bauer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00134-006-0290-7"
                      "Revista" => array:6 [
                        "tituloSerie" => "Intensive Care Med"
                        "fecha" => "2006"
                        "volumen" => "32"
                        "paginaInicial" => "1591"
                        "paginaFinal" => "1598"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16874492"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Principles and practices of medication safety in the ICU"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46; Kane-Gill"
                            1 => "R&#46;J&#46; Weber"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ccc.2006.02.005"
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Clin"
                        "fecha" => "2006"
                        "volumen" => "22"
                        "paginaInicial" => "273"
                        "paginaFinal" => "290"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16678000"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medication errors involving continuously infused medications in a surgical intensive care unit"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46;M&#46; Herout"
                            1 => "B&#46;L&#46; Erstad"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/01.CCM.0000108876.12846.B7"
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "2004"
                        "volumen" => "32"
                        "paginaInicial" => "428"
                        "paginaFinal" => "432"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14758159"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Adverse drug events in intensive care units&#58; risk factors&#44; impact&#44; and the role of team care"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46;L&#46; Kane-Gill"
                            1 => "J&#46; Jacobi"
                            2 => "J&#46;M&#46; Rothschild"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/CCM.0b013e3181dd8364"
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "2010"
                        "volumen" => "38"
                        "paginaInicial" => "S83"
                        "paginaFinal" => "S89"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20502179"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prescription errors in UK critical care units"
                      "autores" => array:1 [
                        0 => array:3 [
                          "colaboracion" => "Intensive Care Society&#39;s Working Group on Adverse Incidents"
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46;A&#46; Ridley"
                            1 => "S&#46;A&#46; Booth"
                            2 => "C&#46;M&#46; Thompson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2044.2004.03969.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Anaesthesia"
                        "fecha" => "2004"
                        "volumen" => "59"
                        "paginaInicial" => "1193"
                        "paginaFinal" => "1200"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15549978"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medication errors at the administration stage in an intensive care unit"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "E&#46; Tissot"
                            1 => "C&#46; Cornette"
                            2 => "P&#46; Demoly"
                            3 => "M&#46; Jacquet"
                            4 => "F&#46; Barale"
                            5 => "G&#46; Capellier"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Intensive Care Med"
                        "fecha" => "1999"
                        "volumen" => "25"
                        "paginaInicial" => "353"
                        "paginaFinal" => "359"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10342507"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medication administration errors in adult patients in the ICU"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46;D&#46; Calabrese"
                            1 => "B&#46;L&#46; Erstad"
                            2 => "K&#46; Brandl"
                            3 => "J&#46;F&#46; Barletta"
                            4 => "S&#46;L&#46; Kane"
                            5 => "D&#46;S&#46; Sherman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s001340101065"
                      "Revista" => array:7 [
                        "tituloSerie" => "Intensive Care Med"
                        "fecha" => "2001"
                        "volumen" => "27"
                        "paginaInicial" => "1592"
                        "paginaFinal" => "1598"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11685299"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673699011046"
                          "estado" => "S300"
                          "issn" => "01406736"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Frequency and determinants of drug administration errors in the intensive care unit"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "P&#46;M&#46; Van den Bemt"
                            1 => "R&#46; Fijn"
                            2 => "P&#46;H&#46; van der Voort"
                            3 => "A&#46;A&#46; Gossen"
                            4 => "T&#46;C&#46; Egberts"
                            5 => "J&#46;R&#46; Brouwers"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "2002"
                        "volumen" => "30"
                        "paginaInicial" => "846"
                        "paginaFinal" => "850"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11940757"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Errors in preparation and administration of intravenous medications in the intensive care unit of a teaching hospital&#58; an observational study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "F&#46; Fahimi"
                            1 => "P&#46; Ariapanah"
                            2 => "M&#46; Faizi"
                            3 => "B&#46; Shafaghi"
                            4 => "R&#46; Namdar"
                            5 => "M&#46;T&#46; Ardakani"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.aucc.2007.10.004"
                      "Revista" => array:6 [
                        "tituloSerie" => "Aust Crit Care"
                        "fecha" => "2008"
                        "volumen" => "21"
                        "paginaInicial" => "110"
                        "paginaFinal" => "116"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18387813"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib0125"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Errors in administration of parenteral drugs in intensive care units&#58; multinational prospective study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Valentin"
                            1 => "M&#46; Capuzzo"
                            2 => "B&#46; Guidet"
                            3 => "R&#46; Moreno"
                            4 => "B&#46; Metnitz"
                            5 => "P&#46; Bauer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2009"
                        "volumen" => "338"
                        "paginaInicial" => "b814"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19282436"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib0130"
              "etiqueta" => "26"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The Critical Care Safety Study&#58; the incidence and nature of adverse events and serious medical errors in intensive care"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;M&#46; Rothschild"
                            1 => "C&#46;P&#46; Landrigan"
                            2 => "J&#46;W&#46; Cronin"
                            3 => "R&#46; Kaushal"
                            4 => "S&#46;W&#46; Lockley"
                            5 => "E&#46; Burdick"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "2005"
                        "volumen" => "33"
                        "paginaInicial" => "1694"
                        "paginaFinal" => "1700"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16096443"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib0135"
              "etiqueta" => "27"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medication errors and adverse drug events in an intensive care unit&#58; direct observation approach for detection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "B&#46;J&#46; Kopp"
                            1 => "B&#46;L&#46; Erstad"
                            2 => "M&#46;E&#46; Allen"
                            3 => "A&#46;A&#46; Theodorou"
                            4 => "G&#46; Priestley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "2006"
                        "volumen" => "34"
                        "paginaInicial" => "415"
                        "paginaFinal" => "425"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16424723"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib0140"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Adverse drug events and medication errors&#58; detection and classification methods"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46; Morimoto"
                            1 => "T&#46;K&#46; Gandhi"
                            2 => "A&#46;C&#46; Seger"
                            3 => "T&#46;C&#46; Hsieh"
                            4 => "D&#46;W&#46; Bates"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/qhc.13.4.306"
                      "Revista" => array:6 [
                        "tituloSerie" => "Qual Saf Health Care"
                        "fecha" => "2004"
                        "volumen" => "13"
                        "paginaInicial" => "306"
                        "paginaFinal" => "314"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15289635"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack66696"
        "titulo" => "Acknowledgements"
        "texto" => "<p id="par0275" class="elsevierStylePara elsevierViewall">The authors of the study thank the coordinators of the participating ICUs for the support provided in carrying out this study&#46;</p> <p id="par0280" class="elsevierStylePara elsevierViewall">C&#225;novas Robles J&#44; Perales Pastor R&#44; Hospital General Universitario de Alicante &#40;Alicante&#41;&#59; S&#225;nchez Ortega D&#44; Serrano Calvache JA&#44; Hospital de Torrec&#225;rdenas &#40;Almer&#237;a&#41;&#59; De Rojas Rom&#225;n JP&#44; Ramos Carbonero Y&#44; Hospital Comarcal de Antequera &#40;Antequera&#41;&#59; Guti&#233;rrez Fern&#225;ndez MJ&#44; Fern&#225;ndez &#193;lvarez V&#44; Hospital San Agust&#237;n &#40;Avil&#233;s&#41;&#59; Umaran Sarachu MI&#44; Monguillo Martiregui MJ&#44; Hospital de Cruces &#40;Baracaldo&#41;&#59; Fern&#225;ndez Dorado F&#44; Figueras Coloma E&#44; Centro M&#233;dico Delfos &#40;Barcelona&#41;&#59; Morillas P&#233;rez J&#44; Portillo Jaurena E&#44; SCIAS-Hospital de Barcelona &#40;Barcelona&#41;&#59; S&#225;nchez Segura JM&#44; Sola Sole N&#44; Hospital Santa Creu i Sant Pau &#40;Barcelona&#41;&#59; Zavala Zegarra E&#44; Cirerea A&#44; Hospital Cl&#237;nic - UCI Quir&#250;rgica &#40;Barcelona&#41;&#59; V&#225;zquez S&#225;nchez A&#44; Abad Peruga V&#44; Hospital del Mar &#40;Barcelona&#41;&#59; Robles Gonz&#225;lez A&#44; Borja Garc&#237;a MI&#44; Hospital Vall D&#8217;Hebron-Traumatolog&#237;a &#40;Barcelona&#41;&#59; Bellot Iglesias JL&#44; Mart&#237;nez Molina M&#44; Hospital de Baza &#40;Baza&#41;&#59; Romero Pellerrejo J&#44; Campillo Temi&#241;o C&#44; Complejo Hospitalario de Burgos &#40;Burgos&#41;&#59; Mart&#237;nez Hern&#225;ndez J&#44; Alarc&#243;n Simarro N&#44; Hospital Santa Mar&#237;a del Rosell &#40;Cartagena&#41;&#59; &#193;lvaro S&#225;nchez R&#44; Bernat Adell A&#44; Hospital Universitario Asociado General de Castell&#243;&#44; &#40;Castell&#243;&#41;&#59; Molina Dom&#237;nguez E&#44; Ortega Carnicer J&#44; Hospital General de Ciudad Real &#40;Ciudad Real&#41;&#59; Alcal&#225; L&#243;pez A&#44; Pastor M&#44; Hospital General Universitario de Elche &#40;Elche&#41;&#59; Palomeque Rico A&#44; Nicol&#225;s Zambudio G&#44; Hospital Sant Joan de Deu &#40;Espluges&#41;&#59; Alonso Ovies A&#44; Balugo Huertas S&#44; Hospital de Fuenlabrada &#40;Fuenlabrada&#41;&#59; Audicana Uriarte J&#44; S&#225;nchez Villamar AM&#44; Hospital de Galdakao &#40;Galdakao&#41;&#59; &#193;lvarez Villuendas A&#44; Garfingou Llenas D&#44; Hospital Dr&#46; Josep Trueta &#40;Girona&#41;&#59; Roca Guiseris J&#44; Garc&#237;a R&#44; Hospital Virgen de las Nieves &#40;Granada&#41;&#59; Fern&#225;ndez del Campo R&#44; Buend&#237;a F&#44; Hospital de Hell&#237;n &#40;Hell&#237;n&#41;&#59; Bartual Lobato E&#44; Garc&#237;a Verdejo JA&#44; Hospital Can Misses &#40;Ibiza&#41;&#59; Verduras Ruiz MA&#44; Rodrigo Frontelo R&#44; Hospital Severo Ochoa &#40;Legan&#233;s&#41;&#59; Pav&#237;a Pesquera MC&#44; Pardos Peir&#243;s E&#44; Hospital San Pedro &#40;Logro&#241;o&#41;&#59; Blanco P&#233;rez J&#44; Murado Bouso AM&#44; Hospital Xeral-Calde Lugo &#40;Lugo&#41;&#59; G&#243;mez Tello V&#44; del Pozo Y&#44; Cl&#237;nica Moncloa &#40;Madrid&#41;&#59; Reyes Garc&#237;a A&#44; Toledano Pe&#241;a J&#44; Hospital Universitario de la Princesa &#40;Madrid&#41;&#59; Ramos Polo J&#44; Suay Ojalvo C&#44; Hospital Cl&#237;nico San Carlos &#40;Madrid&#41;&#59; Men&#233;ndez de Suso JJ&#44; Segovia Gait&#225;n M&#44; Hospital San Rafael &#40;Madrid&#41;&#59; S&#225;enz Casco L&#44; Andr&#233;s Sarri&#225; M&#44; Hospital Central de la Defensa G&#243;mez Ulla &#40;Madrid&#41;&#59; Jim&#233;nez Lend&#237;nez M&#44; Romero C&#44; Hospital Universitario La Paz &#40;Madrid&#41;&#59; Arias Verd&#250; MD&#44; Garc&#237;a Santana JL&#44; Hospital Parque San Antonio &#40;M&#225;laga&#41;&#59; Arboleda S&#225;nchez JA&#44; Velasco Bueno JM&#44; Hospital Costa del Sol &#40;Marbella&#41;&#59; Solsona Perlasia M&#44; Vilalta Llibre M&#44; Consorci Sanitari del Maresme &#40;CSdM&#41; &#40;Matar&#243;&#41;&#59; Garc&#237;a Fern&#225;ndez AM&#44; Morales Adeva L&#44; Hospital de M&#233;rida &#40;M&#233;rida&#41;&#59; Galdos Anuncibay P&#44; Arias Castro I&#44; Hospital General de M&#243;stoles &#40;M&#243;stoles&#41;&#59; G&#243;mez Ramos MJ&#44; Cevidanes M&#44; Hospital General Universitario Reina Sof&#237;a &#40;Murcia&#41;&#59; Mart&#237;nez Fresneda M&#44; Banacloche Cano C&#44; Hospital Virgen de la Arrixaca &#40;Murcia&#41;&#59; Carrillo Alcaraz A&#44; Pe&#241;alver F&#44; Hospital Morales Meseguer &#40;Murcia&#41;&#59; Iglesias Fraile L&#44; &#193;lvarez M&#233;ndez B&#44; Hospital General de Asturias &#40;Oviedo&#41;&#59; Rialp Cervera G&#44; Bestard Soc&#237;as C&#44; Hospital Son Ll&#224;tzer &#40;Palma de Mallorca&#41;&#59; Rodr&#237;guez Albarr&#225;n F&#44; Ballester Belcos R&#44; Cl&#237;nica San Miguel &#40;Pamplona&#41;&#59; Ramos Castro J&#44; Herranz Ayesa MV&#44; Hospital Virgen del Camino &#40;Pamplona&#41;&#59; Mart&#237;nez Urionabarrenetxea K&#44; Elizondo Soto A&#44; Hospital de Navarra &#40;Pamplona&#41;&#59; Gil Cebri&#225;n J&#44; Delgado Poullet N&#44; Hospital Universitario Puerto Real &#40;Puerto Real&#41;&#59; Prieto Valderrey F&#44; Nieto Galeano J&#44; Hospital Santa B&#225;rbara &#40;Puertollano&#41;&#59; Rovira Angles C&#44; Cerrillo E&#44; Hospital Universitario Sant Joan de Reus &#40;Reus&#41;&#59; Dom&#237;nguez L&#243;pez S&#44; Malnero L&#243;pez M&#44; Hospital Valle del Nal&#243;n &#40;Ria&#241;o&#41;&#59; Baigorri Gonz&#225;lez F&#44; Jam Gatell R&#44; Hospital de Sabadell-Corporaci&#243; Parc Taul&#237; &#40;Sabadell&#41;&#59; Lacueva Moya V&#44; Hern&#225;ndez Santamar&#237;a F&#44; Hospital de Sagunt &#40;Sagunto&#41;&#59; Gonz&#225;lez Robledo J&#44; Coca Hern&#225;ndez MA&#44; Hospital Universitario de Salamanca &#40;Salamanca&#41;&#59; Azk&#225;rate Ayerdi B&#44; Marcos A&#44; Hospital Donosita &#40;San Sebasti&#225;n&#41;&#59; Rull Rodr&#237;guez VE&#44; Morras Pineda B&#44; Complejo Hospitalario de Soria&#8211;Hospital de Santa B&#225;rbara &#40;Soria&#41;&#59; Gilavert Cuevas MC&#44; Aragon&#233;s M&#44; Hospital Joan XXIII &#40;Tarragona&#41;&#59; Jurado Castro MT&#44; Bell Ribatallada M&#44; Hospital de Terrasa &#40;Terrasa&#41;&#59; P&#233;rez-Pedrero S&#225;nchez-Belmonte MJ&#44; Pinilla L&#243;pez A&#44; Hospital Virgen de la Salud &#40;Toledo&#41;&#59; V&#225;zquez Casas JR&#44; Herrero G&#243;mez E&#44; Hospital Verge de la Cinta &#40;Tortosa&#41;&#59; Soto Ib&#225;&#241;ez JM&#44; Romero Mor&#225;n MA&#44; Hospital Universitario Dr&#46; Peset &#40;Valencia&#41;&#59; Garc&#237;a Galiana E&#44; Fern&#225;ndez Mart&#237;nez A&#44; Fundaci&#243;n Instituto Valenciano de Oncolog&#237;a &#40;Valencia&#41;&#59; Dom&#237;nguez Quintero LA&#44; Acebes Sancho BE&#44; Dom&#237;nguez Quintero LA&#44; Palencia Garc&#237;a MA&#44; Hospital R&#237;o Hortega&#8211;Polivalente &#40;Valladolid&#41;&#59; Tiz&#243;n Varela AI&#44; de Castro Rodr&#237;guez P&#44; Complexo Hospitalario Universitario de Vigo&#8211;Hospital Xeral C&#237;es &#40;Vigo&#41;&#59; Manzano Ram&#237;rez A&#44; Ruiz de Ofenda E&#44; Hospital Santiago Ap&#243;stol &#40;Vitoria&#41;&#59; Marcos Guti&#233;rrez A&#44; Larruscain Le&#243;n MV&#44; Hospital Virgen de la Concha &#40;Zamora&#41;&#59; Temi&#241;o Palomera S&#44; Lasheras Palomero L&#44; Mutua de Accidentes de Zaragoza &#40;Zaragoza&#41;&#59; Guti&#233;rrez C&#237;a I&#44; Moreno MA&#44; Hospital Cl&#237;nico Universitario Lozano Blesa&#8211;UCI Quir&#250;rgica &#40;Zaragoza&#41;&#59; Tirado Angles G&#44; Gonz&#225;lez Caballero M&#44; Hospital Royo Villanova &#40;Zaragoza&#41;&#59; Valero Garc&#237;a R&#44; Casa Venta J&#44; Hospital Universitario Miguel Servet&#8211;Coronaria &#40;Zaragoza&#41;&#59; Garc&#237;a Mangas P&#44; Mahave Carrasco R&#44; Hospital Universitario Miguel Servet&#8211;Polivalente &#40;Zaragoza&#41;&#59; Olmos P&#233;rez F&#44; Villabona Resano J&#44; Hospital Universitario Miguel Servet&#8211;Cirug&#237;a Cardiaca &#40;Zaragoza&#41;&#59; Williams L&#44; Pati&#241;o Y&#44; Centro de Especialidades Anzo&#225;tegui&#44; Lecher&#237;a &#40;Venezuela&#41;&#59; Margarit Ribas A&#44; Flamarique Zaratiegui MT&#44; Hospital Nostra Senyora de Meritxell&#44; Escaldes-Engordany &#40;Andorra&#41;&#59; Ortega RA&#44; S&#225;nchez Reinoso J&#44; San Juan Bautista&#44; Catamarca &#40;Argentina&#41;&#59; Diosdado Iraola Ferrer M&#44; Mora P&#233;rez Y&#44; Hospital Universitario Dr&#46; Gustavo Alderegu&#237;a Lima&#44; Cienfuegos &#40;Cuba&#41;&#59; Carrazana Ososrio V&#44; Prieto Fuentemayor JR&#44; Hospital Cl&#237;nico-Quir&#250;rgico Luc&#237;a &#205;&#241;iguez Land&#237;n&#44; Holgu&#237;n &#40;Cuba&#41;&#59; D&#237;az &#193;guila H&#44; Companioni Sola Y&#44; Hospital &#171;M&#225;rtires de 9 de Abril&#187;&#44; Sagua la Grande &#40;Cuba&#41;&#59; Morales Valderas A&#44; Sol&#237;s Sotero M&#44; Hospital Universitario Arnaldo Milian Castro&#44; Santa Clara &#40;Cuba&#41;&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735727/0000003700000006/v1_201310310047/S2173572713000726/v1_201310310047/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "423"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Original"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735727/0000003700000006/v1_201310310047/S2173572713000726/v1_201310310047/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572713000726?idApp=WMIE"
]
Article information
ISSN: 21735727
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 13 11 24
2024 October 105 55 160
2024 September 110 104 214
2024 August 99 66 165
2024 July 86 25 111
2024 June 68 59 127
2024 May 72 25 97
2024 April 79 46 125
2024 March 168 33 201
2024 February 102 35 137
2024 January 66 29 95
2023 December 54 42 96
2023 November 52 49 101
2023 October 67 35 102
2023 September 58 44 102
2023 August 57 18 75
2023 July 67 29 96
2023 June 48 26 74
2023 May 53 33 86
2023 April 44 24 68
2023 March 66 50 116
2023 February 80 34 114
2023 January 48 17 65
2022 December 80 57 137
2022 November 97 40 137
2022 October 65 44 109
2022 September 48 32 80
2022 August 54 41 95
2022 July 40 39 79
2022 June 42 35 77
2022 May 50 34 84
2022 April 67 40 107
2022 March 59 48 107
2022 February 44 37 81
2022 January 44 32 76
2021 December 41 34 75
2021 November 50 51 101
2021 October 60 62 122
2021 September 60 41 101
2021 August 36 44 80
2021 July 41 53 94
2021 June 51 42 93
2021 May 54 41 95
2021 April 94 68 162
2021 March 64 25 89
2021 February 54 33 87
2021 January 69 41 110
2020 December 47 60 107
2020 November 37 44 81
2020 October 67 37 104
2020 September 48 17 65
2020 August 28 12 40
2020 July 33 27 60
2020 June 49 14 63
2020 May 51 18 69
2020 April 28 20 48
2020 March 44 20 64
2020 February 111 55 166
2020 January 51 25 76
2019 December 63 22 85
2019 November 48 27 75
2019 October 143 28 171
2019 September 51 38 89
2019 August 71 20 91
2019 July 58 36 94
2019 June 47 26 73
2019 May 82 33 115
2019 April 55 30 85
2019 March 61 37 98
2019 February 52 35 87
2019 January 52 31 83
2018 December 110 47 157
2018 November 136 49 185
2018 October 99 24 123
2018 September 36 14 50
2018 August 27 5 32
2018 July 54 16 70
2018 June 57 11 68
2018 May 25 13 38
2018 April 44 15 59
2018 March 47 7 54
2018 February 32 9 41
2018 January 52 14 66
2017 December 29 8 37
2017 November 45 14 59
2017 October 24 7 31
2017 September 27 11 38
2017 August 19 13 32
2017 July 18 7 25
2017 June 56 30 86
2017 May 47 10 57
2017 April 41 14 55
2017 March 30 9 39
2017 February 22 11 33
2017 January 21 6 27
2016 December 66 8 74
2016 November 53 12 65
2016 October 58 17 75
2016 September 64 14 78
2016 August 31 8 39
2016 July 37 18 55
2015 December 2 0 2
Show all

Follow this link to access the full text of the article

Idiomas
Medicina Intensiva (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?