Euro Quality

EUROQUALITY ADVERSE EVENTS module, for the Health area with SAP platform and the vertical ISH.


ADVERSE EVENT: Unintentional, unintended injuries occurring during health care, which are more attributable to health care than to the underlying disease, and which may lead to death, disability, or deterioration in the patient’s health status , To the prolongation of the hospitalization time and to the increase of the costs and affectation of the quality.

PATIENT SAFETY: It is the set of structural elements, processes, instruments and methodologies based on scientifically proven evidence that tend to minimize the risk of suffering an adverse event in the health care process or to mitigate its consequences.

ALMOST EVENT: Any situation in which a continuous sequence of effects was stopped avoiding the appearance of potential consequences, errors that almost occurred, events that in other circumstances could have had serious consequences, or dangerous events that have not caused personal damages, although the Have been able to produce materials and serve as a warning of the possibility of adverse events occurring.

SENTINEL EVENT: It is an event of unanticipated occurrence that involves death or permanent permanent loss of function not related to the natural course of the disease or the patient’s underlying problem.

SAFETY BARRIER: An action or circumstance that reduces the probability of presentation of the near event or the adverse event.

CONTRIBUTOR FACTOR: Condition that facilitates or predisposes to an unsafe action, such as: patient with difficulty understanding instructions, lack of protocols, lack of knowledge or experience, poor communication between the health team, insufficient personnel to comply with a care process , among others.

UNSAFE ACTION: Conduct that occurs during the health care process, usually by action or omission of health team members. Its essential characteristics are: care departs from the limits of a safe practice and the deviation has at least the direct or indirect potential of causing an adverse event for the patient.


Have a technological tool that supports the management of adverse events and allows the traceability of each of the phases of the procedure in the HOSPITAL INSTITUTION.


  • Non-punitive: People report without fear of retaliation or punishment.
  • Confidential: The identities of the patient, or of the person who reports, are never disclosed.
  • Independent: The procedure is independent of the person with authority to punish.
  • Analysis by an expert: Events are analyzed by experts who understand the clinical circumstances and are trained to identify causes.
  • Opportunity: Reports are analyzed promptly and recommendations are quickly deployed to those who need to know them.
  • System-Oriented: Recommendations focus on changes to systems, processes, or products rather than individual performance.
  • Effective response: Who receives the report is able to deploy the recommendations and commit those involved to implement them as soon as possible.


This process is modeled in the HOSPITAL INSTITUTION with the EURODOC management system. This begins with the entry into SAP of the report of a case by an official of the HOSPITAL INSTITUTION of a representative of an EAPB, continuing its process before the different responsible in charge of classifying, analyzing, rejecting, approving, closing and, if necessary Accepted as adverse event, generate action plan with commitments, notifications, follow-up and action plan.

  • Report case (SAP).
  • WF Addressing.
  • Case analysis and data collection.
  • Re Rating.
  • Advanced Analysis.
  • Delivery result and Final report.
  • Plan Improvement Definition and Commitments.
  • Monitoring and verification compliance.
  • Close case.
  • Consultations with several criteria.
  • Reports and notifications.


  • Take advantage of general patient information already entered in SAP (automatic filling).
  • Procedures and reports are more agile, reliable, timely.
  • Permanent traceability of cases.
  • Efficiency in the use of times from the report to the closing of the cases.
  • Opportunity in the identification of reports, analysis and times of each stage of the case.
  • Possibility of monitoring case states.
  • Ease of addressing cases to decision makers.
  • Generation of alerts against times of specific stages.
  • Display and general system control by patient safety leader.
  • View documents simultaneously.
  • Security with policies defined in the SAP platform (Who enters and can see).
  • Store images in TIF, PDF, Word, Excel (Security, low cost storage).
  • Store documents in centralized repositories, avoiding the creation of satellite or personal files.


  • World Alliance for Patient Safety, World Health Organization WHO, 2004.
  • Decree 1011 of April 3, 2006, of the Ministry of Social Protection, “by which establishes the Obligatory System of Guarantee of Quality of Health Care of the General System of Social Security in Health.”
  • Resolution 1043 of April 3, 2006, Min Protection, which establishes the conditions that must be met by Health Service Providers to enable their services and implement the audit component to improve the quality of care and dictate other provisions. Technical Annexes 1 and 2 of Resolution 1043 of 2006.
  • Resolution 1446 of May 8, 2006 of the Ministry of Social Protection, and its Technical Annex, “by which the Quality Information System is defined and the monitoring indicators of the Obligatory System of Quality Assurance of Care in Health”.
  • Resolution 1445 dated May 8, 2006, “which defines the functions of the Accrediting Entity and adopts other provisions.” And its Technical Annex No. 1 “Manuals of Standards of the Single Accreditation System”.
  • Decree 2200 of June 28, 2005 of the Ministry of Social Protection, “By which regulates the pharmaceutical service and other provisions are dictated.”
  • Decree 4725 of December 26, 2005, of the Ministry of Social Protection, “By which regulates the regime of health records, marketing authorization and health surveillance of medical devices for human use.”
  • External Circular 0030 of May 19, 2006, of the National Superintendence of Health, Instructions on quality indicators to evaluate the opportunity, accessibility, continuity, relevance and security in the provision of health services of institutions providing health services.
  • Resolution 4816 of November 27, 2008, of the Ministry of Social Protection, by which regulates the National Program of Technovigilancia.
  • Guidelines for the implementation of the Patient Safety Policy in the Republic of Colombia, Ministry of Social Protection, General Directorate of Quality of Services. June 11, 2008.
  • Management Resolution 393 of October 20, 2008 of the General Hospital of Medellín, through which the Patient Safety Committee is created.
  • Resolution 123 of January 26, 2012, of the Ministry of Health and Social Protection, which modifies article 2 of Resolution 1445 of 2006.
  • Manual of Accreditation in Health, Ambulatory and Hospital. Colombia. Version 03, Bogotá, Colombia Ministry of Social Protection. October 2011.
  • Resolution 2003 of May 28, 2014, of the Ministry of Health and Social Protection, which defines the procedures and conditions for registration of Health Service Providers and health services.
  • Client Reference: Hospital General de Medellín, document management system EURODOC VS EUROQUALITY.