| The incidence of adverse events among home care patients. | |
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MedLine Citation:
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PMID: 23283731 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVE: /st>Incidence of adverse events (AEs) among home care patients and preventability ratings were estimated. Risk factors, AE types and factors associated with AEs were identified. DESIGN: /st>This study used a stratified, randomized sample of home care patients discharged in the fiscal year 2004/05. Trained nurse reviewers completed retrospective chart abstractions; charts for cases that were positive for screening criteria suggesting the presence of AEs were reviewed by trained physicians to determine the presence of and preventability of AEs. SETTING: /st>Three publicly funded home care programs in Ontario, Canada. MAIN OUTCOME MEASURES: /st>Prevalence and types of AEs; ratings of preventability. RESULTS: /st>At least one screening criterion was positively identified in 286 (66.5%) of 430 cases. Physician reviewers identified 61 AEs in 55 (19.2%) of the 286 (12.8% of the 430) cases. The AE rate was 13.2 per 100 home care cases [95% confidence interval (CI): 10.4-16.6%, standard error 1.6%]. 32.7% (20 of 61 AEs) of the AEs were rated as having >50% probability of preventability; 6 deaths (10.9% of patients with an AE; 1.4% of all patients) occurred in AE-positive patients. The most common AEs were falls and adverse drug events. CONCLUSIONS: /st>Providing health care through home care programs creates unintended harm to patients. The incidence rate of AEs of 13.2% suggests a significant number of home care patients experience AEs, one-third of which were considered preventable. Improvements in patient and informal caregiver education, skill development and clinical planning may be useful interventions to reduce AEs. |
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Authors:
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Nancy Sears; G Ross Baker; Jan Barnsley; Sam Shortt |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2013-1-2 |
Journal Detail:
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Title: International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua Volume: - ISSN: 1464-3677 ISO Abbreviation: Int J Qual Health Care Publication Date: 2013 Jan |
Date Detail:
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Created Date: 2013-1-3 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9434628 Medline TA: Int J Qual Health Care Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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1Department of Health Sciences, St. Lawrence College, 100 Portsmouth Avenue, Kingston, ON, Canada K7L 5A6. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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