Jurnal

Concurrent Incidence of Adverse Events in Hospitals and Nursing Homes

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Purpose: To describe the concurrent incidence of pressure ulcers, urinary tract infections, and falls in hospitals and nursing homes, and the preventive care given. Additionally, the correlation between the occurrence of these adverse events and preventive care was explored.
Design and Settings: A prospective, 3-month, cohort study at 10 hospitals and 10 nursing homes in the Netherlands.
Participants: 687 hospital patients and 241 nursing home patients.
Main Outcome Measures: The incidence of three adverse events and preventive care given to patients at risk. During weekly visits, the patients and their files were assessed. Additionally, observations were performed.
Results: Seventy-seven hospital patients (11%) and 111 nursing home patients (46%) developed one or more adverse events. The incidence rate for both types of patients, and for the three adverse events combined, was 9% adverse events per patient week. In hospitals, 34% of the patients received adequate pressure ulcer preventive care, while 47% of the patients received adequate urinary tract infection preventive care, and none of the patients received adequate falls preventive care. In nursing homes, 18% of the patients received adequate pressure ulcer preventive care, 42% of the patients received adequate urinary tract infection preventive care, and less than 1% of the patients received adequate falls prevention care. Negative or no correlations were found between the incidence rates for the three adverse events. In nursing homes the incidence of pressure ulcers and preventive care were positively correlated.
Conclusions: There is a high incidence of adverse events in hospitals and nursing homes. Many patients at risk do not receive adequate preventive care.

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Detail Information

Series Title

Journal of Nursing Scholarship, Volume 46, Number 3 2014

Call Number

(05) 610.5 WIL j

Publisher

Malden : Wiley-Blackwell., 2014

Collation

Hlm. 187-198

Language

English

ISBN/ISSN

1527-6546

Classification

(05) 610.5 WIL j

Content Type

-

Media Type

-

Carrier Type

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Edition

Volume 46, Number 3

Subject(s)

long term care
Adverse events
hospitals
incidence
prospective studies
safety management

Specific Detail Info

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Statement of Responsibility

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