AIM(S): The purpose of this study was to identify the nature of patient safety problems among Canadian homecare (HC) clients, using data collected through the RAI-HC((c)) assessment instrument. BACKGROUND: Problems of patient safety have been well documented in hospitals. However, we have very limited data about patient safety problems among HC clients. METHOD(S): The study methodology involved a secondary analysis of data collected through the Canadian home care reporting system. The study sample consisted of all HC clients who qualified to receive a RAI-HC assessment from Ontario, Nova Scotia and Winnipeg Regional Health Authority for the 2003-2007 reporting period. There were a total of 238 958 cases available for analysis; 205 953 from Ontario, 26 751 from Nova Scotia and 6254 from Winnipeg Regional Health Authority. RESULTS: New fall (11%), unintended weight loss (9%), new emergency room (ER) visits (7%) and new hospital visits (8%) were the most prevalent potential adverse events identified in our study. A small proportion of the HC clients experienced a new urinary tract infection (2%). CONCLUSION(S): Understanding clients' risk profiles is foundational to effective patient care management. IMPLICATIONS FOR NURSING MANAGEMENT: We need to begin to develop evidence about best practices for ameliorating safety risk.
AIM(S): The purpose of this study was to identify the nature of patient safety problems among Canadian homecare (HC) clients, using data collected through the RAI-HC((c)) assessment instrument. BACKGROUND: Problems of patient safety have been well documented in hospitals. However, we have very limited data about patient safety problems among HC clients. METHOD(S): The study methodology involved a secondary analysis of data collected through the Canadian home care reporting system. The study sample consisted of all HC clients who qualified to receive a RAI-HC assessment from Ontario, Nova Scotia and Winnipeg Regional Health Authority for the 2003-2007 reporting period. There were a total of 238 958 cases available for analysis; 205 953 from Ontario, 26 751 from Nova Scotia and 6254 from Winnipeg Regional Health Authority. RESULTS: New fall (11%), unintended weight loss (9%), new emergency room (ER) visits (7%) and new hospital visits (8%) were the most prevalent potential adverse events identified in our study. A small proportion of the HC clients experienced a new urinary tract infection (2%). CONCLUSION(S): Understanding clients' risk profiles is foundational to effective patient care management. IMPLICATIONS FOR NURSING MANAGEMENT: We need to begin to develop evidence about best practices for ameliorating safety risk.
Authors: Diane Doran; John P Hirdes; Régis Blais; G Ross Baker; Jeff W Poss; Xiaoqiang Li; Donna Dill; Andrea Gruneir; George Heckman; Hélène Lacroix; Lori Mitchell; Maeve O'Beirne; Andrea Foebel; Nancy White; Gan Qian; Sang-Myong Nahm; Odilia Yim; Lisa Droppo; Corrine McIsaac Journal: Healthc Policy Date: 2013-08
Authors: Diane M Doran; John P Hirdes; Regis Blais; G Ross Baker; Jeff W Poss; Xiaoqiang Li; Donna Dill; Andrea Gruneir; George Heckman; Hélène Lacroix; Lori Mitchell; Maeve O'Beirne; Nancy White; Lisa Droppo; Andrea D Foebel; Gan Qian; Sang-Myong Nahm; Odilia Yim; Corrine McIsaac; Micaela Jantzi Journal: BMC Health Serv Res Date: 2013-06-22 Impact factor: 2.655
Authors: Régis Blais; Nancy A Sears; Diane Doran; G Ross Baker; Marilyn Macdonald; Lori Mitchell; Stéphane Thalès Journal: BMJ Qual Saf Date: 2013-07-04 Impact factor: 7.035
Authors: Brad A Meisner; Veronique Boscart; Pierrette Gaudreau; Paul Stolee; Patricia Ebert; Michelle Heyer; Laura Kadowaki; Christine Kelly; Mélanie Levasseur; Ariane S Massie; Verena Menec; Laura Middleton; Linda Sheiban Taucar; Wendy Loken Thornton; Catherine Tong; Deborah K van den Hoonaard; Kimberley Wilson Journal: Can J Aging Date: 2020-06-10