Adverse events experienced by homecare patients: a scoping review of the literature

Masotti, Paul; McColl, Mary Ann; Green, Michael E.

doi:10.1093/intqhc/mzq003

Cited by 95 publications

(106 citation statements)

References 92 publications

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“…Patient safety research has focused mostly on the hospital setting; much less attention is paid to the nursing and residential home settings 1 2. The most common adverse events in nursing and residential homes are accidental injuries involving clients and staff, pressure ulcers, falls, wounds and medication errors 1 3.…”

Section: Introductionmentioning

confidence: 99%

Safety culture in long-term care: a cross-sectional analysis of the Safety Attitudes Questionnaire in nursing and residential homes in the Netherlands

2015

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Objective The first objective was to investigate if the Safety Attitudes Questionnaire (SAQ) is appropriate to measure the safety attitude of caregivers in nursing and residential homes, and second, to compare safety attitude of these caregivers with available data of caregivers in other settings (ie, inpatients, intensive care unit (ICU) and ambulatory care). Methods Using a cross-sectional survey methodology, we obtained completed SAQ surveys from 521 caregivers (response rate of 53%) working in nine units in nine different nursing and residential homes in The Netherlands. Exploratory factor and Cronbach's alpha measures were used to analyse the psychometric properties of the SAQ. A correlation matrix was performed to study the relationship among the SAQ dimensions. A t test was performed to test significant differences between our sample and the benchmark settings. Results The factor analyses and calculated Cronbach's alphas (α=0.56-0.80) for this sample confirmed the robustness of the SAQ scales. There was a high positive correlation between teamwork climate, job satisfaction, perceptions of management, safety climate and working conditions (r=0.31 to 63), but stress recognition had a negative correlation with each of the other dimensions (r=−0.13 to −0.18). Overall, the scores from the nursing and residential homes differed significantly from the benchmark settings. Conclusions The findings in this study confirmed that the SAQ could also be used in the nursing and residential homes setting. However, stress recognition in nursing and residential homes setting does not seem to be one of the dimensions of the safety attitude construct. Furthermore, Dutch nursing and residential homes have significantly higher scores on most dimensions of the SAQ compared with US inpatient units and comparable scores to ICUs (Dutch and US) and ambulatory services.

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Section: Introductionmentioning

confidence: 99%

Safety culture in long-term care: a cross-sectional analysis of the Safety Attitudes Questionnaire in nursing and residential homes in the Netherlands

2015

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“…Finally, due to the large-scale patient-based approach, we could only investigate certain risk factors and may have missed some confounding factors (e.g. parenteral nutrition, comorbidities, some patient characteristics or potential health and safety hazards in the home) [1,2,27,28]. On the other hand, data quality of the survey was controlled by training investigators, searching for missing data, validation of clinical diagnosis by a supervisor and support from regional reference centres.…”

Section: Discussionmentioning

confidence: 99%

National point prevalence survey of healthcare-associated infections and antimicrobial use in French home care settings, May to June 2012

et al. 2015

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In May and June 2012, a national point prevalence survey (PPS) of healthcare-associated infections (HAIs) and antimicrobial use was conducted among French patients under home-based hospital care (HBHC). Data from 5,954 patients in 179 volunteer HBHC providers were collected. Prevalence of patients with at least one active HAI was 6.8% (95% confidence interval (CI): 6.1-7.4). Prevalence of those receiving at least one antimicrobial agent was 15.2% (95% CI: 14.3-16.1). More than a third (35.5%) of HAIs were HBHC-associated, 56% were imported from a healthcare facility and 8.5% of indeterminate origin. The main infection sites were urinary tract (26.6%), skin and soft tissue (17.6%), surgical site (15%), and pneumonia or other respiratory tract infections (13.5%). In multivariate analysis, three risk factors were associated with HBHC-associated infections: urinary catheter, at least one vascular catheter and a McCabe score 1 or 2. The most frequently isolated microorganism was Staphylococcus aureus (20.7%), 28.1% of them meticillin-resistant. Non-susceptibility to thirdgeneration cephalosporins was reported in 25.3% of Enterobacteriaceae, of which 16.1% were extended spectrum beta-lactamase-producing strains. The most prescribed antimicrobials were fluoroquinolones (16.1%), and third-generation cephalosporins (14.5%). PPS may be a good start in HBHC to obtain information on epidemiology of HAIs and antimicrobial use.

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“…Healthcare organizations are defined as those organizations primarily engaged in furnishing medical, surgical, and other health services to people (Vij & Darr, 1995), providing health services directly to patients, as well as those that come in contact with patients through the reimbursement system (Ford & Fottler, 2000). Examples of healthcare organizations include hospitals (Leidner, Preston, & Chen, 2010), healthcare providers (Tarafdar & Gordon, 2007), homecare agencies, and their associated staff (Masotti, McColl, & Green, 2010). A view of the Spanish healthcare system is offered by Rodríguez, Scheffler, and Agnew (2000) which may be completed by Acerete, Stafford, and Stapleton (2011).…”

Section: Innovation In the Healthcare Sectormentioning

confidence: 99%

Understanding the drivers of organizational innovations

Meroño-Cerdán

López‐Nicolás

2013

The Service Industries Journal

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Organizational innovations involve the implementation of significant changes in business practices, the workplace organization, and external relations. The article reports an analysis of organizational innovations' objectives and adoption in 240 Spanish healthcare businesses. Statistical tests find a dynamic behavior in healthcare organizations with 40.8% having developed an organizational innovation in the period from 2007 to 2009. The main objectives pursued are related to improved knowledge sharing and innovation skills. Results also reveal a close relationship between organizational and product/process innovations. Specifically, healthcare companies developing new organizational methods to improve innovation skills and knowledge sharing are more successful in adopting product and process innovations.

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Adverse events experienced by homecare patients: a scoping review of the literature

Abstract: A standardized definition of adverse events in the homecare setting is needed. Prospective cohort studies are needed to improve estimates and intervention studies should be undertaken to reduce the risk that homecare patients will experience adverse events.

Cited by 95 publications

References 92 publications

Safety culture in long-term care: a cross-sectional analysis of the Safety Attitudes Questionnaire in nursing and residential homes in the Netherlands

Safety culture in long-term care: a cross-sectional analysis of the Safety Attitudes Questionnaire in nursing and residential homes in the Netherlands

National point prevalence survey of healthcare-associated infections and antimicrobial use in French home care settings, May to June 2012

Understanding the drivers of organizational innovations

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