Concurrent incidence of adverse events in hospitals and nursing homes.
J Nurs Scholarsh
; 46(3): 187-98, 2014 May.
Article
em En
| MEDLINE
| ID: mdl-24354440
ABSTRACT
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 OUTCOMEMEASURES:
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Infecções Urinárias
/
Acidentes por Quedas
/
Úlcera por Pressão
/
Hospitais
/
Casas de Saúde
Tipo de estudo:
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
J Nurs Scholarsh
Assunto da revista:
ENFERMAGEM
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Holanda
País de publicação:
EEUU
/
ESTADOS UNIDOS
/
ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
/
UNITED STATES OF AMERICA
/
US
/
USA