RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology
Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
Department of Orthopaedics, Danderyd Hospital, Stockholm, Sweden, Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.ORCID-id: 0000-0002-4108-391x
School of Technology and Health, Royal Institute of Technology, Stockholm, Sweden, Departement of Health Care Sciences, Ersta Sköndal University College, Stockholm, Sweden.
Vise andre og tillknytning
2018 (engelsk)Inngår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 8, nr 1, e019267Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objective Home healthcare is an increasingly common part of healthcare. The patients are often aged, frail and have multiple diseases, and multiple caregivers are involved in their treatment. This study explores the origin, incidence, types and preventability of adverse events (AEs) that occur in patients receiving home healthcare.

Design A study using retrospective record review and trigger tool methodology. setting and methods Ten teams with experience of home healthcare from nine regions across Sweden reviewed home healthcare records in a two-stage procedure using 38 prede ned triggers in four modules. A random sample of records from 600 patients (aged 18 years or older) receiving home healthcare during 2015 were reviewed. Primary and secondary outcome measures The cumulative incidence of AEs found in patients receiving home healthcare; secondary measures were origin, types, severity of harm and preventability of the AEs.

results The patients were aged 20–79 years, 280 men and 320 women. The review teams identi ed 356 AEs in 226 (37.7%; 95% CI 33.0 to 42.8) of the home healthcare records. Of these, 255 (71.6%; 95% CI 63.2 to 80.8) were assessed as being preventable, and most (246, 69.1%; 95% CI 60.9 to 78.2) required extra healthcare visits or led to a prolonged period of healthcare. Most of the AEs (271, 76.1%; 95% CI 67.5 to 85.6) originated in home healthcare; the rest were detected during home healthcare but were related to care outside home healthcare. The most common AEs were healthcare-associated infections, falls and pressure ulcers.

conclusions AEs in patients receiving home healthcare are common, mostly preventable and often cause temporary harm requiring extra healthcare resources. The most frequent types of AEs must be addressed and reduced through improvements in interprofessional collaboration. This is an important area for future studies. 

sted, utgiver, år, opplag, sider
2018. Vol. 8, nr 1, e019267
HSV kategori
Forskningsprogram
Hälsovetenskap; Hälsovetenskap, Omvårdnad
Identifikatorer
URN: urn:nbn:se:lnu:diva-69507DOI: 10.1136/bmjopen-2017-019267OAI: oai:DiVA.org:lnu-69507DiVA: diva2:1169659
Tilgjengelig fra: 2017-12-29 Laget: 2017-12-29 Sist oppdatert: 2018-01-07

Open Access i DiVA

fulltext(399 kB)24 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 399 kBChecksum SHA-512
1247a833a25ebb3e29f7b338420cc76953f5226e5c3c05feefa641257284cb2c50399f313286f4162aa4f1e617455c3c4fd2920cf6cd9b7c203d2ec27589f601
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fullteksthttp://dx.doi.org/10.1136/bmjopen-2017-019267

Søk i DiVA

Av forfatter/redaktør
Schildmeijer, KristinaEkstedt, Mirjam
Av organisasjonen
I samme tidsskrift
BMJ Open

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 24 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
urn-nbn

Altmetric

doi
urn-nbn
Totalt: 136 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf