PMID- 23968676
OWN - NLM
STAT- MEDLINE
DCOM- 20140725
LR  - 20211021
IS  - 1715-6580 (Electronic)
IS  - 1715-6572 (Print)
IS  - 1715-6572 (Linking)
VI  - 9
IP  - 1
DP  - 2013 Aug
TI  - Adverse events associated with hospitalization or detected through the RAI-HC 
      assessment among Canadian home care clients.
PG  - 76-88
AB  - BACKGROUND: The occurrence of adverse events (AEs) in care settings is a patient 
      safety concern that has significant consequences across healthcare systems. 
      Patient safety problems have been well documented in acute care settings; 
      however, similar data for clients in home care (HC) settings in Canada are 
      limited. The purpose of this Canadian study was to investigate AEs in HC, 
      specifically those associated with hospitalization or detected through the 
      Resident Assessment Instrument for Home Care (RAI-HC). METHOD: A retrospective 
      cohort design was used. The cohort consisted of HC clients from the provinces of 
      Nova Scotia, Ontario, British Columbia and the Winnipeg Regional Health 
      Authority. RESULTS: The overall incidence rate of AEs associated with 
      hospitalization ranged from 6% to 9%. The incidence rate of AEs determined from 
      the RAI-HC was 4%. Injurious falls, injuries from other than fall and 
      medication-related events were the most frequent AEs associated with 
      hospitalization, whereas new caregiver distress was the most frequent AE 
      identified through the RAI-HC. CONCLUSION: The incidence of AEs from all sources 
      of data ranged from 4% to 9%. More resources are needed to target strategies for 
      addressing safety risks in HC in a broader context. Tools such as the RAI-HC and 
      its Clinical Assessment Protocols, already available in Canada, could be very 
      useful in the assessment and management of HC clients who are at safety risk.
CI  - Copyright (c) 2013 Longwoods Publishing.
FAU - Doran, Diane
AU  - Doran D
AD  - Professor Emeritus, Lawrence S. Bloomberg Faculty of Nursing, University of 
      Toronto, Toronto, ON.
FAU - Hirdes, John P
AU  - Hirdes JP
FAU - Blais, Regis
AU  - Blais R
FAU - Baker, G Ross
AU  - Baker GR
FAU - Poss, Jeff W
AU  - Poss JW
FAU - Li, Xiaoqiang
AU  - Li X
FAU - Dill, Donna
AU  - Dill D
FAU - Gruneir, Andrea
AU  - Gruneir A
FAU - Heckman, George
AU  - Heckman G
FAU - Lacroix, Helene
AU  - Lacroix H
FAU - Mitchell, Lori
AU  - Mitchell L
FAU - O'Beirne, Maeve
AU  - O'Beirne M
FAU - Foebel, Andrea
AU  - Foebel A
FAU - White, Nancy
AU  - White N
FAU - Qian, Gan
AU  - Qian G
FAU - Nahm, Sang-Myong
AU  - Nahm SM
FAU - Yim, Odilia
AU  - Yim O
FAU - Droppo, Lisa
AU  - Droppo L
FAU - McIsaac, Corrine
AU  - McIsaac C
LA  - eng
GR  - Canadian Institutes of Health Research/Canada
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Canada
TA  - Healthc Policy
JT  - Healthcare policy = Politiques de sante
JID - 101280107
SB  - IM
MH  - Accidental Falls/statistics & numerical data
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Canada/epidemiology
MH  - Female
MH  - Home Care Services/*standards/statistics & numerical data
MH  - Hospitalization/*statistics & numerical data
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Medical Errors/*statistics & numerical data
MH  - Medication Errors/statistics & numerical data
MH  - Patient Safety/statistics & numerical data
MH  - Retrospective Studies
MH  - Risk
MH  - Sex
PMC - PMC3999553
EDAT- 2013/08/24 06:00
MHDA- 2014/07/26 06:00
PMCR- 2014/08/01
CRDT- 2013/08/24 06:00
PHST- 2013/08/24 06:00 [entrez]
PHST- 2013/08/24 06:00 [pubmed]
PHST- 2014/07/26 06:00 [medline]
PHST- 2014/08/01 00:00 [pmc-release]
PST - ppublish
SO  - Healthc Policy. 2013 Aug;9(1):76-88.