PMID- 37205652
OWN - NLM
STAT- MEDLINE
DCOM- 20230522
LR  - 20230605
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 18
IP  - 5
DP  - 2023
TI  - Factors related to liability for damages for adverse events occurring in 
      long-term care facilities.
PG  - e0283332
LID - 10.1371/journal.pone.0283332 [doi]
LID - e0283332
AB  - Globally, residents of long-term care facilities (LTCFs) often experience adverse 
      events (AEs) and corresponding lawsuits that result in suffering among the 
      residents, their families, and the facilities. Hence, we conducted a study to 
      clarify the factors related to the facilities' liabilities for damages for the 
      AEs that occur at LTCFs in Japan. We analyzed 1,495 AE reports from LTCFs in one 
      Japanese city. A binomial logistic regression analysis was conducted to identify 
      factors associated with liability for damages. The independent variables were 
      classified as: residents, organizations, and social factors. In total, 14% of AEs 
      resulted in the facility being liable for damages. The predictors of liability 
      for damages were as follows: for the resident factors, the increased need for 
      care had an adjusted odds ratio (AOR) of 2.00 and care levels of 2-3; and AOR of 
      2.48 and care levels of 4-5. The types of injuries, such as bruises, wounds, and 
      fractures, had AORs of 3.16, 2.62, and 2.50, respectively. Regarding the 
      organization factors, the AE time, such as noon or evening, had an AOR of 1.85. 
      If the AE occurred indoors, the AOR was 2.78, and if it occurred during staff 
      care, the AOR was 2.11. For any follow-ups requiring consultation with a doctor, 
      the AOR was 4.70, and for hospitalization, the AOR was 1.76. Regarding the type 
      of LTCF providing medical care in addition to residential care, the AOR was 4.39. 
      Regarding the social factors, the reports filed before 2017 had an AOR of 0.58. 
      The results of the organization factors suggest that liability tends to arise in 
      situations where the residents and their family expect high quality care. 
      Therefore, it is imperative to strengthen organizational factors in such 
      situations to avoid AEs and the resulting liability for damages.
CI  - Copyright: (c) 2023 Tsuji et al. This is an open access article distributed under 
      the terms of the Creative Commons Attribution License, which permits unrestricted 
      use, distribution, and reproduction in any medium, provided the original author 
      and source are credited.
FAU - Tsuji, Mayumi
AU  - Tsuji M
AUID- ORCID: 0000-0003-2330-8174
AD  - Department of Health Sciences, Nagasaki University Graduate School of Biomedical 
      Sciences, Nagasaki-shi, Nagasaki, Japan.
AD  - Graduate School of Health Management, Faculty of Nursing and Medical Care, Keio 
      University, Fujisawa-shi, Kanagawa, Japan.
FAU - Fukahori, Hiroki
AU  - Fukahori H
AD  - Graduate School of Health Management, Faculty of Nursing and Medical Care, Keio 
      University, Fujisawa-shi, Kanagawa, Japan.
AD  - Faculty of Nursing and Medical Care, Keio University, Fujisawa-shi, Kanagawa, 
      Japan.
FAU - Sugiyama, Daisuke
AU  - Sugiyama D
AD  - Graduate School of Health Management, Faculty of Nursing and Medical Care, Keio 
      University, Fujisawa-shi, Kanagawa, Japan.
AD  - Faculty of Nursing and Medical Care, Keio University, Fujisawa-shi, Kanagawa, 
      Japan.
FAU - Doorenbos, Ardith
AU  - Doorenbos A
AD  - Department of Bio-behavioral Health Science, College of Nursing, University of 
      Illinois, Illinois, Chicago, United States of America.
FAU - Nasu, Katsumi
AU  - Nasu K
AD  - Faculty of Nursing, Yasuda Women's University, Hiroshima-shi, Hiroshima, Japan.
FAU - Mashida, Yuriko
AU  - Mashida Y
AD  - Faculty of Nursing and Medical Care, Keio University, Fujisawa-shi, Kanagawa, 
      Japan.
FAU - Ogawara, Hirofumi
AU  - Ogawara H
AD  - Graduate School of Health Care Sciences, Tokyo Medical and Dental University, 
      Tokyo, Japan.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20230519
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Humans
MH  - *Long-Term Care
MH  - *Nursing Homes
MH  - Skilled Nursing Facilities
MH  - Hospitalization
MH  - Japan/epidemiology
PMC - PMC10198560
COIS- The authors have declared that no competing interests exist.
EDAT- 2023/05/19 19:14
MHDA- 2023/05/22 06:42
PMCR- 2023/05/19
CRDT- 2023/05/19 13:33
PHST- 2022/04/14 00:00 [received]
PHST- 2023/03/07 00:00 [accepted]
PHST- 2023/05/22 06:42 [medline]
PHST- 2023/05/19 19:14 [pubmed]
PHST- 2023/05/19 13:33 [entrez]
PHST- 2023/05/19 00:00 [pmc-release]
AID - PONE-D-22-11056 [pii]
AID - 10.1371/journal.pone.0283332 [doi]
PST - epublish
SO  - PLoS One. 2023 May 19;18(5):e0283332. doi: 10.1371/journal.pone.0283332. 
      eCollection 2023.