Reporting adverse events at geriatric facilities Categorization by type of adverse event and function of reporting personnel
被引:7
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作者:
Shmueli, Tali
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机构:
Shoham Geriatr Ctr, Haifa, IsraelShoham Geriatr Ctr, Haifa, Israel
Shmueli, Tali
[1
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Noy, Ronit Har
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机构:
Shoham Geriatr Ctr, Haifa, IsraelShoham Geriatr Ctr, Haifa, Israel
Noy, Ronit Har
[1
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Ben Natan, Merav
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机构:
Hillel Yaffe Med Ctr, Pat Matthews Acad Sch Nursing, Hadera, Israel
Tel Aviv Univ, Sch Hlth Profess, Dept Nursing, Tel Aviv, IsraelShoham Geriatr Ctr, Haifa, Israel
Ben Natan, Merav
[2
,3
]
Ben-Israel, Joshua
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Shoham Geriatr Ctr, Haifa, IsraelShoham Geriatr Ctr, Haifa, Israel
Ben-Israel, Joshua
[1
]
机构:
[1] Shoham Geriatr Ctr, Haifa, Israel
[2] Hillel Yaffe Med Ctr, Pat Matthews Acad Sch Nursing, Hadera, Israel
[3] Tel Aviv Univ, Sch Hlth Profess, Dept Nursing, Tel Aviv, Israel
Purpose - Adverse events and patient care-related adverse events are a challenging universal problem, among elder residents of geriatric facilities. The aim of this study was to examine which types of adverse events are characteristic of the geriatric center studied and which of the nursing staff reported this event. Design/methodology/approach - Data were retrieved from the computerized adverse event management system at a large geriatric center in central Israel, and all adverse events reported over the past three years were examined. Findings - The study findings indicate that the most common type of adverse event was falls. Older nurses with greater seniority in the facility show a higher tendency to report adverse events. In addition, registered nurses were found to report more often than practical nurses. APractical implications - This study highlights the important role that nurses can play in reporting and reducing adverse events. The role of the nurse is becoming increasingly complex, especially in geriatric facilities, which serve people with complex mental and physical states who are more susceptible to adverse events to begin with. Originality/value - Despite the large number of adverse events, few studies have been undertaken on adverse events in geriatrics in general, and in nursing homes and long-term facilities in particular. Answers to these questions will enable improvement in the quality of care provided and ensure a safe care environment for residents. Systematically examining types of adverse events and the characteristics of those who do and do not report them, can contribute to improvement of processes in the healthcare system in general, and in the facility in particular. Additionally, efficient investigation can improve the behavior of those who enable adverse events.
机构:
Ctr Dis Control & Prevent, Immunizat Safety Off, Atlanta, GA 30333 USACtr Dis Control & Prevent, Immunizat Safety Off, Atlanta, GA 30333 USA
Li, Rongxia
McNeil, Michael M.
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Ctr Dis Control & Prevent, Immunizat Safety Off, Atlanta, GA 30333 USACtr Dis Control & Prevent, Immunizat Safety Off, Atlanta, GA 30333 USA
McNeil, Michael M.
Pickering, Susanne
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Ctr Dis Control & Prevent, Immunizat Safety Off, Atlanta, GA 30333 USACtr Dis Control & Prevent, Immunizat Safety Off, Atlanta, GA 30333 USA
Pickering, Susanne
Pemberton, Michael R.
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RTI Int, Res Triangle Pk, NC 27709 USACtr Dis Control & Prevent, Immunizat Safety Off, Atlanta, GA 30333 USA
Pemberton, Michael R.
Duran, Laurie L.
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机构:
US Army Publ Hlth Command, Walter Reed Natl Mil Med Ctr, Healthcare Ctr Network, Mil Vaccine Agcy, Gaithersburg, MD 20899 USACtr Dis Control & Prevent, Immunizat Safety Off, Atlanta, GA 30333 USA
Duran, Laurie L.
Collins, Limone C.
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US Army Publ Hlth Command, Walter Reed Natl Mil Med Ctr, Healthcare Ctr Network, Mil Vaccine Agcy, Gaithersburg, MD 20899 USACtr Dis Control & Prevent, Immunizat Safety Off, Atlanta, GA 30333 USA
Collins, Limone C.
Nelson, Michael R.
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US Army Publ Hlth Command, Walter Reed Natl Mil Med Ctr, Healthcare Ctr Network, Mil Vaccine Agcy, Gaithersburg, MD 20899 USACtr Dis Control & Prevent, Immunizat Safety Off, Atlanta, GA 30333 USA
Nelson, Michael R.
Engler, Renata J. M.
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US Army Publ Hlth Command, Walter Reed Natl Mil Med Ctr, Healthcare Ctr Network, Mil Vaccine Agcy, Gaithersburg, MD 20899 USACtr Dis Control & Prevent, Immunizat Safety Off, Atlanta, GA 30333 USA