title: [Analysis of medical accident cases and current status of medical care for the elderly at a mixed-care hospital].
abstract: OBJECTIVE
  To conduct a survey on medical accident cases (MACs) in a mixed-care geriatric hospital.
  
  
  METHODS
  We extracted the data on 339 MACs of 1,374 incident/-accident reports in a 1-year study period between January 2009 and December 2009. The incidences of MACs and accident-related factors were investigated and compared among medical care areas in our hospital (acute care unit: AU, long-term care unit: LU, convalescent rehabilitation unit: CU, palliative care unit: PU, and other medical care areas).
  
  
  RESULTS
  In 339 MACs, epidermal exfoliation (E), bruises (B), cuts or lacerations (CL), and fractures (F) were the most common episodes, and E was most frequent (183 cases: 54.0%). However, in 33.9% of E cases the cause could not be clarified. A comparative study demonstrated that the incidence of E was higher in the LU than in the other medical care unit, or B or F in the CU, or CL in the AU. E was caused mainly by nursing care, especially during transfers. The mean total functional independence measure (FIM) score in the LU (38.8 ± 21.3), where E occurred most frequently, was significantly lower than that in the AU (61.4 ± 34.4, p<0.01), CU (58.9 ± 25.2, p<0.05), and PU (72.8 ± 22.9, p<0.05)
  
  
  CONCLUSIONS
  E, B, CL, and F were frequently found in a mixed-care geriatric hospital. E had the highest frequency among all of the accident episodes, and appeared related to nursing care, such as transfer, and reduced ADL level.
authors.affiliation: Department of Neurology, Haradoi Hospital.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Terai
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Tada
mesh_terms: D000368:Aged; D006782:Hospitals, Special; D006801:Humans; D007564:Japan; D008318:Malpractice / Q000706:statistics & numerical data*