title: Adverse events associated with hospitalization or detected through the RAI-HC assessment among Canadian home care clients.
abstract: 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).
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors: Professor Emeritus, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON.
authors: Diane
authors: D
authors: Doran
authors: John P
authors: JP
authors: Hirdes
authors: Régis
authors: R
authors: Blais
authors: G Ross
authors: GR
authors: Baker
authors: Jeff W
authors: JW
authors: Poss
authors: Xiaoqiang
authors: X
authors: Li
authors: Donna
authors: D
authors: Dill
authors: Andrea
authors: A
authors: Gruneir
authors: George
authors: G
authors: Heckman
authors: Hélène
authors: H
authors: Lacroix
authors: Lori
authors: L
authors: Mitchell
authors: Maeve
authors: M
authors: O'Beirne
authors: Andrea
authors: A
authors: Foebel
authors: Nancy
authors: N
authors: White
authors: Gan
authors: G
authors: Qian
authors: Sang-Myong
authors: SM
authors: Nahm
authors: Odilia
authors: O
authors: Yim
authors: Lisa
authors: L
authors: Droppo
authors: Corrine
authors: C
authors: McIsaac
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002170:Canada / Q000453:epidemiology; D005260:Female; D006699:Home Care Services / Q000592:standards* / Q000706:statistics & numerical data; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D008297:Male; D019300:Medical Errors / Q000706:statistics & numerical data*; D008508:Medication Errors / Q000706:statistics & numerical data; D061214:Patient Safety / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012306:Risk; D012723:Sex
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