title: Reporting adverse events at geriatric facilities: categorization by type of adverse event and function of reporting personnel.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
  
  
  CONCLUSIONS
  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.
authors.forename: Tali
authors.initials: T
authors.lastname: Shmueli
authors.forename: Ronit Har
authors.initials: RH
authors.lastname: Noy
authors.forename: Merav
authors.initials: M
authors.lastname: Ben Natan
authors.forename: Joshua
authors.initials: J
authors.lastname: Ben-Israel
mesh_terms: D000058:Accidental Falls; D000368:Aged; D004282:Documentation / Q000379:methods*; D064420:Drug-Related Side Effects and Adverse Reactions; D004868:Equipment Failure; D005260:Female; D006707:Homes for the Aged / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009726:Nurses; D009735:Nursing Homes / Q000458:organization & administration*; D061214:Patient Safety; D011787:Quality of Health Care / Q000458:organization & administration*; D014754:Violence