Analysis of accidents during rehabilitation training at an acute-care hospital

Objective: Accidents that occurred during rehabilitation training were retrospectively analyzed to understand the risks involved in rehabilitation training. Methods: Subjects were 33,905 patients who underwent rehabilitation training at an acute-care hospital over an 8-year period. In total, 457 acc...

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Main Authors: Akiko Maeda, Toshio Teranishi, Shin-ichi Sato, Mihoko Itoh, Nozomi Hokimoto, Kenta Fujimura, Hirofumi Ota, Eiichi Saitoh
Format: Article
Language:English
Published: Fujita Medical Society 2018-11-01
Series:Fujita Medical Journal
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/fmj/4/4/4_2017026/_pdf/-char/en
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author Akiko Maeda
Toshio Teranishi
Shin-ichi Sato
Mihoko Itoh
Nozomi Hokimoto
Kenta Fujimura
Hirofumi Ota
Eiichi Saitoh
author_facet Akiko Maeda
Toshio Teranishi
Shin-ichi Sato
Mihoko Itoh
Nozomi Hokimoto
Kenta Fujimura
Hirofumi Ota
Eiichi Saitoh
author_sort Akiko Maeda
collection DOAJ
description Objective: Accidents that occurred during rehabilitation training were retrospectively analyzed to understand the risks involved in rehabilitation training. Methods: Subjects were 33,905 patients who underwent rehabilitation training at an acute-care hospital over an 8-year period. In total, 457 accidents occurred during rehabilitation training and were analyzed. Data collected were: accident incidence rate, patient’s position/behavior at the time of the accident, state of assistance/supervision by the therapist in charge, and annual number of accidents per therapist by years of experience. Results: Most accidents that occurred during rehabilitation training involved bleeding, falls, and route-related accidents (accidents related to use of catheters, intravenous lines, or nasogastric tubes), in that order. Half of the accidents occurred in a training room. Bleeding was associated with a variety of behaviors, including lying, sitting, and walking, and 40% of falls occurred while walking. Examination of the number of accidents per therapist by years of experience showed patients tended to experience accidents when being assisted/supervised by therapists with 1–4 years of experience. Conclusions: Many accidents that occurred during rehabilitation training at this acute-care hospital involved bleeding or falls. Accidents were more common when a therapist with only a few years of experience was conducting the training.
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spelling doaj.art-21e60af3aec24de493c1b4eff282875d2022-12-21T21:14:34ZengFujita Medical SocietyFujita Medical Journal2189-72472189-72552018-11-01449710210.20407/fmj.4.4_97Analysis of accidents during rehabilitation training at an acute-care hospitalAkiko MaedaToshio TeranishiShin-ichi SatoMihoko ItohNozomi HokimotoKenta FujimuraHirofumi OtaEiichi SaitohObjective: Accidents that occurred during rehabilitation training were retrospectively analyzed to understand the risks involved in rehabilitation training. Methods: Subjects were 33,905 patients who underwent rehabilitation training at an acute-care hospital over an 8-year period. In total, 457 accidents occurred during rehabilitation training and were analyzed. Data collected were: accident incidence rate, patient’s position/behavior at the time of the accident, state of assistance/supervision by the therapist in charge, and annual number of accidents per therapist by years of experience. Results: Most accidents that occurred during rehabilitation training involved bleeding, falls, and route-related accidents (accidents related to use of catheters, intravenous lines, or nasogastric tubes), in that order. Half of the accidents occurred in a training room. Bleeding was associated with a variety of behaviors, including lying, sitting, and walking, and 40% of falls occurred while walking. Examination of the number of accidents per therapist by years of experience showed patients tended to experience accidents when being assisted/supervised by therapists with 1–4 years of experience. Conclusions: Many accidents that occurred during rehabilitation training at this acute-care hospital involved bleeding or falls. Accidents were more common when a therapist with only a few years of experience was conducting the training.https://www.jstage.jst.go.jp/article/fmj/4/4/4_2017026/_pdf/-char/enaccidentsrehabilitationacute-stage hospital
spellingShingle Akiko Maeda
Toshio Teranishi
Shin-ichi Sato
Mihoko Itoh
Nozomi Hokimoto
Kenta Fujimura
Hirofumi Ota
Eiichi Saitoh
Analysis of accidents during rehabilitation training at an acute-care hospital
Fujita Medical Journal
accidents
rehabilitation
acute-stage hospital
title Analysis of accidents during rehabilitation training at an acute-care hospital
title_full Analysis of accidents during rehabilitation training at an acute-care hospital
title_fullStr Analysis of accidents during rehabilitation training at an acute-care hospital
title_full_unstemmed Analysis of accidents during rehabilitation training at an acute-care hospital
title_short Analysis of accidents during rehabilitation training at an acute-care hospital
title_sort analysis of accidents during rehabilitation training at an acute care hospital
topic accidents
rehabilitation
acute-stage hospital
url https://www.jstage.jst.go.jp/article/fmj/4/4/4_2017026/_pdf/-char/en
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