Characteristics of Patient Safety Incident Occurrences Reported by Japanese Homecare Nurses: A Prospective Observational Study
Patient safety incidents (PSIs) prevention is important in healthcare because PSIs affect patients negatively and increase medical costs and resource use. However, PSI knowledge in homecare is limited. To analyze patient safety issues and strategies, we aimed to identify the characteristics and cont...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-12-01
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| Series: | Nursing Reports |
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| Online Access: | https://www.mdpi.com/2039-4403/11/4/90 |
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| author | Natsuki Yamamoto-Takiguchi Takashi Naruse Mahiro Fujisaki-Sueda-Sakai Noriko Yamamoto-Mitani |
| author_facet | Natsuki Yamamoto-Takiguchi Takashi Naruse Mahiro Fujisaki-Sueda-Sakai Noriko Yamamoto-Mitani |
| author_sort | Natsuki Yamamoto-Takiguchi |
| collection | DOAJ |
| description | Patient safety incidents (PSIs) prevention is important in healthcare because PSIs affect patients negatively and increase medical costs and resource use. However, PSI knowledge in homecare is limited. To analyze patient safety issues and strategies, we aimed to identify the characteristics and contexts of PSI occurrences in homecare settings. A prospective observational study was conducted between July and November 2017 at 27 Japanese homecare nurse (HCN) agencies. HCNs at each agency voluntarily completed PSI reports indicating whether they contributed to PSIs or were informed of a PSI by the client/informal caregiver/other care provider during a period of three months. A total of 139 PSIs were analyzed, with the most common being falls (43.9%), followed by medication errors (25.2%). Among the PSIs reported to the HCN agencies, 44 were recorded on formal incident report forms, whereas 95 were reported as PSIs that required a response (e.g., injury care) but were not recorded on formal incident report forms. Most PSIs that occurred when no HCN was visiting were not recorded as incident reports (82.1%). Developing a framework/system that can accumulate, analyze, and share information on PSIs that occur in the absence of HCNs may provide insights into PSIs experienced by HCN clients. |
| first_indexed | 2024-03-10T03:25:45Z |
| format | Article |
| id | doaj.art-cf530f59cbd14b79b552c44263d8f32e |
| institution | Directory Open Access Journal |
| issn | 2039-439X 2039-4403 |
| language | English |
| last_indexed | 2024-03-10T03:25:45Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nursing Reports |
| spelling | doaj.art-cf530f59cbd14b79b552c44263d8f32e2023-11-23T09:54:12ZengMDPI AGNursing Reports2039-439X2039-44032021-12-01114997100510.3390/nursrep11040090Characteristics of Patient Safety Incident Occurrences Reported by Japanese Homecare Nurses: A Prospective Observational StudyNatsuki Yamamoto-Takiguchi0Takashi Naruse1Mahiro Fujisaki-Sueda-Sakai2Noriko Yamamoto-Mitani3Faculty of Nursing and Medical Care, Keio University, Kanagawa 252-0883, JapanGlobal Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, JapanDepartment of Public Health Nursing, Division of Health Sciences, Graduate School of Medicine, Tohoku University, Sendai 980-8575, JapanDepartment of Gerontological Home Care and Long-Term Care Nursing/Palliative Care Nursing, Division of Health Sciences & Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, JapanPatient safety incidents (PSIs) prevention is important in healthcare because PSIs affect patients negatively and increase medical costs and resource use. However, PSI knowledge in homecare is limited. To analyze patient safety issues and strategies, we aimed to identify the characteristics and contexts of PSI occurrences in homecare settings. A prospective observational study was conducted between July and November 2017 at 27 Japanese homecare nurse (HCN) agencies. HCNs at each agency voluntarily completed PSI reports indicating whether they contributed to PSIs or were informed of a PSI by the client/informal caregiver/other care provider during a period of three months. A total of 139 PSIs were analyzed, with the most common being falls (43.9%), followed by medication errors (25.2%). Among the PSIs reported to the HCN agencies, 44 were recorded on formal incident report forms, whereas 95 were reported as PSIs that required a response (e.g., injury care) but were not recorded on formal incident report forms. Most PSIs that occurred when no HCN was visiting were not recorded as incident reports (82.1%). Developing a framework/system that can accumulate, analyze, and share information on PSIs that occur in the absence of HCNs may provide insights into PSIs experienced by HCN clients.https://www.mdpi.com/2039-4403/11/4/90homecarehomecare nursingoccurrencepatient safetypatient safety incidentprospective observational study |
| spellingShingle | Natsuki Yamamoto-Takiguchi Takashi Naruse Mahiro Fujisaki-Sueda-Sakai Noriko Yamamoto-Mitani Characteristics of Patient Safety Incident Occurrences Reported by Japanese Homecare Nurses: A Prospective Observational Study Nursing Reports homecare homecare nursing occurrence patient safety patient safety incident prospective observational study |
| title | Characteristics of Patient Safety Incident Occurrences Reported by Japanese Homecare Nurses: A Prospective Observational Study |
| title_full | Characteristics of Patient Safety Incident Occurrences Reported by Japanese Homecare Nurses: A Prospective Observational Study |
| title_fullStr | Characteristics of Patient Safety Incident Occurrences Reported by Japanese Homecare Nurses: A Prospective Observational Study |
| title_full_unstemmed | Characteristics of Patient Safety Incident Occurrences Reported by Japanese Homecare Nurses: A Prospective Observational Study |
| title_short | Characteristics of Patient Safety Incident Occurrences Reported by Japanese Homecare Nurses: A Prospective Observational Study |
| title_sort | characteristics of patient safety incident occurrences reported by japanese homecare nurses a prospective observational study |
| topic | homecare homecare nursing occurrence patient safety patient safety incident prospective observational study |
| url | https://www.mdpi.com/2039-4403/11/4/90 |
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