The Management of Adverse Clinical Events in Nursing Homes: A 1-Year Survey Study
Autor: | Giovanni B. Frisoni, Marco Trabucchi, Renzo Rozzini, Piera Barbisoni, Giuseppe Bellelli, Stefano Boffelli |
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Přispěvatelé: | Bellelli, G, Frisoni, G, Barbisoni, P, Boffelli, S, Rozzini, R, Trabucchi, M |
Rok vydání: | 2001 |
Předmět: |
Male
Night Care medicine.medical_specialty Activities of daily living National Health Programs Personnel Staffing and Scheduling Psychological intervention MEDLINE Drug Therapy Nursing Intervention (counseling) Activities of Daily Living Outcome Assessment Health Care Health care Medical Staff Prevalence Humans Medicine Prospective Studies Hospital transfer Geriatric Assessment Aged Holidays Quality of Health Care Aged 80 and over Nursing home business.industry Health services research Middle Aged Drug Utilization Nursing Homes Hospitalization Italy Physician Family medicine Chronic Disease Workforce Female Appropriatene Health Services Research Geriatrics and Gerontology business |
Zdroj: | Journal of the American Geriatrics Society. 49:915-925 |
ISSN: | 1532-5415 0002-8614 |
DOI: | 10.1046/j.1532-5415.2001.49182.x |
Popis: | OBJECTIVE: In Italian nursing homes (NHs), care delivery at night and during holidays is not regulated by regional laws; some facilities employ staff physicians, others employ physicians engaged from year to year (temporary physicians), and others employ publicly funded National Health System (NHS) physicians. This study was designed to determine whether the use of different kinds of physicians leads to different outcomes with regard to the rate of hospitalization and appropriateness of the management of adverse clinical events. DESIGN: Prospective, nonrandomized-survey data collection. SETTING: Ten nonprofit nursing facilities in Italy. PARTICIPANTS: Three hundred and fifty-two NH residents, staff physicians, temporary physicians, and NHS physicians. MEASUREMENTS: Medical intervention during adverse clinical events occurring at night and during holidays. RESULTS: Three hundred and fifty-two residents experienced 551 adverse clinical events; 78 were hospitalized. The hospitalization rate of NHS physicians was about two times that of the temporary physicians and six times that of the staff physicians. Staff physicians' diagnoses and management were appropriate in the majority of cases; NHS diagnosis and management were doubtful or incorrect in about one-third of all cases. CONCLUSIONS: NH residents frequently experience adverse clinical events; physician characteristics influence the rate of hospitalization and the quality of medical interventions. |
Databáze: | OpenAIRE |
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