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dc.contributor.authorDoran, Diane M.
dc.contributor.authorHirdes, John P.
dc.contributor.authorBlais, Régis
dc.contributor.authorBaker, G. Ross
dc.contributor.authorPoss, Jeffrey W.
dc.contributor.authorLi, Xiaoqiang
dc.contributor.authorDill, Donna
dc.contributor.authorGruneir, Andrea
dc.contributor.authorHeckman, George A.
dc.contributor.authorLacroix, Hélène
dc.contributor.authorMitchell, Lori
dc.contributor.authorO’Beirne, Maeve
dc.contributor.authorFoebel, Andrea Dawn
dc.contributor.authorWhite, Nancy
dc.contributor.authorQian, Gan
dc.contributor.authorNahm, Sang-Myong
dc.contributor.authorYim, Odilia
dc.contributor.authorDroppo, Lisa
dc.contributor.authorMcIsaac, Corrine 14:36:55 (GMT) 14:36:55 (GMT)
dc.description.abstractBackground: 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). Method: 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. Conclusion: 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.en
dc.description.sponsorshipCanadian Patient Safety Institute, Canadian Institutes of Health Research (Institutes of Health Services and Policy Research, Aging, Circulatory and Respiratory Health and Musculoskeletal Health and Arthritis), the Change Foundation, the Canadian Health Services Research Foundation (grant number HC-10-105 Doran-Blais)en
dc.publisherLongwoods Publishingen
dc.rightsAttribution-NonCommercial 4.0 International*
dc.titleAdverse Events Associated with Hospitalization or Detected through the RAI-HC Assessment among Canadian Home Care Clientsen
dcterms.bibliographicCitationDoran, D., Hirdes, J., Blais, R., Baker, G. R., Poss, J., Li, X., … McIsaac, C. (2013). Adverse Events Associated with Hospitalization or Detected through the RAI-HC Assessment among Canadian Home Care Clients. Healthcare Policy | Politiques de Santé, 9(1), 80–96.
uws.contributor.affiliation1Faculty of Applied Health Sciencesen
uws.contributor.affiliation2School of Public Health and Health Systemsen

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