Date of Award

2012

Degree Type

Thesis

Degree Name

M.Sc.

Department

Nursing

First Advisor

Debbie Kane

Keywords

Adverse Events, Home Care, Patient Safety

Rights

CC-BY-NC-ND 4.0

Abstract

Purpose: Explores the relations among patient characteristics, risk factors and adverse events of adult home care patients in Southwestern Ontario. Significance: Adverse events which occur in home care are different from those that occur in an institutional setting. Methods: This descriptive study utilized retrospective chart review of 500 episodes of care. Results: The incidence of adverse events was 9.4%. New emergency room visits, new hospital admissions and new falls were the most common type of adverse events. A decline in physical function and polypharmacy with a history of cognitive impairment were the most frequent risk factors. Self-care and length of stay were significantly associated with adverse events. Patients with acute illness were at decreased risk of falling. Conclusions: This study identified factors that increase the risk of adverse events, allowing for targeted interventions and contributing to our knowledge and understanding of adverse events in this unique setting.

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