南開科技大學圖書館 |

回上頁

Patient safety in an aging population: Challenges and strategies for change.

紀錄類型:	書目-電子資源 : 單行本
正題名/作者:	Patient safety in an aging population: Challenges and strategies for change./
作者:	Ackroyd-Stolarz, Stacy A.
面頁冊數:	284 p.
附註:	Source: Dissertation Abstracts International, Volume: 69-05, Section: B, page: 2891.
Contained By:	Dissertation Abstracts International69-05B.
標題:	Gerontology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NR39082
ISBN:	9780494390825

Patient safety in an aging population: Challenges and strategies for change.
LDR:03054nmm 2200301 4500 001 1000005218
005 20090508083406.5
008 090508s2008 ||||||||||||||||| ||eng d
020 $a 9780494390825
035 $a (UMI)AAINR39082
035 $a AAINR39082
040 $a UMI $c UMI{me_controlnum}
100 1 $a Ackroyd-Stolarz, Stacy A. $3 1000006513
245 1 0 $a Patient safety in an aging population: Challenges and strategies for change.
300 $a 284 p.
500 $a Source: Dissertation Abstracts International, Volume: 69-05, Section: B, page: 2891.
502 $a Thesis (Ph.D.)--Dalhousie University (Canada), 2008.
520 $a Introduction. Older adults are frequent users of the Emergency Department (ED). International patient safety studies have identified this as a high-risk group for adverse events (AEs). The purpose of the study was to determine whether a prolonged stay in the ED is associated with an increased risk in the occurrence of AEs for older patients admitted to hospital.
520 $a Methods. This retrospective cohort study was conducted at an adult tertiary care facility in Atlantic Canada between July 1, 2005 and March 31, 2006. All community-dwelling persons ≥65 years admitted to an acute care inpatient unit from the ED were eligible for inclusion. Using the 2007 Position Statement Guidelines from the Canadian Association of Emergency Physicians, the exposed group was defined as those patients that had a total length of stay (LOS) in the ED of >6 hours for those triaged with emergent or urgent conditions and >4 hours for patients triaged with less or non-urgent conditions. The unexposed group had an ED LOS less than the benchmark times. Outcomes were determined using the previously validated Wisconsin Medical Injury Prevention Program screening criteria. The criteria were applied to diagnostic and clinical data from administrative data sources to identify AEs. The results were compared between the exposed and unexposed groups.
520 $a Results. A total of 982 patient records were analyzed. The average age was 77.8 years (95% CI 77.3-78.3). The majority of patients (75.0%) experienced a prolonged ED LOS as defined by the Canadian benchmark. Of the 982 records, 140 (14.3%) had evidence of an AE. The most common AEs were procedure-related (47.2%), device-related (31.2%) and medication-related (20.8%). After adjustment, the total LOS (hours) in the ED was associated with an increased risk of an AE (OR 1.03, 95% CI 1.004-1.05). Those with an AE had twice the hospital LOS (20.2 vs. 9.8 days, 95% CI 16.7-23.8).
520 $a Conclusions. A prolonged stay in the ED for older admitted patients is associated with an increased risk of an AE. The longer hospital LOS associated with AEs further reduces the availability of acute care beds, thus exacerbating ED overcrowding.
590 $a School code: 0328.
650 4 $a Gerontology. $3 168436
650 4 $a Health Sciences, Public Health. $3 1000006002
650 4 $a Health Sciences, Health Care Management. $3 1000005726
690 $a 0351
690 $a 0573
690 $a 0769
710 2 $a Dalhousie University (Canada). $3 1000005688
773 0 $t Dissertation Abstracts International $g 69-05B.
790 $a 0328
791 $a Ph.D.
792 $a 2008
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NR39082