Safety in the home healthcare sector: Development of a new household safety checklist

Journal of Patient Safety

Volumn 8, Issue 2, 2012, Pages 51-59

  Gershon, Robyn R M ^a   Dailey, Maureen ^b   Magda, Lori A ^c   Riley, Halley E M ^c   Conolly, Jay ^d   Silver, Alexis ^e  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b American Nurses Association   (United States)

^c Columbia University ^*  (United States)

^d Partners in Care   (United States)

^e Home Care Association of New York State Albany   (United States)

Author keywords

Home health care; Household hazards; Patient safety; Safety checklist; Worker safety

Indexed keywords

AGED; ARTICLE; CHECKLIST; FEMALE; HOME CARE; HUMAN; INFORMATION PROCESSING; MALE; METHODOLOGY; MIDDLE AGED; ORGANIZATION AND MANAGEMENT; PATIENT SAFETY; RISK ASSESSMENT;

AGED; AGED, 80 AND OVER; CHECKLIST; FEMALE; FOCUS GROUPS; HOME CARE AGENCIES; HOME CARE SERVICES; HUMANS; MALE; MIDDLE AGED; PATIENT SAFETY; RISK ASSESSMENT;

EID: 84861420715     PISSN: 15498417     EISSN: 15498425     Source Type: Journal    
DOI: 10.1097/PTS.0b013e31824a4ad6     Document Type: Review

References (54)

1. National Association for Home Care and Hospice. Basic statistics about home care. Available at: http://www.nahc.org/facts/10HC-Stats.pdf. Accessed February 10, 2011.
2. Bureau of Labor Statistics, U.S. Department of Labor. Occupational Outlook Handbook: home health aides and personal and home care aides. 2010-011. Available at: http://www.bls.gov/oco/ocos326.htm. Accessed February 17, 2011.
3. Bureau of Labor Statistics, U.S. Department of Health and Human Services. BLS spotlight on statistics: health care. Available at: http://www.bls.gov/ spotlight/2009/health-care/. Accessed January 29, 2011.
4. Centers for Disease Control and Prevention. NCHS Pressroom-004 fact sheet-home health care patients: data from the 2000 National Home and Hospice Care Survey. Available at: http://www.cdc.gov/nchs/pressroom/04facts/patients. htm. Accessed February 16, 2011.
5. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare Fee-for-Service Program. N Engl J Med. 2009;360:1418-428.
6. Centers for Disease Control and Prevention. Falls among older adults: an overview. December 8, 2010. Available at: http://www.cdc.gov/ HomeandRecreationalSafety/Falls/adultfalls.html. Accessed February 18, 2011.
7. Runyan CW, Casteel C, eds. The State of Home Safety in America: Facts About Unintentional Injuries in the Home. 2nd ed. Washington, DC: Home Safety Council; 2004.
8. Home Safety Council. Unintentional home injury in the United States. Available at: http://www.homesafetycouncil.org/AboutUs/Research/re-sohs-w013. asp. Accessed February 17, 2011.
9. Gershon RRM, Pearson JM, Sherman MF, et al. The prevalence and risk factors for percutaneous injuries in registered nurses in the home health care sector. Am J Infect Control. 2009;37:525-33.
10. Gershon RRM, Pogorzelska M, Qureshi K, et al. Home health care patients and safety hazards in the home: preliminary findings. In: Henriksen K, Battles JB, Keyes MA, Grady ML, eds. Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 1: Assessment). Rockville, MD: Agency for Health Care Research and Quality; 2008.
11. Canton AN, Sherman MF, Magda LA, et al. Violence, job satisfaction, and employment intentions among home healthcare registered nurses. Home Healthc Nurse. 2009;27:364-73.
12. Gershon RRM, Canton AN, Raveis VH, et al. Household-related hazardous conditions with implications for patient safety in the home health care sector. J Patient Saf. 2008;4:227-34.
13. Markkanen P, Quinn M, Galligan C, et al. There's no place like home: a qualitative study of the working conditions of home health care providers. J Occup Environ Med. 2007;49:327-37. (Pubitemid 46411490)
14. Madigan EA. A description of adverse events in home healthcare. Home Healthc Nurse. 2007;25:191-97.
15. Galinsky T, Feng HA, Streit J, et al. Risk factors associated with patient assaults of home healthcare workers. Rehabil Nurs. 2010;35:206-15.
16. Ellenbecker CH, Samia L, Cushman MJ, et al. Patient safety and quality in home health care. In: Hughes RG, ed. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Vol 1. Rockville, MD: Agency for Healthcare Research and Quality; 2008.
17. Centers for Medicare and Medicaid Services. OASIS. Available at: http://www.cms.gov/oasis/. Accessed February 10, 2011.
18. Shaughnessy PW, Crisler KS, Hittle DF, et al. Summary of the Report on OASIS and Outcome-Based Quality Improvement in Home Health Care: Research and Demonstration Findings, Policy Implications, and Considerations for Future Change. Denver, CO: Center for Health Services Research, University of Colorado Health Sciences Center; 2002.
19. Park-Lee EY, Decker FH. Comparison of home health and hospice care agencies by organizational characterisitcs and services provided: United States, 2007. National Health Statistics Reports; no. 30. Available at: http://www.hhs.gov/pandemicflu/plan/sup11.html. Accessed February 17, 2011.
20. Shaughnessy PW, Hittle DF, Crisler KS, et al. Improving patient outcomes of home health care: findings from two demonstration trials of outcome-based quality improvement. J Am Geriatr Soc. 2002;50:1354-364.
21. Community Health Accreditation Program Inc. CHAP- Community Health Accreditation Program. Available at: http://www.chapinc.org/. Accessed February 24, 2011.
22. The Joint Commission, Accreditation Program. Home care: 2011 National Patient Safety Goals. Available at: http://www.jointcommission.org/assets/1/6/ 2011-OME-NPSG-EASY.pdf.Accessed February 20, 2011.
23. Henriksen KP, Joseph AP, Zayas-Caban TP. The human factors of home health care: a conceptual model for examining safety and quality concerns. J Patient Saf. 2009;5:229-36.
24. Reason J. Managing the Risks of Organizational Accidents. Burlington, VT: Ashgate Publishing Company; 1997.
25. Bryan FL. Hazard Analysis Critical Control Point Evaluations: A Guide to Identifying Hazards and Assessing Risks Associated with Food Preparation and Storage. Geneva, Switzerland: World Health Organization; 1992.
26. McDonough JE. Proactive Hazard Analysis and Health Care Policy. New York, NY: Milbank Memorial Fund; 2002.
27. Home Safety Council. Home safety council. Available at: http://www.homesafetycouncil.org/index.asp. Accessed February 24, 2011.
28. Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360:491-99.
29. Huang H-C, Lin W-C, Lin J-D. Development of a fall-risk checklist using the Delphi technique. J Clin Nurs. 2008;17:2275-283.
30. Pronovost P, Berenholtz S, Dorman T, et al. Improving communication in the ICU using daily goals. J Crit Care. 2003;18:71-5. (Pubitemid 36759157)
31. Pronovost PJ, Berenholtz SM, Goeschel CA, et al. Creating high reliability in health care organizations. Health Serv Res. 2006;41:1599-617. (Pubitemid 44114584)
32. Hales BM, Pronovost PJ. The checklistya tool for error management and performance improvement. J Crit Care. 2006;21:231-35. (Pubitemid 44399847)
33. Winters B, Gurses A, Lehmann H, et al. Clinical review: checklists - translating evidence into practice. Crit Care. 2009;13:210.
34. Scholtes P, Joiner B, Streibel B. The Team Handbook. 2nd ed. Madison, WI: Oriel Inc; 1996.
35. Letts L, Scott S, Burtney J, et al. The reliability and validity of the Safety Assessment of Funciton and the Environment for Rehabilitation (SAFER Tool). Br J Occup Ther. 1998;61:127-32. (Pubitemid 128453973)
36. National Center for Healthy Housing, U.S. Department of Housing and Urban Development. Healthy Homes Maintenance Checklist. Available at: http://www.hud.gov/offices/lead/library/hhi/Healthy-Housing-CheckList.pdf. Accessed February 17, 2011.
37. Alliance for Healthy Homes. Community Environmental Health Resource Center. Available at: http://www.cehrc.org/aboutus/aboutus-cehrc.htm. Accessed February 23, 2011.
38. SPSS advanced version [computer program]. Version 16.0.1. Chicago, IL: SPSS Inc.; 2008.
39. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Hillsdale, NJ: Erlbaum; 1988.
40. Klitzman S, Caravanos J, Deitcher D, et al. Prevalence and predictors of residential health hazards: a pilot study. J Occup Environ Hyg. 2005;2:293-01. (Pubitemid 40734616)
41. Stevens JA, Corso PS, Finkelstein EA, et al. The costs of fatal and non-fatal falls among older adults. Inj Prev. 2006;12:290-95. (Pubitemid 44621760)
42. Parry C, Min S-J, Chugh A, et al. Further application of the care transitions intervention: results of a randomized controlled trial conducted in a fee-for-service setting. Home Health Care Serv Q. 2009;28:84-9.
43. Naylor MD. Transitional care: a critical dimension of the home healthcare quality agenda. J Healthc Qual. 2006;28:48-4.
44. Naylor MD, Brooten DA, Campbell RL, et al. Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial. J Am Geriatr Soc. 2004;52:675-84. (Pubitemid 38596483)
45. Stalhandske E, Mills P, Quigley P, et al. VHA's National Falls Collaborative and Prevention Programs. In: Henriksen K, Battles JB, Keyes MA, Grady ML, eds. Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 2: Culture and Redesign). Rockville, MD: Agency for Healthcare Research and Quality; 2008.
46. Dykes PC, Carroll DL, Hurley A, et al. Fall prevention in acute care hospitals. JAMA. 2010;304:1912-918.
47. Tinetti ME, Baker DI, McAvay G, et al. A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med. 1994;331:821-27. (Pubitemid 24289708)
48. Gillespie LD, Gillespie WJ, Robertson MC, et al. Interventions for preventing falls in elderly people. Cochrane Database Syst Rev. 2009:CD000340.
49. Gates S, Fisher JD, Cooke MW, et al. Multifactorial assessment and targeted intervention for preventing falls and injuries among older people in community and emergency care settings: systematic review and meta-analysis. BMJ. 2008;336:130-33. (Pubitemid 351211964)
50. Berwick DM, Nolan TW, Whittington J. The triple aim: care, health, and cost. Health Aff. 2008;27:759-69. (Pubitemid 351770245)
51. Fleming C. Berwick brings the 'triple aim' to CMS (September 14, 2010). Health Affairs Blog. Available at: http://healthaffairs.org/blog/2010/09/14/ berwick-brings-the-triple-aim-to-cms/. Accessed February 23, 2011.
52. National Priorities Partnership. Input to the Secretary of Health and Human Services on Priorities for the 2011 National Quality Strategy. Washington, DC: National Quality Forum; 2010.
53. Centers for Medicare and Medicaid Services. Medicare Program; Hospital Inpatient Value-Based Purchasing Program. Vol 76, No 9: Federal Register; January 13, 2011:2454-491.
54. Medicare. Medicare home health agency profile. Available at: http://medicare.gov/HomeHealthCompare/profile.aspx?loc=11570&an=&state= &cnty=&aid=337170&AspxAutoDetectCookieSupport=1. Accessed February 23, 2011.