Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: A mixed methods study

BMJ Quality and Safety

Volumn 26, Issue 9, 2017, Pages 704-713

  Redley, Bernice ^a,b   Raggatt, Michelle ^a  

^a DEAKIN UNIVERSITY   (Australia)

^b SOUTHERN HEALTH   (Australia)

Author keywords

Health services research; Healthcare quality improvement; Patient safety; Risk management

Indexed keywords

AGED; AGED HOSPITAL PATIENT; ARTICLE; AUSTRALIA; COGNITION; CONTINENCE; CROSS-SECTIONAL STUDY; HOSPITAL INFECTION; HOSPITAL PERSONNEL; HUMAN; NUTRITION; PAIN; PATIENT HARM; QUALITATIVE ANALYSIS; RISK ASSESSMENT; SCREENING; STANDARD; VENOUS THROMBOEMBOLISM; COOPERATION; HEALTH PERSONNEL ATTITUDE; INFORMATION PROCESSING; MASS SCREENING; NUTRITIONAL STATUS; ORGANIZATION AND MANAGEMENT; PATHOPHYSIOLOGY; PATIENT SAFETY; PUBLIC RELATIONS; QUESTIONNAIRE; SKIN; STANDARDS; TOTAL QUALITY MANAGEMENT; VERY ELDERLY; VICTORIA; WALKING DIFFICULTY;

AGED; AGED, 80 AND OVER; ATTITUDE OF HEALTH PERSONNEL; COGNITION; COOPERATIVE BEHAVIOR; CROSS-SECTIONAL STUDIES; FOCUS GROUPS; HUMANS; INTERPROFESSIONAL RELATIONS; MASS SCREENING; MOBILITY LIMITATION; NUTRITIONAL STATUS; PATIENT SAFETY; QUALITY IMPROVEMENT; RISK ASSESSMENT; SKIN; SURVEYS AND QUESTIONNAIRES; VICTORIA;

EID: 85029951413     PISSN: 20445415     EISSN: None     Source Type: Journal    
DOI: 10.1136/bmjqs-2016-005867     Document Type: Article

References (36)

1. Sari AB, Cracknell A, Sheldon TA. Incidence, preventability and consequences of adverse events in older people: results of a retrospective case-note review. Age Ageing 2008;37:265-9.
2. Wilson RM, Van Der Weyden MB. The safety of Australian healthcare: 10 years after QAHCS. Med J Aust 2005;182:260-1.
3. Bail K, Goss J, Draper B, et al. The cost of hospital-acquired complications for older people with and without dementia; a retrospective cohort study. BMC Health Serv Res 2015;15:91.
4. Øvretveit J. Does improving quality save money? A review of evidence of which improvements to quality reduce costs to health service providers. London, Stockholm: Karolinska Institutet, 2009:103.
5. Martin IC, Mason DG, Stewart JAD. Emergency admissions: a journey in the right direction? National Confidential Enquiry into Patient Outcome and Death (NCEPOD), London, 2007.
6. Byrne DG, Chung SL, Bennett K, et al. Age and outcome in acute emergency medical admissions. Age Ageing 2010;39:694-8.
7. Nabhan M, Elraiyah T, Brown DR, et al. What is preventable harm in healthcare? A systematic review of definitions. BMC Health Serv Res 2012;12:128.
8. Australian Commission on Safety and Quality in Health Care. National safety and quality health service standards. Sydney, NSW: Australian Commission on Safety and Quality in Health Care, 2012.
9. Department of Health and Human Services. Best care for older people everywhere-the toolkit Victorian State Government, 2012 (cited 2013 6 May). http://www.health.vic.gov.au/older/ toolkit/
10. Auditor-General Victoria Patient Safety in Victorian Public Hospitals: Government of Victoria, 2016. PP No 149, Session 2014-16. http://www.audit.vic.gov.au/reports-and-publications/ latest-reports/2015-16/20160323-patient-safety.aspx
11. Boult C, Green AF, Boult LB, et al. Successful models of comprehensive care for older adults with chronic conditions: evidence for the Institute of Medicine's retooling for an aging America report. J Am Geriatr Soc 2009;57:2328-37.
12. Ellis G, Whitehead MA, O'Neill D, et al. Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database Syst Rev 2011;(7):CD006211.
13. To TH, Davies OJ, Sincock J, et al. Multidisciplinary care needs in an Australian tertiary teaching hospital. Aust Health Rev 2010;34:234-8.
14. Pilotto A, Sancarlo D, Pellegrini F, et al. The Multidimensional Prognostic Index predicts in-hospital length of stay in older patients: a multicentre prospective study. Age Ageing 2016;45:90-6.
15. Department of Health and Human Services. Older people in hospital. Melbourne, Victoria: Vicoria State Government, 2016 (cited 20 May 2016). https://www2.health.vic.gov.au/ hospitals-and-health-services/patient-care/older-people
16. Cunningham L, Kennedy J, Nwolisa F, et al. Patients Not Paperwork-Bureaucracy affecting nurses in the NHS: NHS Institute for Innovation and Improvement, 2012 (cited 20 May 2016). http://www.qualitasconsortium.com/index.cfm/ publications/fundamentals/patients-not-paperwork/
17. Aiken LH, Sloane DM, Bruyneel L, et al. Nurses' reports of working conditions and hospital quality of care in 12 countries in Europe. Int J Nurs Stud 2013;50:143-53.
18. Bradley EH, Curry LA, Ramanadhan S, et al. Research in action: using positive deviance to improve quality of health care. Implement Sci 2009;4:25.
19. Lawton R, Taylor N, Clay-Williams R, et al. Positive deviance: a different approach to achieving patient safety. BMJ Qual Saf 2014;23:880-3.
20. Gary JC. The wicked question answered: positive deviance delivers patient-centered care. Dimens Crit Care Nurs 2014;33:142-50.
21. Marra AR, Noritomi DT, Westheimer Cavalcante AJ, et al. A multicenter study using positive deviance for improving hand hygiene compliance. Am J Infect Control 2013;41: 984-8.
22. Sandelowski M. Sample size in qualitative research. Res Nurs Health 1995;18:179-83.
23. Smith J, Firth J. Qualitative data analysis: the framework approach. Nurse Res 2011;18:52-62.
24. Sandelowski M. What's in a name? Qualitative description revisited. Res Nurs Health 2010;33:77-84.
25. Sandelowski M. Qualitative analysis: what it is and how to begin. Res Nurs Health 1995;18:371-5.
26. Caplan GA, Williams AJ, Daly B, et al. A randomized, controlled trial of comprehensive geriatric assessment and multidisciplinary intervention after discharge of elderly from the emergency department-the DEED II study. J Am Geriatr Soc 2004;52:1417-23.
27. Stuck AE, Siu AL, Wieland GD, et al. Comprehensive geriatric assessment: a meta-analysis of controlled trials. Lancet 1993;342:1032-6.
28. Long SJ, Brown KF, Ames D, et al. What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. Int J Qual Health Care 2013;25:542-54.
29. Grimshaw JM, Eccles MP, Lavis JN, et al. Knowledge translation of research findings. Implement Sci 2012;7:50.
30. Institute for Healthcare Improvement. Always Events: Institute for Healthcare Improvement, 2016. http://www.ihi.org/engage/ Initiatives/PatientFamilyCenteredCare/Pages/AlwaysEvents.aspx
31. Morrison LG, Lam S, Sutherland M, et al. A unitary patient record improves admission documentation in a medical assessment unit in a major teaching hospital. Health Bull (Edinb) 2001;59:218-23.
32. Devriendt E, Wellens NIH, Flamaing J, et al. The interRAI Acute Care instrument incorporated in an eHealth system for standardized and web-based geriatric assessment: strengths, weaknesses, opportunities and threats in the acute hospital setting. BMC Geriatr 2013;13:90.
33. Wellens NIH, Deschodt M, Flamaing J, et al. First-generation versus third-generation comprehensive geriatric assessment instruments in the acute hospital setting: a comparison of the Minimum Geriatric Screening Tools (MGST) and the interRAI Acute Care (interRAI AC). J Nutr Health Aging 2011;15:638-44.
34. Squires JE, Graham ID, Hutchinson AM, et al. Understanding context in knowledge translation: a concept analysis study protocol. J Adv Nurs 2015;71:1146-55.
35. Hwang MI, Lin JW. Information dimension, information overload and decision quality. J Inf Sci 1999;25:213-18.
36. Considine J, Currey J. Ensuring a proactive, evidence-based, patient safety approach to patient assessment. J Clin Nurs 2015;24:300-7.