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养老院护理相关风险领域概述。

Overview of the risk areas associated with care in nursing homes.

作者信息

Teigné Delphine, Lucas Marion, Leclère Brice, Moret Leila, Terrien Noémie

机构信息

SRA QualiRel Santé, Hôpital Saint-Jacques, Nantes, France, Unité de recherche PHU 11, CHU Hôtel-Dieu, Nantes, France.

Unité de recherche PHU 11, CHU Hôtel-Dieu, Nantes, France.

出版信息

Geriatr Psychol Neuropsychiatr Vieil. 2017 Jun 1;15(2):117-126. doi: 10.1684/pnv.2017.0662.

Abstract

As the number of dependant elderly people rises, the place occupied by nursing homes in the French health care system becomes more and more important, and the question of resident safety is more significant than ever. A transfer of the notions developed for hospitals is useful but insufficient, as they mainly focus on the technical facet of care. In order to propose a wider view of risk management in nursing homes, we reviewed the French medical literature published between 2005 and 2016 in search of articles about adverse events related to health care in French nursing homes. Forty-nine articles were included and allowed the identification of 11, unequally documented: technical care and support, falls, infections and outbreaks, drugs and medical devices, resident identification, food, home accident, information, suicide, health care management and civil rights. We propose a patient-centered conceptual mapping of these risks that could be updated depending on the results of our future studies.

摘要

随着需要照料的老年人数量增加,养老院在法国医疗保健系统中所占的地位变得越来越重要,而居民安全问题也比以往任何时候都更加突出。将医院所采用的理念进行移植虽有帮助但并不充分,因为这些理念主要侧重于护理的技术层面。为了更全面地看待养老院的风险管理,我们查阅了2005年至2016年间发表的法国医学文献,以寻找有关法国养老院医疗保健相关不良事件的文章。共纳入了49篇文章,并确定了11个方面,各方面文献记录不均衡:技术护理与支持、跌倒、感染与疫情、药物与医疗设备、居民身份识别、食物、家庭事故、信息、自杀、医疗保健管理和公民权利。我们提出了一个以患者为中心的这些风险的概念性映射,可根据我们未来研究的结果进行更新。

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