INCIDENT REPORTING IN NURSING HOMES

Summary

Principal Investigator: N G Castle
Affiliation: University of Pittsburgh
Country: USA
Abstract: [unreadable] DESCRIPTION (Provided by Applicant): Each year, approximately 8 million adverse incidents occur among vulnerable nursing home (NH) residents. An adverse incident is defined as "unplanned events [unreadable] which caused, or had the potential to cause, harm to patients." There are a variety of adverse incidents that occur in the NH setting including falls; adverse drug events or medication errors; resident altercations or other types of abuse; and non-fall related injuries such as burns, skin tears, or bruises. Depending on their severity, the occurrence of these incidents can lead to significant morbidity and mortality and subsequently result in considerable NH staff time and increased costs to care for them." [unreadable] [unreadable] Clearly, these incidents represent a significant problem in NHs. One start to reducing adverse incidents is to use reporting systems. The Institute of Medicine Reports call for enhancements in adverse incident reporting. Improvements in reporting practices is significant because incident reporting systems have been used successfully in other disciples such as aviation safety to significantly augment safety initiatives. Investigating the circumstances surrounding an adverse incident is important to improve prevention and intervention efforts and use of incident reporting systems is aimed at improving health care processes through the analysis of data. This process requires standardized definitions of the incident, data elements, and approaches for collecting and integrating the data. [unreadable] [unreadable] Further research is necessary on the current practice of how incidents are evaluated in nursing homes. Moreover, in order to improve how incidents are reported and analyzed for quality improvement, the role Health Information Technology (HIT) plays in this endeavor should be investigated. The purpose of this study is to examine the incident reporting practices in NHs and identify to what extent these data are used for improving the safety of residents. Ultimately, this research is expected to increase the knowledge base that will assist researchers to improve the workflow design of adverse incident evaluation and the role HIT and health care policy development plays in this. This information will further our development of a standardized incident reporting mechanism recommended by the Institute of Medicine and others. [unreadable] [unreadable] [unreadable]
Funding Period: 2007-08-03 - 2009-07-31
more information: NIH RePORT

Top Publications

  1. doi U.S. Department of Health adverse event reporting policies for nursing homes
    Laura M Wagner
    New York University College of Nursing, HartfordInstitute for Geriatric Nursing, New York City, USA
    J Healthc Qual 35:9-14. 2013
  2. doi Use of HIT for adverse event reporting in nursing homes: barriers and facilitators
    Laura M Wagner
    Department of Community Health Systems, School of Nursing, University of California, San Francisco, 2 Koret Way, San Francisco, CA, USA
    Geriatr Nurs 34:112-5. 2013
  3. doi Results of a longitudinal analysis of national data to examine relationships between organizational and market characteristics and changes in antipsychotic prescribing in US nursing homes from 1996 through 2006
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
    Am J Geriatr Pharmacother 7:143-50. 2009

Scientific Experts

  • N G Castle
  • Laura M Wagner
  • Robyn Stone
  • Steven M Handler
  • Kathleen C Reid

Detail Information

Publications3

  1. doi U.S. Department of Health adverse event reporting policies for nursing homes
    Laura M Wagner
    New York University College of Nursing, HartfordInstitute for Geriatric Nursing, New York City, USA
    J Healthc Qual 35:9-14. 2013
    ..This study provides an important step by increasing our knowledge base of the current state of adverse event reporting policies and processes at the state level...
  2. doi Use of HIT for adverse event reporting in nursing homes: barriers and facilitators
    Laura M Wagner
    Department of Community Health Systems, School of Nursing, University of California, San Francisco, 2 Koret Way, San Francisco, CA, USA
    Geriatr Nurs 34:112-5. 2013
    ..Approximately 8 million adverse events occur annually in nursing homes (NHs). The focus of this research is to determine barriers and health information technology (HIT)-related facilitators to adverse event reporting among U.S. NHs...
  3. doi Results of a longitudinal analysis of national data to examine relationships between organizational and market characteristics and changes in antipsychotic prescribing in US nursing homes from 1996 through 2006
    Nicholas G Castle
    Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
    Am J Geriatr Pharmacother 7:143-50. 2009
    ..The aim of this work was to examine the association between organizational characteristics, market characteristics, and changes in antipsychotic medication use in US nursing homes over time...