Overview of the risk areas associated with care in nursing homes

Teigné, Delphine; Lucas, Marion; Leclère, Brice; Moret, L.; Terrien, Noémie

doi:10.1684/pnv.2017.0662

Cited by 5 publications

(8 citation statements)

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“…The issue of patient safety in nursing homes has become increasingly important (Teigne, Lucas, Leclere, Moret, & Terrien, 2017). However, the current situation of patient safety at home and abroad is not optimistic.…”

Section: Introductionmentioning

confidence: 99%

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Patient safety culture and obstacles to adverse event reporting in nursing homes

et al. 2020

J. Nurs. Manag.

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The rapid increase in the elderly population has challenged the aged care system in China. Statistics showed that the number of people in China over the age of 60 years had reached 249.5 million in 2018 (Ministry of Civil Affairs of the People's Republic of China, 2019). The elderly population in Hunan amounted to 12.8 million, accounting for 18.5% of the total population of Hunan province. Nearly 20% of elderly people over the age of 60 years are disabled or partially disabled and unable to participate in daily living activities in Hunan (Hunan Bureau of Statistics, 2019). The demand for safe care for the elderly population is greater than ever (Wang et al., 2018). The

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Section: Introductionmentioning

confidence: 99%

“…The issue of patient safety in nursing homes has become increasingly important (Teigne, Lucas, Leclere, Moret, & Terrien, 2017).…”

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confidence: 99%

Patient safety culture and obstacles to adverse event reporting in nursing homes

et al. 2020

J. Nurs. Manag.

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“…In France, the accommodation provided to dependent elderly people who require day-to-day care has undergone many changes. French NHs accommodate elderly people who have lost their physical and/ or mental independence, and who can no longer live in their own home [23]. Medical and paramedical care is provided by staff employed directly by the NH (care assistants, nurses, etc.)…”

Section: Target Institutionsmentioning

confidence: 99%

What is the level of safety culture in French nursing homes? The EHPAGE study

Teigné

Mabileau

Moret

et al. 2021

BMC Health Serv Res

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Background French nursing homes (NHs) are in the early stages of implementing their risk management approach. The latter includes the development of a safety culture (SC) among professionals. A training package to support NHs in implementing a risk management strategy has been designed by QualiREL Santé, a regional body that provides support in quality and risk management. The aim is to improve SC. No data are available about the level of SC in French NHs. This study evaluates the level of SC and identifies predictors of SC scores in NHs that will subsequently benefit from the training package. Method The study was proposed to NHs who are members of QualiREL Santé in 2 French departments. Inclusion criteria were voluntary participation, the commitment of top management to benefit from the training package, and the absence of previous risk management support provided by QualiREL Santé. The NHSOPS-F questionnaire (22 items measuring 7 dimensions of SC) was administered to professionals between January and March 2016. 14 variables related to the structural profile of the NHs and the strategic choices of top management in terms of healthcare safety were recorded. Scores for 7 dimensions were calculated for all of the included NHs. Further modelling identified predictive factors. Results 58 NHs were included. The response rate for the NHSOPS-F (n = 1946 professionals) was 64% (Q1-Q3 = [49.4;79.0]). Staffing was the least-developed dimension (11.8%), while scores were highest for Feedback and communication about incidents (84.8%). Being attached to a public hospital was associated with poorer perceptions of SC, notably for the dimension “Overall perceptions of resident safety and organizational learning” (β = − 19.59;p-value< 0.001). A less-developed SC was also significantly linked to existing Quality initiatives. Conclusions Overall, French NHs must prioritise issues of staffing, teamwork and compliance with procedures. The role of human factors within teams should be exploited by top management. Our initial findings will help to adapt improvement approaches and are particularly relevant to local and national policies during the ongoing pandemic.

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“…In France, the accommodation provided to dependent elderly people who require day-to-day care has undergone many changes. French nursing homes (NHs) accommodate elderly people who have lost their physical and/ or mental independence, and who can no longer live in their own home [ 6 ]. The literature highlights that there is a long way to go before they implement the RM approach [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…The literature highlights that there is a long way to go before they implement the RM approach [ 7 ]. Furthermore, it emphasises the importance of adapting the AEAC concept to French NHs, and to the specific context of care and assistance provided on a daily basis in the place of residence [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Safety culture in French nursing homes: A randomised controlled study to evaluate the effectiveness of a risk management intervention associated with care

et al. 2022

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Background French Nursing Homes (NHs) are in the early stages of implementing their Risk Management (RM) approach. A regional structure, which was mandated to provide independent support in RM, designed a training package. Objective To study the impact of the RM training package on safety culture (SC) in NHs and drivers for improvement in SC scores. Method and analysis This randomised controlled study targeted French NHs. Inclusion criteria were voluntary participation, no external support provided on the topic of adverse incidents upstream of the project, and the commitment of top management to its implementation. The 61 NHs were randomly allocated to one of two groups: the first benefited from a training package; support was given to the second after the impact measurement. Seven dimensions of SC were measured, at an 18-month interval, using the validated Nursing Home Survey on Patient Safety Culture questionnaire (22 items), which was administered to all of the professionals working in NHs. Eleven variables were captured, relating to the structural profile of the NH, the choices of top management in terms of healthcare safety, and the implementation of the system. Further modelling identified predictive factors for changes in SC scores. Results 95% of NHs completed both rounds of the questionnaire. The dimension Feedback and communication about incidents (SC = 85.4% before the intervention) significantly improved (+2.8%; p = 0.044). Improvement in the dimension Overall perceptions of resident safety–organizational learning was close to significant (+3.1%; p = 0.075). Drivers for improvement in scores were a pre-existing quality improvement approach, and a steering group that showed RM leadership. Conclusions The system appears to have improved several dimensions of SC. Our findings are all the more important given the current crisis in the healthcare sector. Trial registration Retrospectively registered as NCT02908373 (September 21, 2016).

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Overview of the risk areas associated with care in nursing homes

Cited by 5 publications

References 0 publications

Patient safety culture and obstacles to adverse event reporting in nursing homes

Patient safety culture and obstacles to adverse event reporting in nursing homes

What is the level of safety culture in French nursing homes? The EHPAGE study

Safety culture in French nursing homes: A randomised controlled study to evaluate the effectiveness of a risk management intervention associated with care

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