The economics of patient safety Part III: Long-term care

Abstract

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Use of a Telerehabilitation Platform in a Stroke Continuum: A Qualitative Study of Patient and Therapist Acceptability

“…The delivery of the therapy via our platform was found not optimal through smartphones, and therefore such patient devices were not allowed. Equipment requirements are to be considered to avoid inequity of care for patients who would not have access to those resources (Bienassis et al, 2020;Hashiguchi, 2020;Rich et al, 2019;Veinot et al, 2018). Rich et al (2019) showed that an inequality gap could remain despite increasing access to adequate equipment as low familiarity with technology remains a barrier.…”

Nurses' experiences with patient safety incidents in long-term care

“…However, there continues to exist a need for LTC beds as those requiring LTC services are receiving home-based care. Providing care in nursing homes has become more complex as the majority of residents require higher levels of care (de Bienassis et al, 2020;OLTCA, 2019). More than half of LTC residents have one or more chronic health conditions (de Bienassis et al, 2020) and are prescribed 10 or more medications (Canadian Institute for Health Information [CIHI], 2014).…”

“…Providing care in nursing homes has become more complex as the majority of residents require higher levels of care (de Bienassis et al, 2020;OLTCA, 2019). More than half of LTC residents have one or more chronic health conditions (de Bienassis et al, 2020) and are prescribed 10 or more medications (Canadian Institute for Health Information [CIHI], 2014). In addition, a cognitive impairment, such as dementia, was diagnosed in 90% of residents living in Ontario nursing homes (OLTCA, 2019).…”

“…The increased acuity of residents in LTC, combined with complex care needs (i.e., polypharmacy and cognitive impairment) suggest that persons living in LTC are more vulnerable to patient safety incidents (PSIs) than ever before (de Bienassis et al, 2020). Since 2013, the rate of resident falls increased by 3% suggesting that one of six residents (16.6%) fall in LTC facilities (Health Quality Ontario, 2020).…”

Managing NHS money in Portugal: who decides?

“…Public involvement in decision-making can influence the reduction of safety incidents, namely those related to the quality of health interventions. The available evidence suggests that 15% of hospital spending and activities in OECD countries can be attributed to the treatment of safety failures (Slawomirski et al , 2020). For example, in Canada, it is estimated that the economic impact of preventable adverse events related to acute care was approximately 397 million dollars between 2009 and 2010 (Etchells et al , 2013).…”