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Scale, nature, preventability and causes of adverse events in hospitalised older patients
Author(s)Hanneke Merten, Marieke Zegers, Martine C de Bruijne, Cordula Wagner
Journal titleAge and Ageing, vol 42, no 1, January 2013
PublisherOxford University Press, January 2013
Pagespp 87-93
Sourcehttp://ageing.oxfordjournals.org/ http://www.bgs.org.uk/
KeywordsGeneral hospitals ; In-patients ; Drugs ; Accidents ; Infectious diseases ; Death ; Preventative medicine.
AnnotationThe present study aimed to gain insight into the scale, nature, preventability and causes of adverse events in hospitalised older patients. The study used a three-stage retrospective, structured, medical record review study of 7,917 records of patients admitted to 21 Dutch hospitals in 2004. It looked at the incidence, preventability, clinical process category, consequences and causes of adverse events in hospitalised patients of 65 years and older, compared with patients younger than 65. Study results showed that adverse events and preventable adverse events occur significantly more often in older patients than in younger patients. In older patients, the adverse events were more often related to medication. An exploration of the causes revealed that the inability to apply existing knowledge to a new and complex situation contributes more often to the occurrence of adverse events in older patients than in younger patients. The authors argue that in order to reduce the number of adverse events in older patients in the future, more particular training of hospital staff in geriatric medicine is required, with a specific focus on medication. (JL).
Accession NumberCPA-130104209 A
ClassmarkLD3: LF7: LLD: OKA: CJA: CW: LK2

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