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Search results for "Long-Term Care"
Journal Article > Study
Wagner LM, Castle NG, Handler SM. Geriatr Nurs. 2013;34:112-115.
Safety problems—particularly medication errors—are common in nursing homes and other long-term care settings. Prior studies have also shown that safety culture in long-term care settings is generally poor. One manifestation of poor safety culture can be that errors go unreported, and this survey of nearly 400 nursing homes found evidence confirming that substandard error reporting is a problem in long-term care. Few nursing homes surveyed used computerized methods to report errors or to monitor adverse event data, and respondents reported both technological and cultural barriers to voluntary error reporting. As most nursing homes also did not use computerized provider order entry or any other form of electronic medical record, the authors recommend more widespread adoption of health information technology in general, and error reporting systems specifically, in the long-term care setting. One such system for voluntarily reporting medication errors has been successfully implemented in nursing homes in North Carolina.
Journal Article > Commentary
Milligan F, Gadsby R, Ghaleb M, et al. Nurs Resid Care. 2014;16:617-621.
Patients in nursing homes are particularly vulnerable to medication errors. Exploring the unique factors that affect medication safety in nursing home residents with diabetes, this review emphasizes the contrasting need to establish a safety culture while promoting incident reporting of errors, which has been inconsistent in this setting due to fear of blame.
Journal Article > Study
Boyer R, McPherson ML, Deshpande G, Smith SW. Am J Hosp Palliat Care. 2009;26:361-367.
Patients enrolled in hospice care are generally elderly and may use high-risk medications, such as opioids and sedatives. These factors have been associated with serious medication errors in prior studies. However, little is known about medication errors in hospice patients. In this study conducted in two hospice organizations, clinical personnel received an educational seminar designed to encourage voluntary reporting of adverse drug events. The intervention resulted in improved understanding of medication errors and increased error reporting (at one of the two sites). Prior studies have also successfully increased error reporting rates but, as a recent commentary notes, incident reporting itself may not improve safety unless reported incidents are rigorously analyzed and followed up.