Factors related to high-frequency incidents at acute hospitals: An observational study on drugs, drains, and falls

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  • Akiyama Naomi
    Ex-School of Medicine, Iwate Medical University School of Nursing, Gifu University of Health Science
  • Uozumi Ryuji
    Department of Biomedical Statistics and Bioinformatics, Kyoto University Graduate School of Medicine
  • Akiyama Tomoya
    Department of Nursing Career Support Office, Nagoya University Hospital
  • Hayashida Kenshi
    Hospital of the University of Occupational and Environmental Health, Japan
  • Koeda Keisuke
    School of Medicine, Iwate Medical University

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  • 急性期病院における高頻度インシデントに関連する要因：薬剤・ドレーン・転倒転落に関する観察研究
  • キュウセイキ ビョウイン ニ オケル コウヒンド インシデント ニ カンレン スル ヨウイン : ヤクザイ ・ ドレーン ・ テントウ テンラク ニ カンスル カンサツ ケンキュウ

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Abstract

<p>Errors related to drugs, drain tubes, and falls are three high-frequency incident types. This study aimed to clarify the differences in related factors between these three incident types. This was a retrospective observational study secondarily using incident reports collected at a medical institution (investigation target). Of all 36,364 incident reports from 2012 to 2018, 16,383 (45.1%) in which entries were noted in the three incident types and all variables were subjected to multivariate Poisson regression analysis with the number of incidents as the objective variable. The numbers of drug-related, drain-related, and fall-related incidents were 7,877, 5,716, and 2,790, respectively. Regarding the occurrence of the three incident types, characteristic tendencies were observed with site/hour of occurrence from the organization factors, reporter’s clinical/department experiences and related professions from the medical practitioner factors, and sex, age, and attributes from the patient factors. Conversely, common tendencies were noted with manual descriptions and time of occurrence from the organization factors and characteristic auditory disorder from the patient factors.</p>

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