Citation

Teigné D, Mouret D, Lucas M, Gaultier A, Moret L, Leclère B, Terrien N. Geriatr. Psychol. Neuropsychiatr. Vieil. 2019; 17(3): 243-253.

Copyright

(Copyright © 2019, John Libbey Eurotext)

DOI

10.1684/pnv.2018.0775

PMID

30907362

Abstract

A rise in the number of dependent elderly people has made nursing homes an important part of the French health system. Through the struggle against adverse events associated with treatments, the question of the residents' safety and wellbeing has been paramount. To get an estimation of the highest incidence rates of adverse events in nursing homes, we carried out a follow-up study on 536 residents over 15-day periods between November 2016 and May 2017 in 8 French nursing homes. Notifications by professionals coupled with explorations by an investigating physician helped evidence the different typologies and degrees of seriousness of treatment-related adverse events. The 149 treatment-related adverse events that were identified belonged to 13 risk domains. Four of these domains accounted for 60% of treatment-related adverse events: 'medication and medical provision', 'living environment', 'technical care and accompaniment', 'care organization and coordination'. Four treatment-related adverse events out of the 149 (2.7%) had a level of seriousness rated as 4; 16 (10.7%) had a seriousness level rated as 3. Finally, particular attention should be paid to suicide risk. These first results need to be corroborated, but they will help develop messages of prevention aimed at professionals.

Language: fr

Keywords

Humans; Aged; Female; Male; Incidence; Suicide; epidemiology; Risk Assessment; Aged, 80 and over; elderly; Delivery of Health Care; France; Follow-Up Studies; nursing home; Drug-Related Side Effects and Adverse Reactions; Residential Treatment; Nursing Homes; Homes for the Aged; Patient Safety; adverse event; Iatrogenic Disease; seriousness