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Adverse Events in Home-Care Nursing Agencies and Related Factors: A Nationwide Survey in Japan

Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo 113-8519, Japan
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Int. J. Environ. Res. Public Health 2021, 18(5), 2546; https://doi.org/10.3390/ijerph18052546
Received: 10 February 2021 / Revised: 25 February 2021 / Accepted: 26 February 2021 / Published: 4 March 2021
(This article belongs to the Section Health Care Sciences & Services)
Despite the importance of patient safety in home-care nursing provided by licensed nurses in patients’ homes, little is known about the nationwide incidence of adverse events in Japan. This article describes the incidence of adverse events among home-care nursing agencies in Japan and investigates the characteristics of agencies that were associated with adverse events. A cross-sectional nationwide self-administrative questionnaire survey was conducted in March 2020. The questionnaire included the number of adverse event occurrences in three months, the process of care for patient safety, and other agency characteristics. Of 9979 agencies, 580 questionnaires were returned and 400 were included in the analysis. The number of adverse events in each agency ranged from 0 to 47, and 26.5% of the agencies did not report any adverse event cases. The median occurrence of adverse events was three. In total, 1937 adverse events occurred over three months, of which pressure ulcers were the most frequent (80.5%). Adjusting for the number of patients in a month, the percentage of patients with care-need level 3 or higher was statistically significant. Adverse events occurring in home-care nursing agencies were rare and varied widely across agencies. The patients’ higher care-need levels affected the higher number of adverse events in home-care nursing agencies. View Full-Text
Keywords: patient safety; adverse events; home healthcare; home-care setting; home-care nursing patient safety; adverse events; home healthcare; home-care setting; home-care nursing
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MDPI and ACS Style

Morioka, N.; Kashiwagi, M. Adverse Events in Home-Care Nursing Agencies and Related Factors: A Nationwide Survey in Japan. Int. J. Environ. Res. Public Health 2021, 18, 2546. https://doi.org/10.3390/ijerph18052546

AMA Style

Morioka N, Kashiwagi M. Adverse Events in Home-Care Nursing Agencies and Related Factors: A Nationwide Survey in Japan. International Journal of Environmental Research and Public Health. 2021; 18(5):2546. https://doi.org/10.3390/ijerph18052546

Chicago/Turabian Style

Morioka, Noriko, and Masayo Kashiwagi. 2021. "Adverse Events in Home-Care Nursing Agencies and Related Factors: A Nationwide Survey in Japan" International Journal of Environmental Research and Public Health 18, no. 5: 2546. https://doi.org/10.3390/ijerph18052546

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