Abstract
To conduct a survey on medical accident cases (MACs) in a mixed-care geriatric hospital. We extracted the data on 339 MACs of 1,374 incident/-accident reports in a 1-year study period between January 2009 and December 2009. The incidences of MACs and accident-related factors were investigated and compared among medical care areas in our hospital (acute care unit: AU, long-term care unit: LU, convalescent rehabilitation unit: CU, palliative care unit: PU, and other medical care areas). In 339 MACs, epidermal exfoliation (E), bruises (B), cuts or lacerations (CL), and fractures (F) were the most common episodes, and E was most frequent (183 cases: 54.0%). However, in 33.9% of E cases the cause could not be clarified. A comparative study demonstrated that the incidence of E was higher in the LU than in the other medical care unit, or B or F in the CU, or CL in the AU. E was caused mainly by nursing care, especially during transfers. The mean total functional independence measure (FIM) score in the LU (38.8 ± 21.3), where E occurred most frequently, was significantly lower than that in the AU (61.4 ± 34.4, p<0.01), CU (58.9 ± 25.2, p<0.05), and PU (72.8 ± 22.9, p<0.05) E, B, CL, and F were frequently found in a mixed-care geriatric hospital. E had the highest frequency among all of the accident episodes, and appeared related to nursing care, such as transfer, and reduced ADL level.
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Schedule a callMore From: Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
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