Charts with criterion | Adverse event charts with criterion | |||||
---|---|---|---|---|---|---|
Criterion | N | %‡ | N | %§ | χ2† | |
1 | Unplanned admission (including readmission) to home care within the 6 months after discharge from index admission | 57 | 4.8 | 13 | 16.0 | ** |
2 | Request for admission (denied or wait-listed) to home care within the 6 months after discharge from index admission | 3 | 0.3 | 0 | 0.0 | |
3 | Recognised actual or potential environmental risks | 108 | 9.0 | 12 | 14.8 | |
4 | Recognised actual or potential risks related to client behaviour | 115 | 9.6 | 19 | 23.5 | ** |
5 | Inappropriate/inaccurate home care or service provider assessment of client | 11 | 0.9 | 0 | 0.0 | |
6 | New problem/diagnosis noted during index admission | 243 | 20.3 | 38 | 46.9 | ** |
7 | Client injury, harm, trauma or complication during home care admission | 182 | 15.2 | 34 | 42.0 | ** |
8 | Unplanned assessment/treatment by primary care provider during index admission | 67 | 5.6 | 17 | 21.0 | ** |
9 | Unplanned visit to hospital emergency department during index admission | 279 | 23.3 | 49 | 60.5 | ** |
10 | Unplanned admission to acute care hospital during index admission | 242 | 20.2 | 31 | 38.3 | ** |
11 | Unplanned admission/request for admission to long-term care facility | 45 | 3.8 | 3 | 3.7 | |
12 | Adverse drug reaction during index admission | 7 | 0.6 | 4 | 4.9 | ** |
13 | Acquired infection/sepsis | 115 | 9.6 | 32 | 39.5 | ** |
14 | Development of neurological deficit not present on admission but present at the time of discharge from the index home care stay | 8 | 0.7 | 2 | 2.5 | * |
15 | Emotional or psycho-social problem in patient or informal caregiver | 44 | 3.7 | 9 | 11.1 | ** |
16 | Unexpected death: | 37 | 3.1 | 2 | 2.5 | |
17 | Other client complications, for example, AMI, CVA, PE, DVT, etc | 101 | 8.4 | 12 | 14.8 | * |
18 | Expected family/informal caregiver availability for client assistance not realised | 17 | 1.4 | 4 | 4.9 | ** |
19 | Dissatisfaction with care documented in the client record and/or evidence of complaint lodged | 17 | 1.4 | 1 | 1.2 | |
20 | Adverse event reported by a caregiver | 50 | 4.2 | 8 | 9.9 | ** |
21 | Documentation or correspondence indicating litigation, either contemplated or actual | 1 | 0.1 | 0 | 0.0 | |
22 | Inappropriate discharge/inadequate discharge plan for index admission | 2 | 0.2 | 0 | 0.0 | |
23 | Unplanned admission to any hospital within the 6 months after discharge from index admission | 21 | 1.8 | 4 | 4.9 | ** |
24 | Any other undesirable outcomes not covered above | 7 | 0.6 | 0 | 0.0 | |
Mean number of criteria per chart | 3.40 | 3.63 |
*p<0.05; **p<0.01.
†χ2 indicates the association between the presence of a criterion and the risk of an adverse event.
‡Out of 1200 fully audited charts.
§Out of 81 charts with adverse events.
AMI, acute myocardial infarction; CVA, cerebrovascular accident (stroke); DVT, deep vein thrombosis; PE, pulmonary embolus.