dc.contributor.author | Mesteig, Marianne | |
dc.contributor.author | Helbostad, Jorunn L. | |
dc.contributor.author | Sletvold, Olav | |
dc.contributor.author | Røsstad, Tove | |
dc.contributor.author | Saltvedt, Ingvild | |
dc.date.accessioned | 2015-09-11T11:32:23Z | |
dc.date.accessioned | 2015-09-17T13:58:46Z | |
dc.date.available | 2015-09-11T11:32:23Z | |
dc.date.available | 2015-09-17T13:58:46Z | |
dc.date.issued | 2010 | |
dc.identifier.citation | BMC Health Services Research 2010, 10 | nb_NO |
dc.identifier.issn | 1472-6963 | |
dc.identifier.uri | http://hdl.handle.net/11250/300617 | |
dc.description.abstract | Background: Geriatric patients recently discharged from hospital experience increased chance of unplanned
readmissions and admission to nursing homes. Several studies have shown that medication-related discrepancies
are common. Few studies report unwanted incidents by other factors than medications. In 2002 an ambulatory
team (AT) was established within the Department of Geriatrics, St. Olavs University Hospital HF, Trondheim, Norway.
The AT monitored the transition of the patients from hospital to home and four weeks after discharge in order to
reveal unwanted incidents.
The aim of the present study was to describe unwanted incidents registered by the AT among patients discharged
from a geriatric evaluation and management unit (GEMU) by character, frequency and stage in the transitional process.
Only unwanted incidents with a severity making contact with the primary health care (PHC) necessary were registered.
Methods: A prospective observational study with patients treated in the GEMU and followed by the AT was
performed. Current practice included comprehensive geriatric assessment and management including discharge
planning in the GEMU and collaboration with the primary health care on appointments on assistance to be
provided after discharge from hospital. Unwanted incidents severe enough to induce contact with the primary
health care were registered during the transitional phase and after discharge.
Results: 118 patients (65% female), with mean age 83.2 ± 6.4 years participated. Median Barthel Index at discharge
was 18 (interquartile range 16-19) and median Mini Mental Status Examination 24 (interquartile range 21-26).
A total of 146 unwanted incidents were registered in 70 (59%) of the patients. Most frequent were unwanted
incidents related to drug prescription regime (32%), exchange of information in and between the GEMU and the
primary health care (25%) and service or help provided from the PHC (17%).
Conclusions: Despite a seemingly well-organised system for transition of patients from the GEMU to their homes,
one or more unwanted incidents occurred in most patients during discharge or four weeks post discharge. The
study has revealed areas of importance for improving transitional care of geriatric patients. | nb_NO |
dc.language.iso | eng | nb_NO |
dc.publisher | BioMed Central | nb_NO |
dc.title | Unwanted incidents during transition of geriatric patients from hospital to home: a prospective observational study | nb_NO |
dc.type | Journal article | nb_NO |
dc.type | Peer reviewed | en_GB |
dc.date.updated | 2015-09-11T11:32:23Z | |
dc.source.volume | 10 | nb_NO |
dc.source.journal | BMC Health Services Research | nb_NO |
dc.identifier.doi | 10.1186/1472-6963-10-1 | |
dc.identifier.cristin | 340051 | |
dc.description.localcode | © 2010 Mesteig et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. | nb_NO |