Incidence, criticality and typology of care-related adverse events in nursing homes based on initial epidemiological characteristics and possible prevention measures in France

The current global coronavirus disease 2019 (COVID-19) outbreak is still exerting severe global implications, and its development in various regions is complex and variable. The high risk of cross-infection poses a great challenge to the dental practice environment; it is therefore urgent to develop a set of pandemic prevention measures to ensure dental practice safety during the COVID-19 outbreak. Therefore, we combined the epidemiological characteristics of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), public emergency measures for COVID-19, characteristics of dental practice, and relevant literature reports to develop a set of dynamic practice measures for dental practices in high-, medium-, and low-risk areas affected by COVID-19. This will help dental practices to achieve standard prevention and ensure their safe and smooth operation during the pandemic. It is hoped that these measures will provide a reference basis for dental hospitals and dental clinics in their care and pandemic prevention work.

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Bedrails and Falls in Nursing Homes: A Systematic Review

Clinical Nursing Research ◽

10.1177/1054773820907805 ◽

2020 ◽

pp. 105477382090780

Author(s):

David Huynh ◽

Olivia N. Lee ◽

Phuong M. An ◽

Twyla A. Ens ◽

Cynthia A. Mannion

Keyword(s):

Systematic Review ◽

Nursing Homes ◽

Health Care Providers ◽

Assisted Living ◽

Fall Prevention ◽

Adult Population ◽

Healthcare Providers ◽

Primary Data ◽

Care Providers ◽

Prevention Measures

Bedrail use for fall prevention in elderly clients (>65 years) is controversial. Some healthcare providers believe bedrails prevent falls, while others think they are ineffective and dangerous. A systematic review was conducted to address: “For older adults living in nursing homes, does more or less bedrail use reduce the incidence of falls?” We searched HealthStar, MEDLINE, CINAHL, Academic Search complete ProQuest and Canadian Health Research Collection using “elder*,” “bedrail*,” “fall*,” and “assisted-living*.” After filtering for primary data, English records, older adult population, relationship between bedrails and falls, fourteen studies remained. Results suggest using alternative fall prevention measures, and bedrails are either beneficial, harmful, or do not influence falls. Bedrail reduction with fall prevention interventions led to no changes in fall frequency. Ambiguity persists regarding fall frequencies and bedrail use without using other fall prevention strategies. Educating health care providers on fall prevention is key to patient safety.

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How does gatekeeper training improve suicide prevention for elderly people in nursing homes? A controlled study in 24 centres

European Psychiatry ◽

10.1016/j.eurpsy.2016.05.011 ◽

2016 ◽

Vol 37 ◽

pp. 56-62 ◽

Cited By ~ 8

Author(s):

N. Chauliac ◽

N. Brochard ◽

C. Payet ◽

Y. Margue ◽

P. Bordin ◽

...

Keyword(s):

Nursing Home ◽

Nursing Homes ◽

Elderly People ◽

Suicide Prevention ◽

Controlled Study ◽

Prevention Measures ◽

Gatekeeper Training ◽

Quasi Experimental ◽

Trained Staff ◽

The Impact

AbstractBackgroundThe death rate due to suicide in elderly people is particularly high. As part of suicide selective prevention measures for at-risk populations, the WHO recommends training “gatekeepers”.MethodsIn order to assess the impact of gatekeeper training for members of staff, we carried out a controlled quasi-experimental study over the course of one year, comparing 12 nursing homes where at least 30% of the staff had undergone gatekeeper training with 12 nursing homes without trained staff. We collected data about the residents considered to be suicidal, their management further to being identified, as well as measures taken at nursing home level to prevent suicide.ResultsThe two nursing home groups did not present significantly different characteristics. In the nursing homes with trained staff, the staff were deemed to be better prepared to approach suicidal individuals. The detection of suicidal residents relied more on the whole staff and less on the psychologist alone when compared to nursing homes without trained staff. A significantly larger number of measures were taken to manage suicidal residents in the trained nursing homes. Suicidal residents were more frequently referred to the psychologist. Trained nursing homes put in place significantly more suicide prevention measures at an institutional level.ConclusionsHaving trained gatekeepers has an impact not only for the trained individuals but also for the whole institution where they work, both in terms of managing suicidal residents and routine suicide prevention measures.

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Comparative analyses on epidemiological characteristics of dengue fever in Guangdong and Yunnan, China, 2004-2018

10.21203/rs.2.18421/v2 ◽

2020 ◽

Author(s):

Yujuan Yue ◽

Qiyong Liu ◽

Xiaobo Liu ◽

Haixia Wu

Keyword(s):

Dengue Fever ◽

Mainland China ◽

Temporal Analysis ◽

Prevention Measures ◽

Pearl River Delta Region ◽

Peak Period ◽

Guangzhou City ◽

Male Predominance ◽

Imported Cases ◽

Epidemiological Characteristics

Abstract Background Guangdong and Yunnan were the two provinces with the toughest dengue epidemic in China. It was to compare epidemiological characteristics of dengue fever there, 2004-2018. Methods Epidemiological method and spatial-temporal analysis were used to explore time-series, spatial and demographic features of dengue fever.Results 93.7% of indigenous cases and 65.9 % of imported cases in mainland China, 2004-2018 occurred in Guangdong and Yunnan. 55,970 and 5,938 indigenous cases occurred in 108 counties of Guangdong and 8 counties of Yunnan, respectively. 1,146 and 3,050 imported cases occurred in 84 counties of Guangdong and 72 counties of Yunnan, respectively. Guangdong and Yunnan had similar seasonal characteristics for dengue fever, and Guangdong had a longer peak period. 85.1% of indigenous cases in Yunnan were located in Ruili City and Jinghong City along the southwestern border. Most dengue cases in Guangdong occurred in the Pearl River Delta region, and especially more than 70.0% of dengue cases in Guangdong occurred in Guangzhou City. 93.9% of imported cases in Guangdong and Yunnan were imported from 9 countries of Southeast Asia. Thailand, Cambodia and Malaysia were the main imported origins in Guangdong. Myanmar and Laos were the main imported origins in Yunnan. There was a strong male predominance among imported cases and an almost equal gender distribution among indigenous cases. Most dengue cases were from individuals in 21-50 years old, accounting for 57.3% and 62.8% of indigenous cases and 83.2% and 62.6% of imported cases in Guangdong and Yunnan, respectively. There were similar major occupations as housework or unemployment, retiree and businessman for indigenous cases, and businessman for imported cases. However, farmers accounted for a larger proportion of dengue cases in Yunnan.Conclusions The findings of epidemiological characteristics and differences of dengue fever in Guangdong and Yunnan are helpful to formulate targeted, strategic plans and implement effective public health prevention measures in China.

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Ocular trauma in an urban Spanish population: epidemiology and visual outcome

International Journal of Ophthalmology ◽

10.18240/ijo.2021.09.06 ◽

2021 ◽

Vol 14 (9) ◽

pp. 1327-1333

Author(s):

Marta Belmonte-Grau ◽

◽

Paula Marticorena-Álvarez ◽

Keyword(s):

Urban Areas ◽

Ocular Trauma ◽

Visual Outcome ◽

Occupational Accidents ◽

Trauma Patients ◽

Prevention Measures ◽

Urgent Surgery ◽

Eye Trauma ◽

Open Globe ◽

Epidemiological Characteristics

AIM: To describe epidemiological aspects, clinical findings, and visual results in eye trauma patients requiring urgent surgery at a tertiary hospital. METHODS: Retrospective review of adult patients requiring urgent surgery for trauma to the eyeball from January 2010 and April 2020. Data was collected relative to age, gender, mechanism of the injury, type of wound, initial and final visual acuity, number and type of surgeries carried out. Injuries were classed according to the Birmingham Eye Trauma Terminology (BETT) and the Ocular Trauma Score (OTS) categories. RESULTS: The survey included 92 eyes. Mean age was 54.76±22.18y. The most frequent cause was domestic accidents (44.6%), followed by aggression (22.80%) and occupational accidents (17.4%). Trauma from aggression was more frequent in men (P=0.006) and accidents in the home more common in women (P=0.011). Patients over 65y presented an odds ratio (OR) of 10.71 for suffering a domestic accident. Patients between 15-45 and 46-65y were at higher risk of trauma from aggression (OR=17.52 and OR=10.94, respectively). As for the type of injury, 63.04% were open-globe lesions, Zone II being the most frequently affected (27.2%). In Logistic regression analysis, old age (P=0.05) and retinal involvement (P=0.001) were found to be associated with higher rate of unfavourable visual outcome. CONCLUSION: The epidemiological aspects of eye trauma are highly dependent on the area of population studied. Domestic accidents are more relevant than workplace accidents in older urban areas with high socio-economic status. A better knowledge of the epidemiological characteristics is useful for implementing specific prevention measures and appropriate treatment strategies.

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Agranulocytosis Induced by Proton Pump Inhibitors; Two Cases of Fatal Antimalarial-Induced Cardiomyopathy; Oxaliplatin-Induced Thrombotic Thrombocytopenic Purpura; Unique Skin Eruption Caused by Telaprevir; Acute-Onset Opioid-Induced Hyperalgesia in a Child; Risk of Sharing a Pill Cutter; Dementia and Risk of Adverse Warfarin-Related Events in Nursing Homes; Comparative Rates of Adverse Events with Parenteral Formulations of Iron

Hospital Pharmacy ◽

10.1310/hpj4801-10 ◽

2013 ◽

Vol 48 (1) ◽

pp. 10-13

Author(s):

Joel Shuster

Keyword(s):

Nursing Homes ◽

Adverse Events ◽

Skin Eruption ◽

Proton Pump ◽

Acute Onset ◽

Drug Reactions ◽

Thrombocytopenic Purpura ◽

The Us ◽

Opioid Induced Hyperalgesia ◽

Parenteral Formulations

The purpose of this feature is to heighten awareness of specific adverse drug reactions (ADRs), discuss methods of prevention, and promote reporting of ADRs to the US Food and Drug Administration's (FDA's) MedWatch program (800-FDA-1088). If you have reported an interesting, preventable ADR to MedWatch, please consider sharing the account with our readers.

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