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Adverse events associated with the Res-Care Intervention.
Ann L Gruber-Baldini1, Barbara Resnick2, J Richard Hebel1
1Division of Gerontology, Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, MD.
Journal of the American Medical Directors Association
|April 1, 2011
Summary
The Restorative Care (Res-Care) intervention in nursing homes is safe for residents, showing no increased risk of falls, injuries, or adverse events. This intervention aims to improve physical functioning and resident engagement.
Area of Science:
- Gerontology
- Nursing Home Care
- Patient Safety
Background:
- Restorative care interventions aim to improve functional status in nursing home residents.
- Evaluating adverse events is crucial for assessing the safety of new care models.
Purpose of the Study:
- To evaluate adverse events associated with the Restorative Care (Res-Care) intervention in nursing home residents.
- To determine the safety profile of Res-Care regarding falls, injuries, and other adverse outcomes.
Main Methods:
- Secondary data analysis of a randomized controlled trial with a repeated-measure design.
- Generalized estimating equations used to analyze data at baseline, 4, and 12 months.
- Adverse events including falls, injuries, ER visits, hospital admissions, and death were abstracted from nursing home records.
Main Results:
- Longitudinal analysis indicated a protective effect of the Res-Care intervention over time.
- Significant differences were observed in emergency room visits at 4 months and the number of fallers at 12 months.
Conclusions:
- The Res-Care intervention is safe for nursing home residents.
- The intervention does not increase the risk of falls, injuries, or other adverse events.
- Res-Care effectively maximizes physical functioning in older adults residing in nursing homes.
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