Overview of the risk areas associated with care in nursing homes

As the number of dependant elderly people rises, the place occupied by nursing homes in the French health care system becomes more and more important, and the question of resident safety is more significant than ever. A transfer of the notions developed for hospitals is useful but insufficient, as they mainly focus on the technical facet of care. In order to propose a wider view of risk management in nursing homes, we reviewed the French medical literature published between 2005 and 2016 in search of articles about adverse events related to health care in French nursing homes. Forty-nine articles were included and allowed the identification of 11, unequally documented: technical care and support, falls, infections and outbreaks, drugs and medical devices, resident identification, food, home accident, information, suicide, health care management and civil rights. We propose a patient-centered conceptual mapping of these risks that could be updated depending on the results of our future studies.