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Charlotte Maurin1, Suzanne Atkinson2, Linda Hamouche3

  • 1, candidate au D. Pharm., est assistante de recherche à l'Unité de recherche en pratique pharmaceutique, département de pharmacie, CHU Sainte-Justine, Montréal (Québec).

The Canadian Journal of Hospital Pharmacy
|April 11, 2024
PubMed
Summary
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This study calculated incident and accident (I&A) ratios per 1000 inpatient-days in Québec health facilities. Findings highlight variations across facility types, aiding comparative analysis and improving patient safety reporting.

Area of Science:

  • Health Services Research
  • Patient Safety
  • Healthcare Quality Improvement

Context:

  • Mandatory reporting of incidents and accidents (I&As) in Québec health-care facilities since 2022.
  • Annual summary reports of I&As have been published since 2011.
  • Lack of standardized ratios hinders comparison between facilities.

Purpose:

  • To calculate and compare ratios of total I&As and medication-related I&As per 1000 inpatient-days.
  • To analyze these ratios across different types of health-care facilities in Québec.

Summary:

  • A retrospective descriptive study analyzed data from 85 Québec health-care facilities (April 2016–March 2021).
  • Ratios of total I&As/1000 inpatient-days ranged from 14-16 in long-term care to 99-147 in rehabilitation facilities.
Keywords:
accidentshealth-care facilityincidentsmedication errors

Related Experiment Videos

  • Medication-related I&As/1000 inpatient-days ranged from 3-4 in long-term care to 24-40 in rehabilitation facilities.

    • Impact:

    • Demonstrates the feasibility of calculating I&A ratios using the Québec National Register.
    • Provides a basis for comparing reporting cultures and identifying areas for improvement.
    • Recommends the inclusion of these ratios in future annual reports to enhance system-wide analysis.