'Failure to maintain'dementia patients in hospital: A new method of quality outcome measurement related to nursing care

Research output: Contribution to conference (non-published works)Abstract


Background: Despite improvement in health care, hospital patient safety remains a concern. Quality outcome measures that are sensitive to nursing care provision, such as 'Failure to Rescue'(death following a complication) are used for the general population, but often exclude patients aged over 75. Yet half of hospital populations are aged over 65, and many of those have dementia. Developments of outcomes that are sensitive to nursing care, as well as sensitive to those with dementia, are needed. Method: A retrospective cohort of 426, 276 overnight hospital discharge episodes for patients aged 50 and above from public hospital discharge data from the state of New South Wales, Australia for 2006/07 provided a census sample. Patients with dementia were case matched on sex, age, comorbidity and surgical status on a 1:4 ratio to non-dementia patients. Episode level risk-adjustment for 12 complications that are known to be sensitive to nursing care was examined. Results: Controlling for age, sex, surgery and comorbidities, the highest rates and highest relative risk for dementia compared to non-dementia patients were found in four common complications: urinary tract infections, pressure areas, pneumonia and delirium (p
Original languageEnglish
Publication statusPublished - 2016


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