'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

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
PagesP222
Publication statusPublished - 2016

Fingerprint

Nursing Care
Dementia
Comorbidity
Risk Adjustment
South Australia
New South Wales
Delirium
Patient Discharge
Public Hospitals
Censuses
Patient Safety
Urinary Tract Infections
Population
Pneumonia
Outcome Assessment (Health Care)
Delivery of Health Care
Pressure

Cite this

@conference{5e62061280494d94990c591f8cdc7463,
title = "'Failure to maintain'dementia patients in hospital: A new method of quality outcome measurement related to nursing care",
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",
keywords = "New South Wales, adult, comorbidity, complication, controlled study, delirium, dementia, doctor patient relation, education, hospital design, hospital discharge, human, hydration, major clinical study, manager, middle aged, nursing care, nutrition, pneumonia, public hospital, risk assessment, risk factor, skin care, surgery, treatment failure, treatment outcome, urinary tract infection, work environment, workload",
author = "K Bail",
year = "2016",
language = "English",
pages = "P222",

}

'Failure to maintain'dementia patients in hospital: A new method of quality outcome measurement related to nursing care. / Bail, K.

2016. P222.

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

TY - CONF

T1 - 'Failure to maintain'dementia patients in hospital: A new method of quality outcome measurement related to nursing care

AU - Bail, K

PY - 2016

Y1 - 2016

N2 - 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

AB - 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

KW - New South Wales

KW - adult

KW - comorbidity

KW - complication

KW - controlled study

KW - delirium

KW - dementia

KW - doctor patient relation

KW - education

KW - hospital design

KW - hospital discharge

KW - human

KW - hydration

KW - major clinical study

KW - manager

KW - middle aged

KW - nursing care

KW - nutrition

KW - pneumonia

KW - public hospital

KW - risk assessment

KW - risk factor

KW - skin care

KW - surgery

KW - treatment failure

KW - treatment outcome

KW - urinary tract infection

KW - work environment

KW - workload

M3 - Abstract

SP - P222

ER -