Patients with learning disabilities are under increased risk for safety threats and may require special efforts to mitigate these risks.
BMC Health Serv Res. 2014;14:432.
The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study.
Tuffrey-Wijne I, Goulding L, Gordon V, et al. BMC Health Serv Res. 2014;14:432.Patients with physical limitations are known to be at increased risk of experiencing adverse events, but the quality and safety of care for patients with learning disabilities has been less studied. As the prevalence of learning disabilities—particularly autism spectrum disorder—is increasing, this mixed-methods study from the United Kingdom is an important advance in understanding the risks faced by this vulnerable group of patients. The authors found that patients with intellectual disabilities face numerous safety threats, often related to poor communication that can lead to errors of omission. These included missed nursing care, delayed or missed diagnoses, and concerns over inappropriate limitations on the intensity of care. The study also demonstrates the importance of using multiple methods to identify safety hazards, as the formal incident reporting systemyielded only a few cases, but many themes emerged from interviews with clinicians, caregivers, and patients.
Potentially inappropriate medications in a large cohort of patients in geriatric units: association with clinical and functional characteristics.
Fromm MF, Maas R, Tümena T, Gaßmann KG. Eur J Clin Pharmacol. 2013;69:975-984.
Adverse event rates as measures of hospital performance.
Hauck K, Zhao X, Jackson T. Health Policy. 2012;104:146-154.
Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods.
Payne CE, Stein JM, Leong T, Dressler DD. BMJ Qual Saf. 2012;21:925-932.
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The long road to ensuring patient safety in NHS hospitals.
Dyer C. BMJ. 2013;346:f3029.