DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20192295

Incidence of adverse events after discharge from a secondary hospital in northern Ghana

Inusah D. Iddrisu, Akwasi Anyanful, Samuel V. Nuvor

Abstract


Background: Adverse events involve unintended injuries or complications resulting in death, disability, harm or prolonged hospital stay that arise from health care management. This paper aims at giving insight into the incidence, types and severity of adverse events after hospital discharge in the context of the management/care patients received from the hospital.

Methods: A descriptive cohort study design was used in a secondary hospital in Ghana. The study population involved patients discharged from the medical, surgical and emergency wards of the Hospital. A total of 206 patients were recruited through a consecutive sampling technique.

Results: The findings revealed an adverse events rate of 25.7%. The study also identified adverse events related to medications to be the leading type of adverse events recorded after discharge from the hospital. There were 3.9% death rate among participants 21 days after discharge from the hospital. The study revealed that adverse events usually occur after discharge from the hospitals which differ in several forms and in severity.

Conclusions: These, therefore offer nurses and other service providers an opportunity to target the areas for improvement of services.


Keywords


Adverse events, Patients, Incidence, Care

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References


Forster AJ, Clark HD, Menard A, Dupuis N, Chernish R, Chandok N, et al. Adverse events among medical patients after discharge from hospital. Can Med Assoc J. 2004;170(3):345-9.

Hanskamp-Sebregts M, Zegers M, Vincent C, Gurp PJ van, Vet HCW de, Wollersheim H. Measurement of patient safety: a systematic review of the reliability and validity of adverse event detection with record review. BMJ Open. 2016;6(8):e011078.

Baker T. Reconsidering the Harvard Medical Practice Study Conclusions About the Validity of Medical Malpractice Claims; 2005.

Cornish PL, Knowles SR, Marchesano R. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165:424-9.

Jha AK, Larizgoitia I, Audera-lopez C, Prasopa-plaizier N, Waters H, Bates DW. The global burden of unsafe medical care : analytic modelling of observational studies. BMJ Qual Saf. 2013;22:809-15.

Masotti P, McColl MA, Green M. Adverse events experienced by homecare patients: A scoping review of the literature. Int J Qual Heal Care. 2010;22(2):115-25.

Angheluta C. Adverse events – dangerous but preventable. Manag Heal. 2010;14(4):23-9.

Chaboyer W, Thalib L, Foster M, Ball C, Brent R. Predictors of Adverse Events in Patients After Discharge From the Intensive Care Unit. Am J Crit Care. 2008;17(3):255-63.

Gandhi T. National Patient Safety Foundation. Boston; 2016.

Emphram E. KATH Missing Baby: Suweiba Threatens to Invoke Curses on Midwives. The Daily Graphic. 2014: 11.

Tagoe HA. Household Burden of Chronic Diseases in Ghana. Ghana Med J. 2012;46(2):54-8.

Polit DF, Beck CT. Nursing Research: Appraising Evidence for Nursing Practice. 7th ed. London: Lippincotts Williams & Wilkins; 2010.

Ofosu W. Upper West Regional Health Service. 2016.

Mustafa A. Research Methodology. 3 Ed. Delhi: AITBS Publishers; 2015.

Larouzee J, Guarnieri F. From Theory to Practice : Itinerary of Reasons’ Swiss Cheese Model From Theory to Practice : Itinerary of Reasons ’ Swiss Cheese Model. (Podofillini L, Sudret B, Stojadinovic B, Enrico ZioKr, AndWolfgang O, eds.). Zurich, Switzerland: CRC Press; 2015.

Miller KA. Understanding the Relation Between Adverse Events, Patient Characteristics and Risk Factors Among Home Care Patients. 2012.

Greenwald JL, Denham CR, Jack BW. The Hospital Discharge: A Review of a High Risk Care Transition with Highlights of a Reengineered Discharge Process. J Patient Saf. 2007;3(2):97-106.

Ashbrook L, Mourad M, Sehgal N. Communicating discharge instructions to patients: A survey of nurse, intern, and hospitalist practices. J Hosp Med. 2013;8(1):36-41.

Baker GR, Norton PG, Flintoff V, et al. The Canadian Adverse Events Study: The incidence of adverse events among hospital patients in Canada. Can Med Assoc J. 2004;170(11):1678-86.

Traynor K. Adverse Events Occur After Hospital Discharge. Am J Heal Pharm. 2003;60(6).

Wet C De. An Overview of Patient Safety in Primary Care. Scotland; 2012.

Singh H, Ej T, Mm K, La P. Identifying Diagnostic Errors in Primary Care Using an Electronic Screening Algorithm. Arch Intern Med. 2007;167(3):9-10.

Wilkerson L, Blacketer MT. Reducing the burden of adverse drug events. The Kentucky Pharmacist. 2012;13(9):34–8.

Madigan, E. A. (2007). A Description of Adverse Events in Home Healthcare. The Journal for the Home Care and Hospice Professional, 25(3), 191–197.

Sears JM., Wickizer TM, Franklin GM, Cheadle A. D, Berkowitz B. Expanding the role of nurse practitioners: Effects on rural access to care for injured workers. J Rural Health. 2008;24(2):171–8.

Kanaan AO, Donovan JL, Duchin NP, Field TS, Tjia J, Cutrona SL, et al. Adverse drug events after hospital discharge in older adults: Types, severity, and involvement of beers criteria medications. J Ame Geriatr Society. 2015;61(11):1894–9.

Doran DEA. The nature and burden of safety problems among Canadian home care clients. Canadian Patient Safety Institute, 2009: 1–37. Available at: http://www.patientsafetyinstitute.ca/ English/research/commissionedResearch/SafetyinHomeCare/Documents/Doran/Full report - The Nature and Burden of Safety Problems Among Canadian Home Care Clients.pdf. Accessed on 3 January 2019.

Institute of Medicine. To Err is Human: building a safer health system. New York, 2000.