Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls

Journal of Health Services Research & Policy
Michael SimonPeter Griffiths

Abstract

A wide range of patient benefits have been attributed to single room hospital accommodation including a reduction in adverse patient safety events. However, studies have been limited to the US with limited evidence from elsewhere. The aim of this study was to assess the impact on safety outcomes of the move to a newly built all single room acute hospital. A natural experiment investigating the move to 100% single room accommodation in acute assessment, surgical and older people's wards. Move to 100% single room accommodation compared to 'steady state' and 'new build' control hospitals. Falls, pressure ulcer, medication error, meticillin-resistant Staphylococcus aureus and Clostridium difficile rates from routine data sources were measured over 36 months. Five of 15 time series in the wards that moved to single room accommodation revealed changes that coincided with the move to the new all single room hospital: specifically, increased fall, pressure ulcer and Clostridium difficile rates in the older people's ward, and temporary increases in falls and medication errors in the acute assessment unit. However, because the case mix of the older people's ward changed, and because the increase in falls and medication errors on the acut...Continue Reading

References

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Citations

Jan 6, 2018·HERD·Ellen Taylor
Apr 1, 2019·BMJ Open·Alison Leary, Geoffrey Punshon
Jul 26, 2018·JAMA : the Journal of the American Medical Association·Amy Beth Kressel
Oct 24, 2017·Critical Care : the Official Journal of the Critical Care Forum·Florian PrechterAndreas Stallmach
Feb 10, 2019·Sociology of Health & Illness·Jane S VanHeuvelen
Feb 13, 2019·Journal of Patient Safety·Antony N Thomas, Joanna E Balmforth
Aug 31, 2020·The Journal of Critical Care Medicine·Zeynep Tureİlhami Celik

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