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
Jan 1, 1987·Journal of Chronic Diseases·M E CharlsonC R MacKenzie
Dec 3, 2003·Quality & Safety in Health Care·J C BenneyanP E Plsek
Feb 6, 2004·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·M DettenkoferF D Daschner
May 22, 2004·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·Franklin E Zimring
Oct 15, 2005·Medical Care·Hude QuanWilliam A Ghali
Mar 10, 2007·Intensive Care Medicine·David BraccoPhilippe Eggimann
Jul 17, 2007·Health Policy·Irene van de GlindAnne Goossensen
Nov 21, 2007·International Journal of Nursing Studies·Peter Griffiths
Sep 9, 2010·BMC Infectious Diseases·Vincent C C ChengK Y Yuen
Oct 26, 2010·The Journal of Hospital Infection·M BonizzoliA Peris
Apr 1, 2008·HERD·Roger S UlrichAnjali Joseph
Jan 12, 2011·Archives of Internal Medicine·Dana Y TeltschDavid L Buckeridge
Jun 15, 2011·Journal of the American Geriatrics Society·Ike UgbomaMartin Severs
Sep 8, 2011·Journal of Pharmacology & Pharmacotherapeutics·L M Hettihewa, T P Weerarathna
May 13, 2014·International Journal of Nursing Studies·Michael Simon, Peter Griffiths
Citations
Mar 1, 2016·International Journal of Nursing Studies·Sue Hignett, Laurie Wolf
Jan 6, 2018·HERD·Ellen Taylor
Aug 24, 2017·HERD·Jeffrey VoigtRabih Darouiche
Oct 20, 2018·HERD·Anna AnåkerMarie Elf
Feb 23, 2020·BMJ Open·Edward PurssellJane Chudleigh
Apr 1, 2019·BMJ Open·Alison Leary, Geoffrey Punshon
Aug 15, 2020·Emergency Medicine Australasia : EMA·G M O'ReillyP A Cameron
Aug 9, 2020·PloS One·Donia BouzidUNKNOWN ED influenza management study group
Jul 26, 2018·JAMA : the Journal of the American Medical Association·Amy Beth Kressel
May 26, 2020·Journal of Advanced Nursing·Debra BerryJulie Considine
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
Nov 22, 2019·Nihon Hoshasen Gijutsu Gakkai zasshi·Makoto NagayoshiMasahiro Hashida
Feb 16, 2021·Journal of Health Services Research & Policy·Merete GregersenSif Blandfort
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