Risk Management in Nursing Homes (EHPAGE)

Nantes University Hospital (NUH)

Status: Completed

Conditions: Adverse Events Management in Nursing Homes

Treatments: Other: Implementation of the coaching model

Study type: Observational

Funder types: Other

Identifiers

NCT02908373

RC15_0053

Details and patient eligibility

About

The Réseau QualiSanté (risk management network) hardly works on risk management in nursing homes. A model to help nursing homes managers to structure and analyze adverse events has been constructed by a working group of health professionals in the Réseau QualiSanté. Several questions appeared: is the model able to increase patient safety culture of professionals working in nursing homes? How to characterize adverse events in nursing homes? How frequent are they? The main objective of this research project EHPAGE is to measure the impact of the model to structure and analyze adverse events in nursing homes on the patient safety culture of professionals. The project combines quantitative data (questionnaire) and qualitative data (interviews).

Full description

The main objective of this research project EHPAGE is to measure the impact of the model to structure and analyze adverse events in nursing homes on the patient safety culture of professionals. The coaching model is composed of a 20 hours methodological help for each nursing home and of an implementation kit.

To answer to the main objective, quantitative and qualitative data will be collected twice during the project: before the implementation of the coaching model and 12 months after.

Secondary objectives are:

1. To encourage the place of patient safety culture in strategic issues of nursing homes
2. To develop patient safety culture of professionals working in nursing homes
3. To develop a way to structure and make the reporting of adverse events in nursing homes more sustainable
4. To describe epidemiologic characteristic of adverse events in nursing homes
5. To propose a French validated questionnaire to evaluate patient safety culture reported by professionals in nursing homes An ancillary study is perform to describe epidemiologic characteristic of adverse events in nursing homes

Enrollment: 1,608 patients

Sex: All

Ages: 65 to 105 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Nursing homes members of the Réseau QualiSanté (risk management network)
• Public or private legal status
• Agreeing to participate in the project

Exclusion criteria

• None

Trial design

1,608 participants in 2 patient groups

Case group

Description:

Nursing homes benefiting first the implementation of the coaching model (methodological help for professionals on the patient safety culture): just after the first measure (overview of the situation)

Treatment:

Other: Implementation of the coaching model

Control group

Description:

Nursing homes benefiting the implementation of the coaching model (methodological help for professionals on the patient safety culture): after the second measure (impact of the device on case group)

Treatment:

Other: Implementation of the coaching model