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Age, language, education increase risk of harm in Canadian hospitals: report

Canadian Institute for Health Information measured preventable harmful events from 2023 to 2024
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Patients who are older, don91裸聊视频檛 speak English, and don91裸聊视频檛 have a high school education are more likely to experience harm during a hospital stay in Canada, according to new research. A health-care worker is silhouetted behind a glass panel at a hospital in Sarnia, Ont., on Jan. 25, 2022.THE CANADIAN PRESS/Chris Young

Patients who are older, don91裸聊视频檛 speak English, and don91裸聊视频檛 have a high school education are more likely to experience harm during a hospital stay in Canada, according to new research.

The Canadian Institute for Health Information measured preventable harmful events from 2023 to 2024, such as bed sores and medication errors, experienced by patients who received acute care in hospital.

The research published Thursday shows patients who don91裸聊视频檛 speak English or French are 30 per cent more likely to experience harm. Patients without a high school education are 20 per cent more likely to endure harm compared to those with higher education levels.

The report also found that patients 85 and older are five times more likely to experience harm during a hospital stay compared to those under 20.

91裸聊视频淭he goal of this report is to get folks thinking about equity as being a key dimension of the patient safety effort within a hospital,91裸聊视频 says Dana Riley, an author of the report and a program lead on CIHI91裸聊视频檚 population health team.

When a health-care provider and a patient don91裸聊视频檛 speak the same language, that can result in the administration of a wrong test or procedure, research shows. Similarly, Riley says a lower level of education is associated with a lower level of health literacy, which can result in increased vulnerability to communication errors.

91裸聊视频淚t91裸聊视频檚 fairly costly to the patient and it91裸聊视频檚 costly to the system,91裸聊视频 says Riley, noting the average hospital stay for a patient who experiences harm is four times more expensive than the cost of a hospital stay without a harmful event 91裸聊视频 $42,558 compared to $9,072.

91裸聊视频淚 think there are a variety of different reasons why we might start to think about patient safety, think about equity, as key interconnected dimensions of health-care quality,91裸聊视频 says Riley.

The analysis doesn91裸聊视频檛 include data on racialized patients because Riley says pan-Canadian data was not available for their research. Data from Quebec and some mental health patients was also excluded due to differences in data collection.

Efforts to reduce patient injuries at one Ontario hospital network appears to have resulted in less harm. Patient falls at Mackenzie Health causing injury are down 40 per cent, pressure injuries have decreased 51 per cent, and central line-associated bloodstream infections, such as IV therapy, have been reduced 34 per cent.

The hospital created a 91裸聊视频渮ero harm91裸聊视频 plan in 2019 to reduce errors after a hospital survey revealed low safety scores. They integrated principles used in aviation and nuclear industries, which prioritize safety in complex high-risk environments.

91裸聊视频淭he premise is first driven by a cultural shift where people feel comfortable actually calling out these events,91裸聊视频 says Mackenzie Health President and Chief Executive Officer Altaf Stationwala.

They introduced harm reduction training and daily meetings to discuss risks in the hospital. Mackenzie partnered with virtual interpreters that speak 240 languages and understand medical jargon. Geriatric care nurses serve the nearly 70 per cent of patients over the age of 75, and staff are encouraged to communicate as frequently as possible, and in plain language, says Stationwala.

91裸聊视频淲hat we do in health care is we take control away from patients and families, and what we know is we need to empower patients and families and that ultimately results in better health care.91裸聊视频





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