Safety in the Home Healthcare Sector: A Pilot Study

家庭医疗保健行业的安全：试点研究

• 批准号: 7774877
• 负责人: ROBYN R.M. GERSHON
• 金额: $ 9.83万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2010-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7774877
• 关键词: Safety; Home; Healthcare; Sector; Pilot

DESCRIPTION (provided by applicant): We propose a one year pilot study to develop and test a novel household safety survey tool for use in the home healthcare setting. A simple-to-use household safety survey tool can provide the basis for hazard identification and this information can serve to guide the development of targeted risk reduction interventions. Although unsafe conditions in the home care setting have the potential to adversely affect the delivery and quality of patient care, as well as the health and safety of patients and home health care workers, data on this issue are exceptionally sparse. With almost eight million patients currently enrolled in formal home care and an anticipated 47% growth by 2014, the patient population potentially at risk from household-related hazards is large and rapidly growing. Most home care patients are elderly (70% are 65 years of age or older) and increasingly have multiple diagnoses. Data from our recent occupational health hazards study involving over 1500 home care paraprofessionals and 700 home care registered nurses in New York State indicate high prevalence rates of certain household-related hazards. Many of these hazards present considerable risk of injury or illness to both patients and home care workers. This study, which represents a collaborative effort between the research team, Visiting Nurse Service of New York and 1199SEIU, will be conducted with the active participation of frontline workers. Guided by a participatory action research framework, home healthcare aides will help to develop and field test the safety survey tool. The proposed study will serve as an important first step in reducing the risk of injury and illness related to household hazards in the homecare sector. This application and builds upon and extends the current research trajectory of the Principal Investigator.

描述（由申请人提供）：我们提出了一年的试点研究，以开发和测试一种新型的家庭安全调查工具，用于在家庭医疗保健环境中使用。易于使用的家庭安全调查工具可以为危害识别提供基础，并且该信息可以指导有针对性的降低风险干预措施的发展。尽管家庭护理环境中不安全的条件有可能对患者护理的分娩和质量以及患者和家庭保健工作者的健康和安全性产生不利影响，但有关此问题的数据异常稀疏。目前有近800万名患者获得正式家庭护理，到2014年预计将增长47％，患者群体可能面临与家庭有关的危害的风险，并且迅速增长。大多数家庭护理患者是老年人（70％的年龄在65岁以上），并且越来越多地诊断。我们最近的职业健康危害研究中的数据涉及纽约州的1500多名家庭护理专业人士和700名家庭护理注册护士，表明某些与家庭有关的危害的高患病率很高。这些危害中的许多危害对患者和家庭护理人员都有很大的伤害或疾病风险。这项研究代表了研究团队之间的合作努力，即访问纽约和1199Seiu的护士服务，将在一线工人的积极参与下进行。在参与式行动研究框架的指导下，家庭医疗助手将有助于开发和现场测试安全调查工具。拟议的研究将成为减少与家庭危害有关的受伤风险和疾病风险的重要第一步。这项应用程序并建立并扩展了主要研究者的当前研究轨迹。