Household-related hazardous conditions with implications for patient safety in the home health care sector

Robyn Gershon, Allison N. Canton, Victoria Raveis, Alexis Silver, Christine C. Chen, Kristine A. Qureshi, Martin F. Sherman, Patricia W. Stone

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: The home health care (HHC) setting is unique because it is both a household and a care-giving environment. As such, it may present a risk for adverse events that could affect the health and safety of HHC patients. This study assessed and characterized unsafe household conditions with implications for patient safety in the HHC setting. METHODS:: A convenience sample of HHC registered nurses (RNs) from New York State completed a self-administered survey, which addressed the type and frequency of hazardous conditions in the households of their current patients. These nurses were asked to report on potential hazards (biological, chemical, environmental and physical, and violence) observed in patients' households. RESULTS:: A total of 738 RNs completed the survey. Hazardous household conditions were frequently reported including animal hair (n = 543, 74%), cigarette smoke (n = 534, 72%), excessive dust (n = 428, 58%), vermin (n = 328, 44%), and unsanitary conditions (n = 317, 43%). The threat of violence was also frequently reported. Hazardous conditions were significantly associated with a number of patient-related factors. CONCLUSIONS:: Hazardous conditions identified in the households of HHC patients present a well-documented risk of injury/illness in the community setting and may also present occupational risk to caregivers. Many of these hazards are readily modifiable, although others may be less amenable to intervention. Additional studies are warranted in order to further assess and characterize the prevalence and risk factors for hazardous household conditions and to determine the relationship between these conditions and adverse patient safety events in the home care setting.

Original languageEnglish (US)
Pages (from-to)227-234
Number of pages8
JournalJournal of Patient Safety
Volume4
Issue number4
DOIs
StatePublished - Dec 1 2008

Fingerprint

Health Care Sector
Patient Safety
Home Care Services
Delivery of Health Care
Nurses
Mebendazole
Dust
Violence
Smoke
Tobacco Products
Hair
Caregivers
Safety
Health
Wounds and Injuries

Keywords

  • Home health care
  • Household hazards
  • Patient safety

ASJC Scopus subject areas

  • Leadership and Management
  • Public Health, Environmental and Occupational Health

Cite this

Household-related hazardous conditions with implications for patient safety in the home health care sector. / Gershon, Robyn; Canton, Allison N.; Raveis, Victoria; Silver, Alexis; Chen, Christine C.; Qureshi, Kristine A.; Sherman, Martin F.; Stone, Patricia W.

In: Journal of Patient Safety, Vol. 4, No. 4, 01.12.2008, p. 227-234.

Research output: Contribution to journalArticle

Gershon, Robyn ; Canton, Allison N. ; Raveis, Victoria ; Silver, Alexis ; Chen, Christine C. ; Qureshi, Kristine A. ; Sherman, Martin F. ; Stone, Patricia W. / Household-related hazardous conditions with implications for patient safety in the home health care sector. In: Journal of Patient Safety. 2008 ; Vol. 4, No. 4. pp. 227-234.
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abstract = "OBJECTIVES: The home health care (HHC) setting is unique because it is both a household and a care-giving environment. As such, it may present a risk for adverse events that could affect the health and safety of HHC patients. This study assessed and characterized unsafe household conditions with implications for patient safety in the HHC setting. METHODS:: A convenience sample of HHC registered nurses (RNs) from New York State completed a self-administered survey, which addressed the type and frequency of hazardous conditions in the households of their current patients. These nurses were asked to report on potential hazards (biological, chemical, environmental and physical, and violence) observed in patients' households. RESULTS:: A total of 738 RNs completed the survey. Hazardous household conditions were frequently reported including animal hair (n = 543, 74{\%}), cigarette smoke (n = 534, 72{\%}), excessive dust (n = 428, 58{\%}), vermin (n = 328, 44{\%}), and unsanitary conditions (n = 317, 43{\%}). The threat of violence was also frequently reported. Hazardous conditions were significantly associated with a number of patient-related factors. CONCLUSIONS:: Hazardous conditions identified in the households of HHC patients present a well-documented risk of injury/illness in the community setting and may also present occupational risk to caregivers. Many of these hazards are readily modifiable, although others may be less amenable to intervention. Additional studies are warranted in order to further assess and characterize the prevalence and risk factors for hazardous household conditions and to determine the relationship between these conditions and adverse patient safety events in the home care setting.",
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