Table 1.
Incidence rates of adverse events identified in NACRS/ DAD/ MHRS for Ontario home care clients in 2008 and 2009
| Adverse event |
% (n*) |
Clients per 1,000 client-days |
|---|---|---|
|
2008 (N** = 380,962) |
2008 |
|
| 2009 (N = 387,885) | 2009 | |
|
Injurious fall |
4.93(18,784) |
0.333 |
| 5.05 (19,603) |
0.339 |
|
|
Injury other than fall |
4.14 (15,758) |
0.279 |
| 4.30 (16,666) |
0.288 |
|
|
Medication-related ED or hospitalization |
2.96 (4,802) |
0.200 |
| 3.13 (5,515) |
0.210 |
|
|
Sepsis / Bacteraemia |
1.26 (4,802) |
0.085 |
| 1.42 (5,515) |
0.095 |
|
|
Delirium |
0.94 (3,577) |
0.063 |
| 1.05 (4,085) |
0.071 |
|
|
Deep vein thrombosis |
0.74 (2,811) |
0.050 |
| 0.84 (3,249) |
0.056 |
|
|
Diabetic foot ulcer |
0.40 (1,513) |
0.027 |
| 0.39 (1,502) |
0.026 |
|
|
Pressure ulcer (stage 2+) |
0.12 (437) |
0.019 |
| 0.12 (471) |
0.020 |
|
|
Pulmonary embolus |
0.28 (1,049) |
0.008 |
| 0.29 (1,144) |
0.008 |
|
|
Venus leg ulcer |
0.05 (203) |
0.004 |
| 0.06 (241) |
0.004 |
|
|
Suicide+ |
-- |
-- |
| 0.13 (503) |
0.009 |
|
|
Others‡ |
0.43 (1,654) |
0.029 |
| 0.45 (1,763) |
0.030 |
|
| Overall |
12.72 (48,461) |
0.858 |
| 13.31 (51,631) | 0.892 |
*n = Number of home care clients with adverse event, i.e., the numerator of the incidence rate.
**N = Number of home care clients who are at risk of adverse event, i.e., the denominator of the incidence rate.
+Only 2009 rate is available because of very limited cases available for 2008.
‡ Other adverse events include wound infection, medical device-associated infections, new pressure ulcer less than stage 2+, new stasis ulcer or worsening, and any new injury.