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| ID | Type | Description | Link |
|---|---|---|---|
| 54010002 |
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| Name | Class |
|---|---|
| ZonMw: The Netherlands Organisation for Health Research and Development | OTHER |
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The aim of SAFE or SORRY? is to develop and test an evidence based inpatient safety program for the prevention of three frequently occuring adverse events: pressure ulcers, urinary tract infections and falls.
Background Patients in hospitals and nursing homes are at risk for the development of, often preventable, somatic complications. However, preventive care is not always optimal. Although guidelines are available for many complications, compliance with the guidelines appears to be lacking. Besides general barriers that inhibit implementation, this non-compliance is also associated with the large number of guidelines competing for attention. As implementation of a guideline is time-consuming, organisations can never implement all available guidelines. Another problem is lack of feedback about performance using clear quality indicators and lack of a recognizable, unambiguous system for implementation.
Aim The aim of SAFE or SORRY? is to develop and test an evidence based inpatient safety program for the prevention of three frequently occuring adverse events: pressure ulcers, urinary tract infections and falls.
Participants Patients and nurses will be recruited from ten hospital wards and ten nursing home wards in the Netherlands. All nurses and all adult patients who are admitted for more than three days, will be asked for informed consent.
Method This study consists of two phases. In the first phase the program will be developed. The content of the program is based on the evidence based guidelines on pressure ulcers, urinary tract infections and falls. The program consists of a computerized registration and feedback system, an educational program for nurses and caregivers, and educational material for the patients.
In the second phase the program will be tested in a cluster randomised clinical trial. The program will be implemented on ten wards (5 hospital wards and 5 nursing home wards), i.e. the intervention group. The control group will continue to give care as usual.
Outcome measures Primary outcome measure: incidence of pressure ulcers, urinary tract infections and falls Secondary outcome measures: Utilization of preventive interventions and knowledge of nurses and caregivers regarding the complications and their prevention.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| safety program | Behavioral | Education, patient involvement, tailored implementation and a computerized registration system |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of adverse events (count incidence of Pressure Ulcers, Urinary Tract Infections, and Falls | nine months |
| Measure | Description | Time Frame |
|---|---|---|
| Utilization of preventive interventions and knowledge of nurses and caregivers | nine months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Theo van Achterberg, PhD | Scientific Institute for Quality of Healthcare (IQ Healthcare), Radboud University Nijmegen Medical Center | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Alysis Zorggroep lokatie Rijnstate | Arnhem | Gelderland | 6800 TA | Netherlands | ||
| Zorggroep Maas en Waal |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21419411 | Derived | van Gaal BG, Schoonhoven L, Mintjes JA, Borm GF, Hulscher ME, Defloor T, Habets H, Voss A, Vloet LC, Koopmans RT, van Achterberg T. Fewer adverse events as a result of the SAFE or SORRY? programme in hospitals and nursing homes. part i: primary outcome of a cluster randomised trial. Int J Nurs Stud. 2011 Sep;48(9):1040-8. doi: 10.1016/j.ijnurstu.2011.02.017. Epub 2011 Mar 17. | |
| 20202633 |
| Label | URL |
|---|---|
| Guideline prevention urinary tract infection (The Netherlands) | View source |
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| Beneden-Leeuwen |
| Gelderland |
| 6658EK |
| Netherlands |
| Canisius Wilhelmina Ziekenhuis | Nijmegen | Gelderland | 6500 GS | Netherlands |
| Radboud University Nijmegen Medical Center | Nijmegen | Gelderland | 6500 HB | Netherlands |
| Stichting De Waalboog | Nijmegen | Gelderland | 6503 CB | Netherlands |
| Zorggroep Zuid-Gelderland | Nijmegen | Gelderland | 6522 AS | Netherlands |
| Universitair Longcentrum Dekkerswald | Nijmegen | Gelderland | 6560 AB | Netherlands |
| Zorggroep Noord-Limburg Venlo | Venlo | Noord-Limburg | 5900 AR | Netherlands |
| Stichting SVVE De Archipel | Eindhoven | North Brabant | 5616 PZ | Netherlands |
| Stichting De Riethorst Stromenland | Geertruidenberg | North Brabant | 4931 BP | Netherlands |
| Derived |
| van Gaal BG, Schoonhoven L, Vloet LC, Mintjes JA, Borm GF, Koopmans RT, van Achterberg T. The effect of the SAFE or SORRY? programme on patient safety knowledge of nurses in hospitals and nursing homes: a cluster randomised trial. Int J Nurs Stud. 2010 Sep;47(9):1117-25. doi: 10.1016/j.ijnurstu.2010.02.001. Epub 2010 Mar 3. |
| 19338655 | Derived | van Gaal BG, Schoonhoven L, Hulscher ME, Mintjes JA, Borm GF, Koopmans RT, van Achterberg T. The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. BMC Health Serv Res. 2009 Apr 1;9:58. doi: 10.1186/1472-6963-9-58. |
| Guideline Urinary Tracts Infections (The Netherlands) | View source |
| ID | Term |
|---|---|
| D003668 | Pressure Ulcer |
| D014552 | Urinary Tract Infections |
| ID | Term |
|---|---|
| D012883 | Skin Ulcer |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D007239 | Infections |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
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