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The Réseau QualiSanté (risk management network) hardly works on risk management in nursing homes. A model to help nursing homes managers to structure and analyze adverse events has been constructed by a working group of health professionals in the Réseau QualiSanté. Several questions appeared: is the model able to increase patient safety culture of professionals working in nursing homes? How to characterize adverse events in nursing homes? How frequent are they? The main objective of this research project EHPAGE is to measure the impact of the model to structure and analyze adverse events in nursing homes on the patient safety culture of professionals. The project combines quantitative data (questionnaire) and qualitative data (interviews).
The main objective of this research project EHPAGE is to measure the impact of the model to structure and analyze adverse events in nursing homes on the patient safety culture of professionals. The coaching model is composed of a 20 hours methodological help for each nursing home and of an implementation kit.
To answer to the main objective, quantitative and qualitative data will be collected twice during the project: before the implementation of the coaching model and 12 months after.
Secondary objectives are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Case group | Nursing homes benefiting first the implementation of the coaching model (methodological help for professionals on the patient safety culture): just after the first measure (overview of the situation) |
| |
| Control group | Nursing homes benefiting the implementation of the coaching model (methodological help for professionals on the patient safety culture): after the second measure (impact of the device on case group) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Implementation of the coaching model | Other | 20 hours methodological help for each nursing home and an implementation kit |
|
| Measure | Description | Time Frame |
|---|---|---|
| impact of the coaching of the réseau QualiSanté: score expressed by the average percentages of positive responses to the "Overall perception of the safety of residents" dimension (= sum of 2 terms of positive response from the Likert scale) | Initial analysis: estimate baseline characteristics of nursing homes (2 groups) Analysis of the primary endpoint primarily for professionals and secondly for nursing homes (consideration of cluster randomization) Professionals Analysis: Score of each professional "Overall perception of the safety of residents - OPOTSOR" dimension of NHSOPS questionnaire calculated for both measures in each arm Linear mixed model implemented to reflect the hierarchical data structure: score of the dimension "OPOTSOR" at assessment2 explained by the fixed effect group and the random effect of nursing homes. Adjustment with other variables if necessary Facility effect estimated with Intraclass correlation coefficient Nursing homes analysis: "Global perception of the safety of residents" dimension score of each nursing home calculated at assessment1 and 2 in each group Comparison of the average test scores at assessment2 for each nursing home | 14 months after initial diagnosis. |
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Inclusion Criteria:
Exclusion Criteria:
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61 nursing home located in Loire-Atlantique and Vendée departments in France. Loire-Atlantique and Vendée departments already benefit the risk management model from the réseau qualisanté located in Nantes University Hospital
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| Name | Affiliation | Role |
|---|---|---|
| Leila MORET, MD PhD | Nantes University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nantes University Hospital | Nantes | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36454806 | Derived | Teigne D, Mabileau G, Lucas M, Moret L, Terrien N. Safety culture in French nursing homes: A randomised controlled study to evaluate the effectiveness of a risk management intervention associated with care. PLoS One. 2022 Dec 1;17(12):e0277121. doi: 10.1371/journal.pone.0277121. eCollection 2022. | |
| 31307443 | Derived |
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| Teigne D, Mabileau G, Anthoine E, Lucas M, Leclere B, Moret L, Terrien N. Transcultural adaptation and psychometric study of the French version of the nursing home survey on patient safety culture questionnaire. BMC Health Serv Res. 2019 Jul 15;19(1):490. doi: 10.1186/s12913-019-4333-5. |