Accidents still many in the health facilities

Les accidents toujours aussi nombreux dans les établissements de santé

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In its report, the department notes that “the monitoring of incidents and accidents is first and foremost a local responsibility”.

The number of incidents and accidents, mostly falls, is increasing in the health facilities of Quebec. A plan of action to reduce the recurrence and severity of these falls was to be presented this fall, but its unveiling has been postponed to next year.

The ministry of Health and social Services released Tuesday its annual report on the incident (user is unaffected) and accidents (user affected) that occurred when health care benefits. Result : 513 357 “adverse events” were reported between April 2017 and march 2018. If the increase is only 2% compared to the previous year, the growing number of falls — sometimes deadly — serious concerns of experts and advocacy organizations of patients.

Les accidents toujours aussi nombreux dans les établissements de santé

“This is very worrying situation, especially as it relates to predominantly older people over 65 years of age. Knowing that the ageing of the population will increase in the next fifteen years, there is little chance that these numbers will decrease “, is concerned Régis Blais, vice-dean of the School of public health of the University of Montreal.

In his eyes, the Québec needs a concrete plan of action to decrease the risk that older people lose their lives by falling simply in a healthcare facility. “If one does not analyze the reasons for and circumstances of these falls, these numbers do not tell much. They do not indicate how to prevent it from happening again and improve our health care, ” he explains.

With more staff, we would have a better monitoring, a better support of patients. When there is a lack of world, the shortcuts and this is what it gives, a sad portrait of the situation.

Paul G. Brunet

Two years ago, the former liberal government had established a working Group on the safety of care and services (GTSSS), whose main mission was to ” propose concrete measures to reduce the occurrence, recurrence and severity of falls with serious consequences “. An action plan was planned for the fall of 2018, but it has been postponed.

“The GTSSS has made recommendations, which are currently the subject of consultation with the various tables departmental concerned by the issue of falls. Once this step is completed, the follow-up of these recommendations will be carried out through the work plan of the ministerial Table about the quality and safety of care and services in 2018-2019, ” said the Duty of the ministry of Health and social Services, without giving an exact date.

Monitoring

In its report, the department notes that ” the monitoring of incidents and accidents is first and foremost a local responsibility “. Risk managers and authorities of health institutions are already at work to analyze data and take action locally to prevent these adverse events from recurring.

The data of the annual report are struggling, however, to bear witness to their efforts, considers for its part, the president of the Council for the protection of the sick, Paul G. Brunet. “What are the committees of vigilance of the institutions ? Do they understand the issues ? For me, I see the falls more frequent, the deaths of many more, I do not find that their actions bring results “, says he.

In his eyes, a part of the problem is based on the cuts carried out by the former Health minister Gaétan Barrette. “With more staff, we would have a better monitoring, a better accompaniment of the patients,” he said. When there is a lack of world, the shortcuts and this is what it gives, a sad portrait of the situation. “

Régis Blais abounds in the same direction. “In the cuts, has slashed the staff that did the analysis and support of quality of care. This is the type of resource that could interpret the numbers and make follow-ups to come up with concrete measures under the guidelines of the ministry “, he remarked.

By the numbers

184 473
This is the number of falls that occurred during the year 2017-2018 in the health care network, 36% of all reported adverse events

54%
This is the percentage of events reported involving people aged 75 years and over

85,1%
This is the percentage of incidents and accidents that have no impact on the patient

421
This is the number of deaths reported following an accident that occurred in the health system between April 2017 and march 2018

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