Safety of the elderly in the hospital environment: international scientific production
DOI:
https://doi.org/10.26694/repis.v8i1.2727Keywords:
Patient safety, Elderly, Hospital environmentAbstract
Introduction: Reducing the risk of unnecessary harm associated with the health care process to an acceptable minimum is configured as patient safety in the hospital environment. Aim: To analyze the international scientific production on the safety of the elderly in the hospital environment. Method: Bibliometric research, performed on the ISI Web of Knowledge/Web of ScienceTM , in the time frame between the years 1995 and 2021, using the descriptors: “patient safety” and elderly* and “hospital environment”, carried out from the export of these data for the HistCiteTM bibliometric analysis software. Results: 172 publication records were found, in 59 different journals, written by 218 authors who have links with 200 institutions, located in 113 countries. In the analysis of counting the number of citations, the h-index value is equal to 36 and the average number of citations per article is 48.25. The articulation between the 15 publications with the highest impact factor on the subject and the 06 International Patient Safety Goals of the World Health Organization, shows that Goal 3 - improve the safety of high-alert medication- was highlighted with 46.6% of the studies. Implications: The analysis of the indicators on the dynamics and evolution of scientific and technological information showed that there is a gap in knowledge on the subject, presented in a broad and diversified way without demonstrating the existence of an articulation between studies, authors and institutions from all over the world. There is a need to build knowledge networks in the area that allow more studies capable of contributing to the improvement of the safety of the elderly in the hospital environment.
References
Organização Mundial de Saúde (OMS). The Conceptual Framework for the International Classification for Patient Safety v1.1. Final Technical Report and Technical Annexes, 2009. Available from: http://www.who.int/patientsafety/taxonomy/en/
Runciman W, Hibbert P, Thomson R, Van Der Schaaf T, Sherman H, Lewalle P. Towards an International Classification for Patient Safety: key concepts and terms. Int J Qual Heal Care [Internet]. 2009 Jan [cited 2015 Nov 20]; 21(1):18–26. Available from: http://intqhc.oxfordjournals.org/content
World Health Organization (CH). World Alliance for Patient Safety WHO draft guidelines for adverse event reporting and learning systems: from information to action. Geneva: WHO; 2005. Available from: https://www.who.int/patientsafety/en/brochure_final.pdf
Bampi R , Lorenzini E , Krauzer IM , Ferraz L , Silva EF , Agnol CMD. Perspectivas da equipe de enfermagem sobre a segurança do paciente em unidade de emergência. Rev. Enferm. UFPE online [Internet]. 2017 Jan [cited 2015 Nov 20]; 11(2): 584-591. Available from: https://doi.org/10.5205/reuol.10263-91568-1-RV.1102201713
Sousa NFS, Lima MG, Cesar CLG, Barros MBA. Envelhecimento ativo: prevalência e diferenças de gênero e idade em estudo de base populacional 2019. Cad. Saúde Pública [Internet]. 2018 Jan [cited 2015 Nov 20]; 34(11):1-12. Available from: https://doi.org/10.1590/0102-311x00173317
Cruz RR, Beltrame V, Dallacosta FM. Envelhecimento e vulnerabilidade: análise de 1.062 idosos. Rev. Bras. Geriatr. Gerontol. [Internet]. 2019. [cited 2019 Sep 24]; 22(3):1-10. Available from: http://dx.doi.org/10.1590/1981-22562019022.180221
Boeckxstaens P, De Graaf P. Primary care and care forolder persons: position paper of the European Forum for Primary Care. Qual Prim Care [Internet]. 2011[cited 2015 Jul 14];19(6):369–89. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22340900
Oliveira VCR, Nogueira LS, Andolhe R, Padilha KG, Sousa RMC. Clinical evolution of adult, elderly and veryelderly patients admitted in Intensive Care Units. Rer Latino-Am Enfermagem [Internet]. 2011 [cited 2015 Jul 14]; 19(6):1344-51. Available from: https://doi.org/10.1590/S0104-11692011000600010
Avelino-Silva TJ, Farfel JM, Curiati JAE, Amaral JRG, Campora F, Jacob-Filho W. Comprehensive geriatric assessment predicts mortality and adverse outcomes in hospitalized older adults. BMC Geriatr [Internet]. 2014 [cited 2015 Jul 14]; 14:129. Available from: https://doi.org/10.1186/1471-2318-14-129
Silveira FH, Pulzi Junior SA, Costa Filho R. [Intensive care unit quality]. Rev Bras Clin Med [Internet]. 2010 [cited 2015 Jul 14]; 8(1):37-45. Available from: http://files.bvs.br/upload/S/1679-1010/2010/v8n1/a009.pdf
Toffoletto MC, Barbosa RL, Andolhe R, de Oliveira EM, Ducci AJ, Padilha KG. Factors associated with the occurrence of adverse events in critical elderly patients. Rev Bras Enferm [Internet]. 2016 [cited 2015 Jul 14]; 69(6):1039-45. Available from: https://doi.org/10.1590/0034-7167-2016-0199
Santos TD, Santo FHE , Cunha KCS, Chibante CLP. Segurança do paciente idoso hospitalizado: uma revisão integrativa. Gogitare enferm [Internet]. 2016 [cited 2015 Jul 14]; 1(3): 01-10. Available from: https://doi.org/10.5380/ce.v21i3.44223
Organização Mundial de Saúde (OMS). The Conceptual Framework for the International Classification for Patient Safety v1.1. Final Technical Report and Technical Annexes, 2009. Available from: http://www.who.int/patientsafety/taxonomy/en/
Moura LKB, Mesquita RF, Mobin M, Matos FTC, Monte TL, Lago EC et al. Uses of Bibliometric Techniques in Public Health Research. Iran J Public Health [Internet]. 2017 [cited 2015 Jul 14]; 46(10):1435-6. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750357/pdf/IJPH-46-1435.pdf
Wingerter DG, Azevedo UN, Marcaccine AM, Alves MSCF, Ferreira MAF, Moura LKB. Produção científica sobre quedas e óbitos em idosos: Uma análise bibliométrica. Rev. Bras. Geriatr. Gerontol [Internet]. 2018 [cited 2015 Jul 14]; 2018; 21(3):1-10. Available from: https://doi.org/10.1590/1981-22562018021.170168
Roth, GA, Abate, D, Abate, KH, Abay, SM, Abbafati, C, Abbasi, N, et al. Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet [Internet]. 2018 [cited 2015 Jul 14]; 392(10159):1736-88. Available from: https://doi.org/10.1016/S0140-6736(18)32203-7
Wildiers, H, Heeren, P, Puts, M, Topinkova, E, Janssen-Heijnen, MLG, Extermann, M, et al. International Society of Geriatric Oncology Consensus on Geriatric Assessment in Older Patients With Cancer. J Clin Oncol [Internet]. 2014 [cited 2015 Jul 14]; 32(24):2595-2603. Available from: https://doi.org/10.1200/JCO.2013.54.8347
Antal, A, Alekseichuk, I, Bikson, M, Brockmoller, J, Brunoni, AR, Chen, R, Cohen, LG, et al. Low intensity transcranial electric stimulation: Safety, ethical, legal regulatory and application guidelines. Clin Neurophysiol [Internet]. 2017 [cited 2015 Jul 14]; 128(9):1774-1809. Available from: https://doi.org/10.1016/j.clinph.2017.06.001
Anderson, K, Stowasser, D, Freeman, C, Scott, I. Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis. BMJ Open [Internet]. 2014 [cited 2015 Jul 14]; 4(12):1-12. Available from: https://bmjopen.bmj.com/content/4/12/e006544
Coleman, EA, Min, SJ, Chomiak, A, Kramer, AM. Posthospital care transitions: Patterns, complications, and risk identification. Health Serv Res [Internet]. 2004 [cited 2015 Jul 14]; 39(5):1449-65. Available from: https://doi.org/10.1111/j.1475-6773.2004.00298.x
Oliver, D, Healey, F, Haines, TP. Preventing Falls and Fall-Related Injuries in Hospitals. Clin Geriatr Med [Internet]. 2010 [cited 2015 Jul 14]; 26(4):645-55. Available from: https://doi.org/10.1016/j.cger.2010.06.005
Kenis, C, Bron, D, Libert, Y, Decoster, L, Van Puyvelde, K, Cornette, P, et al. Relevance of a systematic geriatric screening and assessment in older patients with cancer: results of a prospective multicentric study. Ann Oncol [Internet]. 2013 [cited 2015 Jul 14]; 24(5)1306-12. Available from: https://doi.org/10.1093/annonc/mds619
Becker, ML, Kallewaard, M, Caspers, PWJ, Visser, LE, Leufkens, HGM, Stricker, BH. Hospitalisations and emergency department visits due to drug-drug interactions: a literature review. Pharmacoepidemiol Drug Saf [Internet]. 2007 [cited 2015 Jul 14]; 16(6):641-51. Available from: https://doi.org/10.1002/pds.1351
Kang, HG, Mahoney, DF, Hoenig, H, Hirth, VA, Bonato, P, Hajjar, I, et al. In Situ Monitoring of Health in Older Adults: Technologies and Issues. J Am Geriatr Soc [Internet]. 2010 [cited 2015 Jul 14]; 58(8):1579-86. Available from: https://doi.org/10.1111/j.1532-5415.2010.02959.x
Vanderwee, K, Clays, E, Bocquaert, I, Gobert, M, Folens, B, Defloor, T. Malnutrition and associated factors in elderly hospital patients: A Belgian cross-sectional, multi-centre study. Clin Nutr [Internet]. 2010 [cited 2015 Jul 14]; 29(4): 469-76. Available from: https://doi.org/10.1016/j.clnu.2009.12.013
Miller, D, Lewis, SR, Pritchard, MW, Schofield-Robinson, OJ, Shelton, CL, Alderson, P, et al. Intravenous versus inhalational maintenance of anaesthesia for postoperative cognitive outcomes in elderly people undergoing non-cardiac surgery. Cochrane Database Syst Rev [Internet]. 2018 [cited 2015 Jul 14]; 8(CD012317). Available from: https://doi.org/10.1002/14651858.CD012317.pub2
Calabrese, EJ, Dhawan, G, Kapoor, R, Iavicoli, I, Calabrese, V. What is hormesis and its relevance to healthy aging and longevity? Biogerontology
[Internet]. 2015 [cited 2015 Jul 14]; 16(6):693-707. Available from: https://doi.org/10.1007/s10522-015-9601-0
Arvanitakis, M, Beck, A, Coppens, P, De Man, F, Elia, M, Hebuterne, X, et al. Nutrition in care homes and home care: how to implement adequate strategies (report of the Brussels Forum (22-23 November 2007)). Clin Nutr [Internet]. 2008 [cited 2015 Jul 14]; 27(4):481-8. Available from: https://doi.org/10.1016/j.clnu.2008.04.011
Schmiedl, S, Rottenkolber, M, Hasford, J, Rottenkolber, D, Farker, K, Drewelow, B, et al. Self-Medication with Over-the-Counter and Prescribed Drugs Causing Adverse-Drug-Reaction-Related Hospital Admissions: Results of a Prospective, Long-Term Multi-Centre Study. Drug Saf [Internet]. 2014 [cited 2015 Jul 14]; 37(4): 225-35. Available from: https://doi.org/10.1007/s40264-014-0141-3
Gausvik, C, Lautar, A, Lisa Miller, L, Pallerla, H, J. Structured nursing communication on interdisciplinary acute care teams improves perceptions of safety, efficiency, understanding of care plan and teamwork as well as job satisfaction. J Multidiscip Healthc [Internet]. 2015 [cited 2015 Jul 14]; 8(4): 33-7. Available from: https://doi.org/10.2147/JMDH.S72623
