Unique ID issued by UMIN | UMIN000034846 |
---|---|
Receipt number | R000039735 |
Scientific Title | Intervention trial for prevention by multidiscipline risk management to multiple risk events among people living in geriatric health service facilities |
Date of disclosure of the study information | 2018/11/10 |
Last modified on | 2018/11/10 09:10:42 |
Intervention trial for prevention by multidiscipline risk management to multiple risk events among people living in geriatric health service facilities
Risk events prevention in GHSF
Intervention trial for prevention by multidiscipline risk management to multiple risk events among people living in geriatric health service facilities
Risk events prevention in GHSF
Japan |
falls, aspiration pneumonia, pressure ulcers, dehydration, and fever
Geriatrics | Nursing |
Others
NO
Effect on risk event reduction such as fall, aspiration pneumonia, pressure ulcers, dehydration, and fever by Multidisciplinary Risk management
Safety,Efficacy
Exploratory
Pragmatic
Frequency or risk events
Reduction of risk events
Events such as falls, aspiration pneumonia, pressure ulcers, dehydration, and fever
Number needed to treat to reduce risk events
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
YES
NO
Institution is considered as a block.
YES
No need to know
1
Treatment
Other |
Risk management based on multidisciplinary care-management
65 | years-old | <= |
Not applicable |
Male and Female
Selection of the facility
Intervention group: Facility care-worker attended the risk-management lecture and pursuit the risk-management process according to the lecture.
Control group: conventional risk management
Participants
Newly admitted elderly patients to the facilities
When the person or proxy family did not provide written informed consent
6000
1st name | |
Middle name | |
Last name | Jiro Okochi |
Association of Japanese Geriatric service facilities
Permanent director
Kokuryu Shibakouen building6F 2-6-15 Shibakouen Minato-ku, Tokyo 105-0011
03-3432-4165
Jirookochi1222@gmail.com
1st name | |
Middle name | |
Last name | Tomomi Takano |
Association of Japanese Geriatric service facilities
No1 Division
Kokuryu Shibakouen building6F, 2-6-15 Shibakouen Minato-ku, Tokyo 105-0011
03-3432-4165
http://www.roken.or.jp/wp/wp-content/uploads/2012/07/H26_kinouteika_report.pdf
takanota@roken.or.jp
Ministry of Health, Labour and Welfare
Ministry of health, labor and welfare
Japanese Governmental office
Department of Healthcare Quality Assessment, The University of Tokyo,
Department of Health Policy and Management, School of Medicine, Keio University
YES
23
Association of Japanese Geriatric service facilities
2018 | Year | 11 | Month | 10 | Day |
Published
http://www.roken.or.jp/wp/wp-content/uploads/2012/07/H26_kinouteika_report.pdf
1. Facilities with risk managers scored better than facilities without risk manager in all of the following including fully implementing R4 system (odds ratio=with risk manager 1.50, without risk manager 0.10), using the risk manual booklet published by Zenroken (odds ratio=2.26 with risk manager, 0.53 without risk manager), and implementing risk management measures at the time of care planning (odds ratio=0.85 with RM, 0.53 without risk manager).
2. Facilities following standard risk management processes (intervention group) scored better than facilities not following standard risk management processes in all of the following including fully implementing R4 system (odds ratio=intervention 2.52, non-intervention 0.08), using Risk manual booklet (odds rate = intervention 1.48, non-intervention 0.74). In short, facilities with risk manager(s), and facilities following risk management processes are providing better quality of service in terms of risk management for elderly people.
3. However we could not observe reductions in personal outcomes such as number of falls, aspiration pneumonia or pressure ulcers as a result of intervention in this study.
Completed
2014 | Year | 08 | Month | 01 | Day |
2014 | Year | 08 | Month | 01 | Day |
2018 | Year | 11 | Month | 10 | Day |
2018 | Year | 11 | Month | 10 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000039735