Investigation of Adverse Events Occurring during Rehabilitation in Acute Care Hospital

• Published in: Journal of clinical medicine 2022-08, Vol.11 (16), p.4706
• Main Authors: Kinoshita, Tokio, Nishimura, Yukihide, Umemoto, Yasunori, Kawasaki, Shinji, Hori, Shinnosuke, Yasuoka, Yoshinori, Banno, Motohiko, Tajima, Fumihiro
• Format: Article
• Language: English
• Subjects: Bone surgery; Clinical medicine; Consciousness; Coronaviruses; COVID-19; Departments; Disease; Emergency medical care; Hospitals; Medicine; Neurosurgery; Patient safety; Rehabilitation; Therapists; Therapy
• ISSN: 2077-0383; 2077-0383
• DOI: 10.3390/jcm11164706

Adverse events (AEs) during intensive care unit (ICU) rehabilitation and serious AEs during acute care hospital stays have been reported previously. However, no AEs have been reported for all patients needing rehabilitation in a non-ICU setting at an acute care hospital. This study aimed to investigate all AEs during acute-phase rehabilitation. Reports of AEs occurring during acute-phase rehabilitation in a university hospital from 1 April 2021 to 31 March 2022 were retrospectively analyzed. Minor and severe AEs were defined as those that did not require new treatment and those that required intensive treatment and/or prolonged hospitalization, respectively. There were 113 incidences of AEs during rehabilitation. The majority of AEs were minor (93.8%) and did not require new treatment. Only one serious AE was documented. The most common AEs were peripheral intravenous tube removal, decreased level of consciousness, poor mood due to low blood pressure, and falling down. There was no significant correlation between years of experience and the frequency of AEs. The neurosurgery department had the highest cases of AEs. Physical, occupational, and speech-language-hearing therapists had different characteristics and experiences of AEs. Risk management strategies should consider exercise load and targeted disorders due to differences in therapists’ specialties.