Does your admission screening adequately predict aspiration risk?
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Pennsylvania patient safety advisory
- Contributor(s):
- Pennsylvania. Patient Safety Authority. Institute for Safe Medication Practices. ECRI (Organization)
- Publication:
- [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2009
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Deglutition Disorders -- diagnosis Fluoroscopy -- methods Mass Screening -- methods Risk Assessment -- methods Deglutition -- drug effects Disclosure Patient Admission Respiratory Aspiration -- diagnosis Video Recording Humans Pennsylvania United States
- Genre(s):
- Technical Report
- Abstract:
- The National Quality Forum and the Agency for Healthcare Research and Quality identified aspiration risk assessment as a practice to reduce the risk of harm to patients. Pennsylvania healthcare facilities submitted 133 nonanesthesia aspiration event reports to the Pennsylvania Patient Safety Authority from June 2004 through January 2009. Seventy-three (55%) of these event reports indicated that swallowing or aspiration assessments had been completed before the event occurrence. The remaining 60 (45%) reports of nonanesthesia aspiration indicated patients had not received aspiration risk screenings or assessments before the aspirations. Thirty-eight (29%) of the nonanesthesia aspiration reports describe instances in which barriers were identified during aspiration risk screening and as aspiration precautions were implemented. While video fluoroscopic swallow evaluation is considered the "gold standard" for predicting aspiration, aspiration screening of patients on admission can help determine whether a more detailed aspiration assessment and fluoroscopic swallow evaluation are indicated and help to identify dysphagia and patients at risk for aspiration.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-DC license. (More information)
- NLM Unique ID:
- 101561938 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101561938