PDF(Pubmed)
Abstract：
Background: Evidence indicates that the reporting of serious injury in long-term residential care has increased substantially over the past decade. However, what constitutes a serious injury in residential care is poorly and inconsistently defined. This may result in incidences being unnecessarily reported as a serious injury. It is therefore, crucial to develop a consistent definition of serious injury to reduce reporting burden and to facilitate comparison between different residential care settings and across jurisdictions. This protocol describes the methods for a systematic review of existing definitions from the literature to inform the development of a consistent definition of serious injury in long-term residential care. Methods: A wide range of published peer-reviewed and grey literature will be sought for this review, including guidance and policy documents. Searches will be conducted of databases including MEDLINE, CINAHL, SocINDEX, Academic Search Ultimate, and Westlaw International. Grey literature database searches will include Trip and Social Care Online. Country specific searches of government and health and social care websites will be conducted. Quality appraisal will be facilitated using the Quality Assessment for Diverse Studies (QuADS) tool and Tyndall\'s checklist. The level of confidence in the findings will be assessed using the GRADE CERQual approach. A customised data extraction form will be used to extract data to reduce the risk of bias. Conceptual content analysis of data will facilitate identification of definitions of serious injury and their frequency within texts. Conclusions: The findings will inform the development of a consistent definition of serious injury in long-term residential care that will reduce reporting burden, facilitate the accuracy of data collected and allow for comparison across jurisdictions. A more universal and consistent definition will enable regulators, policy makers, service providers and researchers to develop policy and practical interventions to prevent the occurrence of serious injury in long-term residential care.
摘要：
背景：有证据表明，在过去十年中，长期住宿护理中严重伤害的报告已大大增加。然而,什么是住宅护理中的严重伤害，定义不充分和不一致。这可能导致事件被不必要地报告为严重伤害。因此,制定一致的严重伤害定义以减少报告负担并促进不同住宿护理环境和跨司法管辖区之间的比较至关重要。该协议描述了对文献中现有定义进行系统审查的方法，以告知长期住宿护理中严重伤害的一致定义的发展。方法：本综述将寻求广泛的已发表的同行评审和灰色文献，包括指导和政策文件。将对包括MEDLINE在内的数据库进行搜索，CINAHL,Socindex,学术搜索终极，和Westlaw国际。灰色文献数据库搜索将包括旅行和社会关怀在线。将对政府、卫生和社会护理网站进行国别搜索。将使用多样化研究质量评估（QuADS）工具和Tyndall的检查表来促进质量评估。对调查结果的信心水平将使用GRADECERQual方法进行评估。定制的数据提取表格将用于提取数据以降低偏差风险。数据的概念内容分析将有助于确定严重伤害的定义及其在文本中的频率。结论：这些发现将为长期住宿护理中严重伤害的一致定义提供信息，从而减轻报告负担。提高收集数据的准确性，并允许跨司法管辖区进行比较。更普遍和一致的定义将使监管机构，政策制定者,服务提供者和研究人员制定政策和实际干预措施，以防止长期住院护理中严重伤害的发生。
