Cluster deaths in long-term care institutions: An investigation of excess deaths in two Ontario institutions

G. Naglie, B. Goldlist, James L Kirkland, M. Gordon, K. Klapecki, J. Young, P. Clark

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: To review clusters of deaths in in Ontario long-term care institutions and to establish whether common etiologic factors could be identified. Method: Retrospective review of the health care records of all residents who died to assess the events leading to death and the actions of the institutions and local coroners in response to the deaths. Results: A respiratory infectious outbreak appeared to lead to many of the deaths in both institutions. Several deficiencies were identified with respect to charting practices, coroners' case investigations and institutional responses to the infectious outbreaks. No formal mechanisms were in place to assist in the early detection of cluster deaths in these institutions. Conclusions: Infectious outbreaks may be an important cause of cluster deaths in long-term care institutions. Standards should be developed for patient charting, coroners' investigations and for the prevention, identification and management of infectious outbreaks in such settings.

Original languageEnglish (US)
Pages (from-to)120-123
Number of pages4
JournalCanadian Journal of Public Health
Volume86
Issue number2
StatePublished - 1995
Externally publishedYes

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Long-Term Care
Ontario
Coroners and Medical Examiners
Disease Outbreaks
Cause of Death
Delivery of Health Care

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Cluster deaths in long-term care institutions : An investigation of excess deaths in two Ontario institutions. / Naglie, G.; Goldlist, B.; Kirkland, James L; Gordon, M.; Klapecki, K.; Young, J.; Clark, P.

In: Canadian Journal of Public Health, Vol. 86, No. 2, 1995, p. 120-123.

Research output: Contribution to journalArticle

Naglie, G, Goldlist, B, Kirkland, JL, Gordon, M, Klapecki, K, Young, J & Clark, P 1995, 'Cluster deaths in long-term care institutions: An investigation of excess deaths in two Ontario institutions', Canadian Journal of Public Health, vol. 86, no. 2, pp. 120-123.
Naglie, G. ; Goldlist, B. ; Kirkland, James L ; Gordon, M. ; Klapecki, K. ; Young, J. ; Clark, P. / Cluster deaths in long-term care institutions : An investigation of excess deaths in two Ontario institutions. In: Canadian Journal of Public Health. 1995 ; Vol. 86, No. 2. pp. 120-123.
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