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Wrong roads: tools to prevent and react

Regional context

In Auvergne-Rhône-Alpes in 2023, 41 events linked to wrong routes were recorded. 36 of them had serious consequences for the patient, namely death, life-threatening or potential permanent functional deficit. Note that the medico-social sector is the most concerned with 31 signals, compared to 10 in the sanitary area.

Consult regional data related to adverse events in Auvergne-Rhône-Alpes


Resources related to false routes

Guide to analyzing a Serious Adverse Event associated with Care linked to a Wrong Route

Presentation: This 20-page guide sets out a exemple d’EIGS linked to a wrong turn. The items from component 1 and component 2 are presented and explained. Finally, on the last page, a sheet resumes essential data in matters of prevention et reaction to false routes.

Reference site: Regional Support Structure for Quality of Care and Patient Safety (STARAQS) which is the Regional Support Structure (SRA) of Ile de .

Publication date: May 2021

Keywords: wrong path – analysis of causes

Access the resource: Guide to analyzing a serious adverse event associated with care related to a false route

Eating and drinking safely – booklet for caregivers

Presentation: This 12-page document is particularly concise and practical. Featuring lots of infographics, diagrams and practical advice. This guide is also suitable for professionals looking for advice practical and detailedonly for caregivers needing precise and simple instructions. In addition, on the last page, this document offers references ranging from specialized books on swallowing to adapted recipe books.

Reference site: Bretagne Sud Hospital Group

Publication date: February 2022

Keywords: false routes – recommendations

Access the resource: Eating and drinking safely – booklet for caregivers

Practical sheet – wrong turn: what to do before, during, after?

Presentation: This three-page practical sheet from the Revue NPG provides a reminder of the measures prevention, management, then treatment false routes. This review offers recommendations in geriatrics based on the complementary expertise of neurologists, geriatricians and psychiatrists.

Reference site: NPG Review (Neurology – Psychiatry – Geriatrics)

Publication date: August 2007

Keywords: false route – recommendation

Access the resource: Practical sheet – Wrong route: what to do before, during, after?

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