- 期刊
應用品質突破模式預防內科病房跌倒意外
Application of Quality Breakthrough Series Model to Prevent Accidental Falling in the Medical Ward
摘要
目的：病人安全維護和意外事件預防，是病室管理上很重要的任務，專案單位2006年跌倒平均發生率0.10%，2007年1-8月上升至0.22%。對癌症病人，除面臨自身疾病苦痛外，若再發生跌倒，易加重病情，延長住院日數，因此於 9 月深入探討發生原因，期望引入其他專業團隊合作及病人、照護者的參與，共同建制及推動跌倒防範制度及適用之衛教工具，降低跌倒發生及傷害率，提升照護品質。方法：成立BTS品質小組，探討行政策略、人員認知度、護理評估衛教工具適用性等相關因素，經跨團隊創新、突破現狀的合作模式、提昇認知能力、發展個別性安全照護策略等改善措施。結論：經過七個月後，進行成效評值，至2008年3月病人跌倒發生率降為0.11%；傷害程度56.5%降至38.4%；病室護理防範措施查檢完整率及護理服務滿意度分別提昇至95.5%、95%，其專案成效顯著，不僅降低病人跌倒發生，提昇照護品質，促進病人安全。
並列摘要
Objective: The preservation of patient safety and the prevention of accidental falls are important parts of ward management. The average incidence of accidental falls during 2006 was 0.10% and this rose to 0.22% in 2007. A fall may increase the severity of disease, especially among cancer patients and thus prolong a hospital stay. Methods: A BTS quality team was set up to investigate ward falls in terms of administrative strategy, personnel recognition, adequacy of the nursing evaluation and adequacy of health education. A cooperative model was established to help to create a breakthrough with respect to the present circumstances in order to promote recognition of the problem and to develop individual safety care strategies. Results: The results were assessed after seven months .The average incidence of falls was found to have dropped to 0.11% in 2008 and the severity of injury had also dropped from 56.5 % to 38.4%. The completion rate for ward nursing measures checkups and satisfaction with the nursing service rose to 95.5 % and 95 % respectively. The overall effectiveness of this investigation was high because it significantly reduced the incidence of patient falls, promoted the quality of nursing care and helped to assure the safety of patients.