住院病患跌倒事件探討分析

A Study of Patient Falls in Hospital

洪如慧(Ru-Hui Hung) ； 李佩樺(Pei-Hwa Li) ； 張育菘(Ui-Song Chang) ； 張偉洲(Wei-Chou Chang)

《福爾摩莎醫務管理雜誌》 1卷1期 (2005/06) Pp. 87-96

https://doi.org/10.6771/FJHA.200506.0087

摘要

目的：本研究的目的是探討並瞭解住院病患發生跌倒之相關因素，提出改善方法，以減少跌倒意外事件的發生。方法：本研究採用檔案分析法，針對高雄市某區域醫院2003年之病患跌倒事件報告書41位個案進行變項分析，包括跌倒病患之年齡、性別、跌倒時間、跌倒地點、跌倒當時的活動及有無造成傷害等。結果：結果發現住院病患跌倒在：(1)個人屬性方面：以男性居多(63%)；年齡以71-80歲的老人跌倒發生率最高(49%)。平均跌倒發生率為0.14%；(2)環境方面：跌倒地點以床邊最多(61%)，跌倒當時活動以上下病床較多(27%)；(3)時間：以大夜班發生人數較多(39%)；(4)診斷方面：以消化系統疾病最多(25.9%)，科別以內科發生率較高。無傷害者多於有傷害者，傷害者之中又以一級傷害為數最多。結論：根據結果提出幾項建議：(1)提供跌倒預防的知識與改善環境及藥物使用的安全性；(2)加強陪伴者對病患的照顧能力；(3)留意病床、輪椅的固定及適當的約束；(4)針對跌倒高危險群的病患，注意其生理變化並進行衛教宣導；(5)教導其正確使用床欄、輔具之使用方法與注意事項。

關鍵字

跌倒 ； 跌倒危險因子 ； 病人安全

並列摘要

Objectives: The purpose of this study is to confer the factors in influence of the inpatient falls. The measured dimensions in this study for patient falls are ”Personal characteristic”, ”Environment and equipment of wards”, ”Timing”, and ”Diagnosis”. Methods: The file analysis method is used to measure the results and the Microsoft EXCEL software is used for statistic analysis. The admitted path is 41 individual cases selected from the year 2003 patient safety report of the private hospital in Kaohsiung. Results: The results are the following: In ”Personal characteristic”: the majority sex of the patient falls is male (63%), and the age between 71 and 80 year-old elder is 49%; in ”Environment and equipment of wards”: the bedside is known as the main location of the patient falls (61%), and especially as getting out of the bed (27%); in ”Timing”: the patient falls usually happen during 12AM to 8AM (39%); in ”Diagnosis”: the majority disease is related to the digestive system (25.9%), and the general medicine is higher than other sections. Conclusions: According to the findings, this study concludes and puts forward some suggestions. Providing the education programs of how to prevent patient falls is the useful way to improve the safety of the environment and the medicine use for the elders. Improving the care skills makes the caregivers pay more attentions on patient safety. Minding the appropriate use and operation of the sickbed, wheel chair, and physical restraints prevents the potential injuries. Focusing on the high-risk patient groups who need to care their physical varieties may decrease more than half of the patient falls.

並列關鍵字

falls ； falls risk factors ； patient safety