- 期刊
降低住院病人跌倒發生率
Reduce the Incidence of Falls in Hospitalized Patients
摘要
跌倒為異常事件通報之一，本單位2018年第一季跌倒發生率（千分之1.41），2018年第二季更攀升為（千分之4.18），專案目的為降低住院病人跌倒發生率，分析原因為：護理人員未落實執行預防跌倒措施，病人及主要照顧者預防跌倒認知不足，護理指導輔助工具不足。改善措施：舉辦護理人員教育訓練，落實跨團隊合作模式，製作互動式預防跌倒電子書，建立稽核機制，專案執行後，2018年10月至2019年6月，連續三季跌倒發生率為（千分之0），護理人員預防跌倒執行完整率由70.6%提升至97.2%，病人及主要照顧者預防跌倒認知正確率由62%提升至91.3%，顯示本專案措施可降低住院病人跌倒發生，有效提升住院病人安全。
並列摘要
Falls are one of the abnormal incident notifications. The incidence rate of falls in the unit in the first quarter of 2018 was (1.41 per mille), and in the second quarter of 2018, it rose to (4.18 per mille). The purpose of the project was to reduce the incidence of inpatient falls. The analysis reason was: the nursing staff did not implement it. Implementation of fall prevention measures, patients and main caregivers have insufficient knowledge of fall prevention, and insufficient nursing guidance aids. Improvement measures: organize nursing staff education and training, implement a cross-team cooperation model, produce interactive fall prevention e-books, and establish an audit mechanism. After the implementation of the project, from October 2018 to June 2019, the incidence of falls for three consecutive quarters was (0 per mille). The complete rate of implementation of fall prevention by nursing staff has increased from 70.6% to 97.2%, and the accuracy of patients and primary caregivers' awareness of fall prevention has increased from 62% to 91.3%, showing that the measures in this project can reduce the incidence of inpatient falls and effectively improve the safety of inpatients.