门诊瘤病患跌倒风险:一个质量改进项目
Stephanie Hammontree1, Maryellen Potts2, Adam Neiberger3
1Cancer Center, Blood and Marrow Transplant, The University of Kansas Health System, Kansas City, KS.
Kansas journal of medicine
|October 4, 2023
概括
癌症患者有较高的跌倒风险. 门诊下降风险包没有改变下降率,强调需要改变政策和增加资源来提高患者安全.
科学领域:
- 瘤科 护理 护理专业
- 患者安全 患者安全
- 提高质量 提高质量
背景情况:
- 接受癌症治疗的患者面临着严重的跌倒风险.
- 目前缺乏门诊瘤病患跌倒预防的指导方针.
- 本研究解决了在癌症护理中基于证据的跌倒风险管理的需要.
研究的目的:
- 为了分析门诊瘤病例的数据,并确定根源原因.
- 制定和实施预防跌倒的策略.
- 评估一套门诊性跌倒风险包对跌倒率的影响.
主要方法:
- 对58名患者的回顾性分析超过了12个月.
- 在干预前和干预后,每10,000次约会中,失败率的比较.
- 与医疗保健工作人员进行定性访谈,以评估倡议的影响.
主要成果:
- 化疗患者 (79%) 受到跌倒的影响最大.
- 常见的跌倒原因包括头,软弱和环境危害.
- 干预后没有观察到下降率的显著变化.
结论:
- 系统政策和文化转变对于减少摔倒至关重要.
- 对资源和基于证据的协议进行投资是必要的.
- 建议包括实施静态生命体信号协议和加强EMR警报.
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