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监测住宅老年护理设施的跌倒情况:跌倒事件报告与进展记录之间的一致性
Rik Dawson1, Annie Feng2, Juliana S Oliveira1
1Sydney Musculoskeletal Health, Institute for Musculoskeletal Health, Sydney Local Health District, The University of Sydney, Sydney, New South Wales, Australia.
Australasian journal on ageing
|January 13, 2024
概括
事件报告和居民进度记录显示,在老年护理中对跌倒监测有相当大的共识. 这支持使用事故报告来研究防摔策略.
科学领域:
- 老年学是一门学科.
- 医疗保健的质量 医疗保健的质量
- 数据管理数据管理
背景情况:
- 准确的跌倒报告对于评估住宅老年护理设施的跌倒预防策略至关重要.
- 确定可靠的数据源来监测落是研究和质量改善的关键.
研究的目的:
- 评估事故报告与居民下降监测进展记录之间的一致性.
- 确定这些数据源是否适合研究老年护理中的跌倒预防.
主要方法:
- 一项回顾性观察性研究分析了6个老年护理机构46名居民的数据.
- 秋季事件由独立审查员从12个月的事件报告和进展记录中提取出来.
- 用Cohen的kappa系数来计算两个数据源之间的一致性.
主要成果:
- 共有75次跌倒记录在参与者中.
- 进度说明记录了97.3%的跌倒,而事件报告记录了90.7%.
- 两个来源之间的总体一致性为75%,在各设施中观察到的差异,可能与COVID-19大流行期间的人员短缺等因素有关.
结论:
- 事故报告和下跌数据的进展说明之间存在实质性的一致性.
- 事件报告是研究和评估住宅老年护理机构的防摔策略的可行数据来源.
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