预防患有神经精神疾病的住院患者跌倒的过程管理计划:质量改善计划
Hua Xu1, Zhao-Hong Chen1, Juan She1
1Department of Adult Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing 210029, China.
一个新的预防摔倒计划显著减少了神经精神病患者的摔倒. 这项质量改进计划在提高患者安全和减少护理不良事件方面表现出有效性.
科学领域:
- 提高护理质量 提高护理质量
- 心理健康护理中的患者安全
- 减少不良事件减少不良事件
背景情况:
- 跌倒是常见的护理不良事件,特别是在患有神经精神疾病的患者中.
- 患者跌倒会造成严重的身体和心理伤害,并导致医疗纠纷.
- 缺乏过程评估阻碍了有效的防摔干预措施.
研究的目的:
- 设计和实施一个流程管理程序,以防止跌倒.
- 用"结构-过程-结果"模型来评估干预的有效性.
- 为了减少住院神经精神病患者中跌倒的发生率.
主要方法:
- 应用了一个基于"结构-过程-结果"模型的流程管理程序.
- 采用了防摔过程质量评估检查清单进行监督.
- 监督干预实施,并确定需要持续改进的领域.
主要成果:
- 在36个月内,住院患者跌倒的发生率从0.199‰降至0.101‰ (P < .05).
- 在36个月后,跌倒的概率减少了49%.
- 高风险患者中跌倒的比例呈下降趋势.
结论:
- 预防跌倒的质量改进计划是可行的和有效的.
- 该计划成功地减少了患有神经精神疾病的住院患者的跌倒.
- 监测过程质量对于有效的布管理至关重要.
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