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医院预防摔倒干预措施的实施策略:系统性审查
Denise Spoon1, Thomas de Legé2, Christian Oudshoorn3
1Internal Medicine, Division of Nursing Science, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands d.spoon@erasmusmc.nl.
医院中有效的防摔干预措施 (FPI) 不同. 这次审查发现,虽然使用了许多策略,但报告缺乏细节,阻碍了患者安全的质量改进.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究 患者安全研究
- 实施科学 实施科学
背景情况:
- 住院成年人体验到预防跌倒干预措施 (FPI) 的有效性变化.
- 了解实施策略及其运营对于优化FPI至关重要.
- 这次审查旨在探索FPI实施策略,其运营,以及对跌倒率和坚持的影响.
研究的目的:
- 系统地审查在住院成人的FPI的实施策略.
- 分析这些策略如何运行,使用实施变革 (ERIC) 专家建议分类和Proctor的先决条件.
- 评估已实施的FPI对下降率和坚持的影响.
主要方法:
- 到2024年10月搜索相关研究的数据库.
- 包括报告至少一个实施战略,下降率和对照组的研究.
- 使用ERIC分类学分类的策略,并根据Proctor的先决条件进行操作.
主要成果:
- 所有48项包括的研究都使用了ERIC战略,主要是"培训和教育利益相关者" (96%).
- 每项研究中使用的实施策略中位数为6个,对战略先决条件的报告有限 (中位数为2).
- 观察到,每1000个患者日中,中位数跌倒率下降0.9,中位数坚持率为65%.
结论:
- 目前关于FPI实施战略的报告缺乏足够的细节.
- 报告不足阻碍临床医生和研究人员指导质量改进项目.
- 需要对实施策略进行改进的文档,以有效地部署FPI和提高患者安全.
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