住院病房占用率与住院病人的跌倒和跌倒风险评估完成的关联:一个回顾性队列研究
Jared Chiu1,2, Vahid Sarhangian1,2, Sarah Tosoni3
1Department of Mechanical and Industrial Engineering, University of Toronto, 5 King's College Road, Toronto, Ontario M5S 3G8, Canada.
概括
高医院占用率增加了住院患者的跌倒,并降低了跌倒风险评估的完成率. 高容量菌株需要安全协议,以支持护理团队和高风险患者.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 护理实践 护理实践
背景情况:
- 住院患者的跌倒评估和预防是关键的护理职责.
- 医院的高占用率可能会阻碍及时有效的防摔工作.
- 本研究研究了单位级医院占用率对住院患者落和落风险评估的影响.
研究的目的:
- 调查单位级医院占用率与住院患者病率之间的关联.
- 为了确定医院占用率和完成患者跌倒风险评估之间的关系.
- 确定影响患者安全结果的占用"临界点".
主要方法:
- 大型教学医院网络中的回顾性队列研究 (2017-2020年).
- 使用半马尔科夫模型来分析跌落时间或评估完成.
- 定义单位占用率为人口普查与容量的比率,分析值.
主要成果:
- 病房占用率>95%与住院患者跌倒率增加2.10倍有关.
- 单位占用率>77%与跌倒风险评估完成率下降13%有关.
- 在占用临界点和患者安全事件之间发现了显著的关联.
结论:
- 超过特定的医院占用门显著增加了跌倒率,并减少了评估的完成.
- 这些发现支持在高容量应变期间需要安全协议.
- 协议的目的应该是支持护理团队,并优先考虑高风险患者的评估.
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