减少住院老年患者的跌倒:质量改善倡议
Munira Sultana1, Catherine Taylor1, Danica McPhee1
1Office of Research, Erie Shores HealthCare, W. Leamington, Ontario, Canada.
Journal of Alzheimer's disease : JAD
|July 21, 2025
概括
这项研究通过一项防摔计划,减少了老年人住院患者跌倒率的30%. 该倡议强调需要更广泛的协作护理,以改善患者的治疗结果.
科学领域:
- 老年学是一门学科.
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 跌倒和相关伤害对老年人的独立性和生活质量产生重大影响.
- 在加拿大,到2043年,跌倒预计每年会影响三分之一的人,导致大量的医疗保健费用.
- 患有认知障碍的老年人特别容易在医院环境中跌倒.
研究的目的:
- 为了降低安大略省一个农村医院的认知障碍的老年人住院患者的跌倒率.
- 评估一个多方面的降落减少项目的有效性.
- 确定实施防摔策略的障碍和促进因素.
主要方法:
- 实施降落减少项目,包括降落风险查和降落预防包.
- 护士使用经过验证的工具来评估跌倒风险.
- 每月与工作人员和患者代表举行会议,讨论项目实施问题.
- 从电子医疗记录中收集的数据用于比较干预前后的跌倒率.
主要成果:
- 住院患者的失业率下降了30%,从2023年的每1000个病床日的16.25个失业率降至2024年的每1000个病床日的11.33个失业率.
- 认知障碍存在于几乎57%的患者中,这些患者经历了跌倒.
- 在30天再接收率上没有发现任何显著变化.
结论:
- 实施的减少跌倒的项目成功地在一年内将住院患者的跌倒率降低了30%.
- 患者和家人的参与增强了该项目的社区相关性.
- 仅仅是住院干预是不够的;建议进一步研究涉及药房和社区合作伙伴的协作护理模式.
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