在神经外科术后患者中以人为中心的跌倒预防和管理:一个最佳实践实施项目的项目
Cha-Chi Wang1, Ching-Chang Liang2,3,4, Ming-Yuan Teng3
1Department of Nursing, National Taiwan University Hospital, Taipei City, Taiwan.
JBI evidence implementation
|October 10, 2025
概括
实施基于证据的实践显著减少了神经病房住院患者的病例. 这一举措改善了预防跌倒的策略,导致跌倒发生率低于0.08%.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究的研究.
- 护理实践的护理实践
背景情况:
- 住院患者跌倒是造成医院内伤害的主要原因之一.
- 在医疗保健机构中,有效的防摔策略和管理协议至关重要.
- 标准操作程序对于减轻医院中的跌倒风险至关重要.
研究的目的:
- 加强医疗保健专业人员和神经病房中术后患者的跌倒预防实践.
- 实施基于证据的实践,以提高患者的安全性和减少跌倒率.
- 为了解决当前落管理协议中的障碍.
主要方法:
- 使用了乔安娜·布里格斯研究所 (JBI) 证据实施框架.
- 采用测试前和测试后的审计方法来评估摔倒管理实践.
- 进行了基线和后续审计,涉及60名医护人员和40名患者.
主要成果:
- 实施后的审计合规率在多个标准中显示出显著的改善.
- 对标准1,3,5和10的合规性达到100%.
- 对于其他标准,干预后的合规率在88%至97%之间.
结论:
- 基于证据的实践成功地将住院患者跌倒的发生率降低到0.08%以下.
- 关键的成功因素包括民主领导,多学科干预和计划-做-研究-行动循环.
- 护士在职培训被认为是成功的关键组成部分.
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