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在英格兰的医院中为老年患者实施推的预防摔倒的做法:一个现实的评估
Natasha Alvarado1, Lynn McVey2, Frances Healey3
1University of Bradford, Bradford, UK n.alvarado@bradford.ac.uk.
医院跌倒预防的变化源于电子健康记录 (EHR) 系统的差异,相竞争的护士优先级和现有做法. 重新配置系统和增加多学科参与可以提高患者的安全性和降低跌倒风险.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 在老年医院病人中,跌倒构成重大风险.
- 建议采用多因素跌倒预防策略,但实施情况不尽相同.
- 了解实施障碍对于改善患者治疗结果至关重要.
研究的目的:
- 调查影响医院实施多因素防摔实践的因素.
- 探索推的预防摔倒策略如何应用于老年患者的变化.
主要方法:
- 进行了一种混合方法的现实主义评估.
- 从老年人和骨科病房的医疗保健专业人员,患者和护理人员收集了数据.
- 研究了影响实施的机制和上下文因素.
主要成果:
- 实施是通过各种电子健康记录 (EHR) 功能来评估跌倒风险而形成的.
- 竞争的护理优先事项导致了肤浅的评估和全面的干预,限制了个性化护理.
- 既定做法,如风险查,将重点转移到高风险患者和护理监督,而不是多学科方法.
结论:
- 重新配置电子系统和病房实践对于持续的防摔是必不可少的.
- 加强多学科工作人员,患者和护理人员的参与,可以优化个体跌倒风险的修改.
- 解决系统和实践层面的因素可以降低护理负担,改善预防跌倒的交付.
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