英国国家卫生服务医院防摔服务:进展,延误和挑战
Julie Whitney1, Cameron Swift2
1Department of Clinical Gerontology, King's College Hospital NHS Foundation Trust, SE5 9RS London, UK.
老年人的跌倒表明了潜在的健康问题. 虽然住院病人的国家审计 (NAIF) 帮助住院患者,但需要一致的防摔服务和对事故和紧急情况 (A&E) 参与者的审计.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 老年人中跌倒和高跌倒风险表明未满足的健康需求,并预测未来的伤害.
- 及时评估和管理落提供了显著的预防和健康益处.
研究的目的:
- 分析在英国国家卫生服务 (NHS) 医院内实施防摔服务的当前进展,机遇和挑战.
- 专注于两个关键群体:住院患者和事故和紧急情况 (A&E) 参与者.
主要方法:
- 审查当代国家卫生和护理卓越研究所 (NICE) 的指导.
- 分析世界指导方针和住院病例国家审计 (NAIF) 报告数据.
- 审查英国关于防摔服务设计和审计流程的证据.
主要成果:
- 在国家和信任层面上,NAIF提供了一个基于证据的运营资源,用于监测住院患者的跌倒.
- 有证据支持为A&E与会者设计可比,一致和具有成本效益的防摔服务.
- 对于A&E的参与者来说,服务实施中的未解决的挑战和缺乏标准化的审计系统仍然存在.
结论:
- 提出了明确的领导力和标准化的审计策略,以解决实施差距.
- 加强住院患者和急救人员的跌倒预防服务对于老年人健康至关重要.
- 需要进一步开发一个全面的,标准化的A&E设置下跌的审计系统.
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