在中国一家三级医院预防摔倒和减少摔倒伤害:一项最佳实践实施项目的项目
Zhenhui Tao1,2, Dan Zhu1, Bei Li1
1Nursing Department, Peking University First Hospital, Beijing, China.
JBI evidence implementation
|February 17, 2026
概括
实施基于证据的跌倒预防策略显著减少住院患者的跌倒和受伤. 该项目提高了合规性,员工知识和患者参与度,导致跌倒率大幅下降,跌倒相关伤害为零.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 基于证据的实践实施实施.
背景情况:
- 跌倒是住院成年人可预防不良事件的主要原因,导致严重伤害和死亡率增加.
- 有效的防摔策略对于改善患者的治疗结果和减少与医疗保健相关的风险至关重要.
研究的目的:
- 在中国的一家三级医院实施和评估基于证据的防摔实践.
- 通过结构化干预,减少住院成年患者中与跌倒相关的伤害.
主要方法:
- 在九个试点病房中利用JBI证据实施框架.
- 开发和审计了八个最佳实践标准,用于降落风险评估和干预措施.
- 评估合规性变化,工作人员/患者的知识,态度,做法以及干预前后的跌倒/受伤率.
主要成果:
- 实现了对所有八个防摔审计标准的更好遵守.
- 观察到护士和患者在预防跌倒方面知识和实践的增强.
- 降低了每1000个患者日的跌倒率从0.48降至0.25,并消除了与跌倒相关的伤害 (0%的发病率).
结论:
- 该项目成功加强了多因素跌倒风险评估和个性化干预措施.
- 实现了护士和患者在预防跌倒活动中的强化参与.
- 显著减少了跌倒和跌倒相关的伤害,改善了患者的安全.
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