McKinley Catherine, Fletcher Ann, Biggins Ann, McMurray Anne, Birtwhistle Sue, Gardiner Leonie, Lampshire Sharron, Noake Norah, Lockhart Judith
Peel Health Campus, Mandurah, Western Australia.
Collegian. 2007 Apr;14(2):20-5. doi: 10.1016/s1322-7696(08)60551-x.
This paper reports on a falls prevention and management program at one regional Western Australian hospital. The report focuses on the processes and outcomes of a quality management initiative to reduce falls in hospital to illustrate the nexus between research and quality improvement in clinical practice. The Falls Prevention program was based on statistical evidence of the level of risk in the hospital and development of an evidence-based multidimensional, multidisciplinary program to reduce the risks of falling and the number of falling events. Evaluative data demonstrate the effectiveness of the program in terms of a substantial reduction in falls. The program illustrates the value of evidence-based practice, particularly in relation to evidence-based management practice. It supports the merits of creating an organisational climate where all clinicians are encouraged to use research data to plan strategies for quality improvement and risk management and, in the process, advance clinical nursing knowledge development.
本文报道了西澳大利亚一家地区医院的跌倒预防与管理项目。该报告聚焦于一项质量管理举措的过程与成果，该举措旨在减少医院内的跌倒事件，以阐明临床实践中研究与质量改进之间的联系。跌倒预防项目基于该医院风险水平的统计证据，并制定了一个基于证据的多维度、多学科项目，以降低跌倒风险和跌倒事件的数量。评估数据表明该项目在大幅减少跌倒方面是有效的。该项目说明了循证实践的价值，特别是在循证管理实践方面。它支持营造一种组织氛围的优点，即鼓励所有临床医生利用研究数据来规划质量改进和风险管理策略，并在此过程中推动临床护理知识的发展。
