Murphy Tamara H, Labonte Paula, Klock Monica, Houser Larry
Department of Care Coordination, Penn State Hershey Medical Center, Hershey, Pennsylvania 17033, USA.
Crit Care Nurs Q. 2008 Jan-Mar;31(1):33-9. doi: 10.1097/01.CNQ.0000306394.79282.95.
The purpose of this article is to describe and measure the impact of a multifaceted program developed to reduce the falls rate on an acute medical unit at an academic tertiary care center. According to national benchmarks, this unit was one of the hospital's top 3 units for numbers of falls for several years. That distinction drove the hospital and unit leadership and a staff-led unit practice council to develop an evidence-based intervention plan. Interventions included a campaign to raise geriatric awareness, creation of "falls tool boxes," education of staff and family, and implementation of a structured hourly patient rounds schedule. The success of these interventions is discussed, including the effect on the falls rate benchmark. The discussion addresses implications and outcomes associated with the empowerment of nursing staff to respond to benchmarking measures, implement evidence-based practices, and use the same benchmarking procedure to measure outcomes.
本文旨在描述并衡量为降低一所学术性三级护理中心急性内科病房的跌倒率而制定的多方面项目所产生的影响。根据国家基准，该病房连续数年都是医院跌倒人数最多的三个病房之一。这一情况促使医院和病房领导以及一个由工作人员主导的病房实践委员会制定了一项循证干预计划。干预措施包括开展提高老年护理意识的活动、创建“跌倒工具箱”、对工作人员和家属进行教育，以及实施结构化的每小时患者查房安排。文中讨论了这些干预措施的成效，包括对跌倒率基准的影响。讨论还涉及赋予护理人员权力以应对基准化措施、实施循证实践并使用相同的基准化程序来衡量结果所带来的影响和成果。
