Pediatr Nurs. 2009 Jul-Aug;35(4):227-31.
Falls in the adult inpatient hospital population are an identified safety concern associated with significant morbidity, mortality, prolonged length of stay, and even death. Yet, little is known about falls among pediatric inpatients. A survey of Child Health Corporation of America hospitals was conducted to determine current fall-related practices in pediatric hospitals. The 29 (69%) responding hospitals were found to vary in their definition, classification, and measurement of fall and injury rates. Variability was also described in type of risk assessment tools used, with only six indicating use of a validated tool. A variety of prevention strategies were also described. These findings highlight the need for consensus in a definition of pediatric falls in order to appreciate the prevalence of falls among pediatric inpatients, greater application and testing of published risk assessment tools, and evidence-based prevention strategies among inpatient pediatric patients.
成人住院患者跌倒已被确认为一个安全问题，它与严重的发病率、死亡率、住院时间延长甚至死亡相关。然而，对于儿科住院患者的跌倒情况却知之甚少。美国儿童健康公司对旗下医院进行了一项调查，以确定儿科医院当前与跌倒相关的做法。结果发现，29家（69%）做出回应的医院在跌倒及受伤率的定义、分类和测量方面存在差异。在使用的风险评估工具类型方面也存在差异，只有6家医院表示使用了经过验证的工具。此外还描述了各种预防策略。这些发现凸显了在儿科跌倒定义上达成共识的必要性，以便了解儿科住院患者中跌倒的发生率，更广泛地应用和测试已发表的风险评估工具，以及为住院儿科患者制定基于证据的预防策略。
