Knight Margaret, Coakley Catherine
Department of Nursing, University of Massachusetts Lowell, MA 01854, USA.
J Nurs Care Qual. 2010 Jul-Sep;25(3):208-15. doi: 10.1097/NCQ.0b013e3181d3766f.
Patients receiving acute care for the treatment of psychotic disorders are at risk for falling. Complex medication regimens initiated to manage psychomotor agitation, lability, and aggression can contribute to physiological instability that may not be identified easily by clinicians. This quality improvement initiative identified prescribing practices associated with risk for falling and established a simple mechanism to monitor pharmacological treatment, which resulted in a reduction of the fall rate from 6.0 to 0.46.
接受急性护理以治疗精神障碍的患者有跌倒风险。为控制精神运动性激越、情绪不稳定和攻击行为而启动的复杂药物治疗方案，可能会导致生理不稳定，而临床医生可能不容易识别这种情况。这项质量改进举措确定了与跌倒风险相关的处方做法，并建立了一个简单的机制来监测药物治疗，这使得跌倒率从6.0降至0.46。
