Ireland Sandra, Lazar Terry, Mavrak Caroline, Morgan Beverly, Pizzacalla Anne, Reis Cathy, Fram Nancy
Hamilton Health Sciences, Hamilton, Ontario, Canada.
J Nurs Care Qual. 2010 Jul-Sep;25(3):198-207. doi: 10.1097/ncq.0b013e3181d5c176.
In implementing an evidence-based falls prevention strategy in acute care, planners are frequently pressed to meet organizational targets while allowing staff flexibility to match interventions with patient population needs and clinical realities. We describe the process of how one hospital creatively used evidence, systems change, staff engagement, expert consultation, policy and protocols, staff and patient education, marketing, and celebration to design and implement a falls prevention strategy on 60 clinical units that reduced annual fall rates by 20%.
在急性护理中实施基于证据的跌倒预防策略时，规划者常常面临既要达成组织目标，又要让工作人员灵活地使干预措施符合患者群体需求和临床实际情况的压力。我们描述了一家医院如何创造性地运用证据、系统变革、员工参与、专家咨询、政策与规程、员工及患者教育、推广以及表彰等手段，在60个临床科室设计并实施跌倒预防策略，从而使年跌倒率降低了20%的过程。
