Bagnasco A, Sobrero M, Sperlinga L, Tibaldi L, Sasso L
Department of Health Sciences, University of Genoa, Italy.
J Prev Med Hyg. 2010 Jun;51(2):92-6.
This study stemmed from the data gathered by a research conducted by the coordinator of the Department of Healthcare Services and a group of nurses involved in a research on accidental falls in hospitalized children at the "G. Gaslini" Children's Hospital and Scientific Research Institute in Genoa, Italy. The first retrospective study evaluated the accidental falls in hospitalized children referred to the three-year period 2003-2006, while the second perspective study, referred to the trimester March-May 2007, found that the main cause of falls in children was parent's distraction.
The method adopted in the first phase of our study was a proactive risk analysis (The Basics of Healthcare Failure Mode and Effect Analysis), identified in the first place by the VA National Centre for Patient Safety and applied to the "Child and parent hospital admission process". This proactive risk analysis has proven to be very effective in preventing the risk of accidental falls in hospitalized children through effective communication and educational interventions. The second phase of our study consisted of two Focus Groups for accidental traumatic events.
The analysis of the results of the study showed how effective communication is instrumental, not only to have a better awareness of the children and their parents during their stay in hospital, but also to implement educational sessions on prevention to reduce the risk of accidental traumatic events.
The present study contributes to improve safety and the quality of care by motivating nurses to keep their attention high on falls in hospitalized children, by monitoring and the development of new risk assessment tools.
本研究源于意大利热那亚“G. 加斯利尼”儿童医院及科研机构医疗服务部协调员与一组参与住院儿童意外跌倒研究的护士所收集的数据。第一项回顾性研究评估了2003年至2006年这三年期间住院儿童的意外跌倒情况，而第二项前瞻性研究针对的是2007年3月至5月这三个月，发现儿童跌倒的主要原因是家长分心。
我们研究第一阶段采用的方法是主动风险分析（医疗失效模式与效应分析基础），该方法最初由美国退伍军人事务部国家患者安全中心确定，并应用于“儿童及家长住院流程”。这种主动风险分析已证明通过有效的沟通和教育干预，在预防住院儿童意外跌倒风险方面非常有效。我们研究的第二阶段包括针对意外创伤事件的两个焦点小组。
对研究结果的分析表明，有效的沟通不仅有助于在儿童及其家长住院期间提高对他们的了解，还有助于开展预防教育课程以降低意外创伤事件的风险。
本研究通过激励护士高度关注住院儿童跌倒情况、监测并开发新的风险评估工具，为提高安全性和护理质量做出了贡献。
