The Goerlich Center, Sylvania, OH, USA.
Am J Alzheimers Dis Other Demen. 2011 Dec;26(8):599-605. doi: 10.1177/1533317511432730. Epub 2011 Dec 28.
In a long-term care facility, whose residents have been diagnosed with Alzheimer's disease or dementia, falls are a particularly prominent issue. Technology in health care has continued to evolve and play a larger role in how we care for our patients, even in preventing falls. However, overreliance on these types of technologies may have detrimental effects. In our facility, it was felt that staff reliance on position-change alarms was inappropriate due to the high rate of false alarms associated with these devices. We took a tiered approach to removing position-change alarms from our facility, monitoring the fall incidence rate for a period before, during, and after the elimination of these alarms. After discontinuing their use, we found a decrease in the rate of falls, and a decrease in the percentage of our residents who fell. Staff has easily adapted and reports a calmer, more pleasant environment.
在长期护理机构中，其居民被诊断患有阿尔茨海默病或痴呆症，跌倒问题尤为突出。医疗技术不断发展，在我们照顾患者的过程中发挥着更大的作用，甚至可以预防跌倒。然而，过度依赖这些类型的技术可能会产生不利影响。在我们的机构中，由于与这些设备相关的高误报率，工作人员对体位变换警报的依赖被认为是不适当的。我们采取了分层次的方法从我们的机构中移除体位变换警报，在移除这些警报之前、期间和之后，对跌倒发生率进行了一段时间的监测。停止使用这些警报后，我们发现跌倒率下降了，跌倒的居民比例也下降了。工作人员很容易适应了这种变化，并报告说环境更加平静和愉快。
