Flarity Kathleen, Pate Tina, Finch Heather
Memorial Health System, Colorado Springs, CO 80909, USA.
Adv Emerg Nurs J. 2013 Jan-Mar;35(1):57-66. doi: 10.1097/TME.0b013e31827c6a54.
The purpose of this study was to determine the validity and reliability of an evidence-based, emergency department (ED) fall risk assessment tool as a sensitive predictor for falls in the ED population. The overarching goal of the project was to improve patient safety and eliminate patient falls resulting in serious injury in the ED. An ED-specific tool was designed on the basis of the risk factors consistently identified in the literature: prior fall history, impaired mobility, altered mental status, altered elimination, and the use of sedative medication. The Memorial ED Fall Risk Assessment Tool was validated in two EDs (North campus and Central campus) located within a large urban health care system in Colorado Springs, Colorado. The two EDs have a combined 140,000 annual patient visits. The Memorial ED Fall Risk Assessment Tool appears to be a valid tool for this two-ED hospital system.
本研究的目的是确定一种基于证据的急诊科（ED）跌倒风险评估工具作为急诊科患者跌倒敏感预测指标的有效性和可靠性。该项目的总体目标是提高患者安全并消除急诊科中导致严重伤害的患者跌倒。基于文献中一致确定的风险因素设计了一种急诊科专用工具：既往跌倒史、行动能力受损、精神状态改变、排泄改变以及使用镇静药物。纪念医院急诊科跌倒风险评估工具在科罗拉多州科罗拉多斯普林斯市一个大型城市医疗系统内的两家急诊科（北校区和中心校区）进行了验证。这两家急诊科每年的患者就诊量总计为140,000人次。纪念医院急诊科跌倒风险评估工具似乎是适用于这个双急诊科医院系统的有效工具。
