Murphy Lynn M, Murphy Seamus O, Hastings Michael A, Olberding Adam
Kansas City, KS; Austin, TX.
Kansas City, KS; Austin, TX.
J Emerg Nurs. 2015 Sep;41(5):375-80. doi: 10.1016/j.jen.2015.02.005. Epub 2015 Apr 11.
There are more than 1 million patient falls each year in the United States. Falls are known to be a sign of poor health, are a marker of decline in function, and are associated with high morbidity. The objective of this study was to determine the effectiveness of a Falls Roundtable intervention for reducing the rates of patient falls in an urban academic trauma center emergency department.
We implemented a Falls Roundtable performance-improvement debriefing intervention in a single urban academic emergency department. To evaluate this intervention, we conducted a retrospective analysis of patient fall events 13 months before and 14 months after implementation. We evaluated pre- and post-intervention differences in the total number of assisted falls, unassisted falls, and rate of falls.
Despite a slowly improving trend in falls after the intervention, there was no statistically significant improvement in the number of assisted falls, number of unassisted falls, or rate of falls. The Falls Roundtable intervention was helpful in identifying many additional actionable improvement opportunities in the emergency department.
The Falls Roundtable incident debriefing intervention alone does not appear to be an effective tool for falls prevention in the ED setting but may serve as an integral component of a multifaceted fall-reduction strategy.
在美国，每年有超过100万例患者跌倒事件发生。已知跌倒表明健康状况不佳，是功能衰退的标志，且与高发病率相关。本研究的目的是确定在城市学术创伤中心急诊科开展跌倒问题圆桌会议干预措施对降低患者跌倒发生率的有效性。
我们在一家城市学术急诊科实施了跌倒问题圆桌会议绩效改进汇报干预措施。为评估该干预措施，我们对实施前13个月和实施后14个月的患者跌倒事件进行了回顾性分析。我们评估了干预前后辅助跌倒总数、非辅助跌倒总数及跌倒发生率的差异。
尽管干预后跌倒情况呈缓慢改善趋势，但辅助跌倒数量、非辅助跌倒数量或跌倒发生率均无统计学意义上的显著改善。跌倒问题圆桌会议干预措施有助于在急诊科发现许多其他可采取行动的改进机会。
仅靠跌倒问题圆桌会议事件汇报干预措施似乎并非急诊科预防跌倒的有效工具，但可作为多方面跌倒减少策略的一个组成部分。
