Brabcová Iva, Bártlová Sylva, Hajduchová Hana, Tóthová Valérie
University of South Bohemia in České Budějovice, Faculty of Health and Social Studies, Department of Nursing and Midwifery, České Budějovice, Czech Republic.
Neuro Endocrinol Lett. 2015;36 Suppl 2:23-8.
The prevention of patient falls is one of the safety goals set forth by the Ministry of Health of the Czech Republic.
A sociological survey was carried out to (1) determine to what extent nurses identify the risk of patient falls at admission, (2) if the risk is reassessed and at what intervals, (3) what preventive measures were taken, and (4) in what way are patient falls reported.
A representative sample consisting of general nurses working shifts on inpatient wards at hospitals in the Czech Republic was surveyed. Altogether 772 nurses took part in the study.
The survey showed that at admission, most nurses assessed the risk of falls (91.6%). Nonetheless, it should stand as a stark warning that nearly one fifth of the respondents (16.2%) did not reassess the risk of falls after admission! On the other hand, it can be perceived as a positive that most nurses (70.1%) use a multifaceted program of preventive measures for at risk patients and immediately reported fall events to the doctor in charge (71.4%). During statistical testing, the predication that a working atmosphere supporting a culture of patient safety would significantly decrease the probability of patient falls and increases the willingness of nurses to use preventive programs in daily practice.
Results from the survey showed that a system to minimalize fall risks has been successfully introduced into the hospitals of the Czech Republic. The system is based on the recommendations of the Ministry of Health of the Czech Republic.
预防患者跌倒属于捷克共和国卫生部制定的安全目标之一。
开展了一项社会学调查，以（1）确定护士在患者入院时对跌倒风险的识别程度，（2）是否对风险进行重新评估以及评估的间隔时间，（3）采取了哪些预防措施，以及（4）如何报告患者跌倒情况。
对捷克共和国医院住院病房轮班工作的普通护士组成的代表性样本进行了调查。共有772名护士参与了该研究。
调查显示，在入院时，大多数护士评估了跌倒风险（91.6%）。然而，应当敲响警钟的是，近五分之一的受访者（16.2%）在患者入院后未对跌倒风险进行重新评估！另一方面，可以视为积极的是，大多数护士（70.1%）针对有风险的患者采用了多方面的预防措施方案，并立即向主管医生报告了跌倒事件（71.4%）。在统计测试过程中，有一种预测认为，支持患者安全文化的工作氛围将显著降低患者跌倒的概率，并提高护士在日常实践中使用预防方案的意愿。
调查结果表明，捷克共和国的医院已成功引入了将跌倒风险降至最低的系统。该系统基于捷克共和国卫生部的建议。
