Callis Natalie
Hackensack University Medical Center, Hackensack, NJ 07601, USA.
Appl Nurs Res. 2016 Feb;29:53-8. doi: 10.1016/j.apnr.2015.05.007. Epub 2015 May 22.
Patient falls are the most common adverse safety event in hospitals and healthcare facilities nationwide. There are many risk factors associated with inpatient falls such as medications, unsteady gait, alteration in mental status, and environmental hazards. Risk assessment is the primary intervention for falls prevention. This study aims to provide a detailed review of the literature to identify and synthesize research evidence on risk factors that may contribute to patient falls in the adult inpatient hospital setting that are not captured by current fall risk assessment tools. After the identification of those key risk factors not found on the most common fall risk assessment tools, the results of this review will be used to develop a new evidence based fall risk assessment tool.
患者跌倒在全国范围内的医院和医疗保健机构中是最常见的不良安全事件。与住院患者跌倒相关的风险因素众多,如药物、步态不稳、精神状态改变以及环境危害等。风险评估是预防跌倒的主要干预措施。本研究旨在对文献进行详细综述,以识别和综合关于在成人住院医院环境中可能导致患者跌倒但未被当前跌倒风险评估工具涵盖的风险因素的研究证据。在识别出最常见的跌倒风险评估工具未发现的那些关键风险因素后,本综述的结果将用于开发一种新的基于证据的跌倒风险评估工具。