Kobayashi Kazuyoshi, Imagama Shiro, Inagaki Yuko, Suzuki Yusuke, Ando Kei, Nishida Yoshihiro, Nagao Yoshimasa, Ishiguro Naoki
Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine.
Department of Quality and Patient Safety, Nagoya University Hospital.
Nagoya J Med Sci. 2017 Aug;79(3):291-298. doi: 10.18999/nagjms.79.3.291.
Aging of the patient population has led to increased occurrence of accidental falls in acute care settings. The aim of this study is to survey the annual occurrence of falls in a university hospital, and to examine procedures to prevent fall. A total of 49,059 inpatients were admitted to our hospital from April 2015 to March 2016. A fall assessment scale was developed to estimate the risk of fall at admission. Data on falls were obtained from the hospital incident reporting system. There were fall-related incidents in 826 patients (1.7%). Most falls occurred in hospital rooms (67%). Adverse events occurred in 101 patients who fell (12%) and were significantly more frequent in patients aged ≥80 years old and in those wearing slippers. The incidence of falls was also significantly higher in patients in the highest risk group. These results support the validity of the risk assessment scale for predicting accidental falls in an acute treatment setting. The findings also clarify the demographic and environmental factors and consequences associated with fall. These results of the study could provide important information for designing effective interventions to prevent fall in elderly patients.
患者群体的老龄化导致急性护理环境中意外跌倒的发生率增加。本研究的目的是调查大学医院每年的跌倒发生率，并研究预防跌倒的措施。2015年4月至2016年3月期间，共有49059名住院患者入住我院。制定了跌倒评估量表以估计入院时的跌倒风险。跌倒数据来自医院事件报告系统。826名患者（1.7%）发生了与跌倒相关的事件。大多数跌倒发生在病房（67%）。101名跌倒患者发生了不良事件（12%），在80岁及以上患者和穿拖鞋的患者中不良事件明显更频繁。最高风险组患者的跌倒发生率也明显更高。这些结果支持了风险评估量表在预测急性治疗环境中意外跌倒方面的有效性。研究结果还阐明了与跌倒相关的人口统计学和环境因素及后果。本研究结果可为设计预防老年患者跌倒的有效干预措施提供重要信息。
