Ferguson Alice, Uldall Karina, Dunn Jessica, Blackmore Christopher Craig, Williams Barbara
Virginia Mason Medical Center, Seattle.
J Nurs Care Qual. 2018 Jul/Sep;33(3):213-220. doi: 10.1097/NCQ.0000000000000297.
Delirium is a potentially modifiable fall risk factor, but few studies address the effects of delirium programs on falls. Beginning in 2011, we implemented a nursing-driven hospitalwide delirium program targeting improvements in risk identification, prevention, detection, and treatment. Over the course of the program, delirium falls decreased from 0.91 to 0.50 per patient day (P = .0002). A decrease in overall falls was also noted (P = .0007).
谵妄是一个潜在可改变的跌倒风险因素,但很少有研究探讨谵妄管理项目对跌倒的影响。从2011年开始,我们实施了一项由护理主导的全院性谵妄管理项目,目标是改善风险识别、预防、检测和治疗。在该项目实施过程中,谵妄导致的跌倒从每位患者每天0.91次降至0.50次(P = .0002)。总体跌倒次数也有所下降(P = .0007)。