Chang Sin-Yuan, Chen Wen-Shiang, Teng Ting, Yeh Chien-Yu, Yen Hsiao-Ching
Departments of Nursing and Oncology (Ms Chang), and Division of Physical Therapy (Mss Teng, Yeh, and Yen), Department of Physical Medicine and Rehabilitation (Dr Chen), National Taiwan University Hospital, Taiwan, ROC.
J Nurs Care Qual. 2019 Apr/Jun;34(2):139-144. doi: 10.1097/NCQ.0000000000000353.
The incidence of falls on inpatient oncology units indicated the need for quality improvement. This project aimed to reduce falls by implementing a fall reduction plan including the "Traffic Light" Fall Risk Assessment Tool (TL-FRAT).
We retrospectively reviewed the oncology unit fall data from January 2013 to September 2014 and found that the average fall incidence was high.
The project used a program evaluation design, and the process was guided by Kotter's 8-step change model.
We implemented the TL-FRAT to classify oncology inpatients at a high risk of falling in advance.
The average fall incidence and falls with injury during the project were reduced.
Adding the TL-FRAT to the fall protocol on the units effectively reduced the incidence of falls related to impaired mobility. The TL-FRAT can improve nurses' sensitivity to falls related to impaired mobility and, subsequently, guide corresponding fall prevention strategies.
肿瘤住院病房的跌倒发生率表明需要改进质量。本项目旨在通过实施包括“交通灯”跌倒风险评估工具（TL-FRAT）在内的跌倒减少计划来降低跌倒发生率。
我们回顾性分析了2013年1月至2014年9月肿瘤病房的跌倒数据，发现平均跌倒发生率很高。
该项目采用项目评估设计，过程由科特的八步变革模型指导。
我们实施TL-FRAT以提前对有高跌倒风险的肿瘤住院患者进行分类。
项目期间的平均跌倒发生率和受伤跌倒次数均有所降低。
在病房的跌倒预案中加入TL-FRAT可有效降低与活动能力受损相关的跌倒发生率。TL-FRAT可提高护士对与活动能力受损相关跌倒的敏感性，进而指导相应的跌倒预防策略。
