Spano-Szekely Lauraine, Winkler Anne, Waters Cathy, Dealmeida Susana, Brandt Kathy, Williamson Marsha, Blum Christina, Gasper Lori, Wright Fay
Northern Westchester Hospital, Mount Kisco, New York (Dr Spano-Szekely and Mss Winkler, Waters, Dealmeida, Brandt, Williamson, Blum, and Gasper); and New York University Rory Meyers College of Nursing, New York (Dr Wright).
J Nurs Care Qual. 2019 Apr/Jun;34(2):127-132. doi: 10.1097/NCQ.0000000000000344.
A 245-bed community hospital established patient fall prevention as its patient safety priority.
The hospital's fall prevention program was not consistently effective. The baseline fall rate was 3.21, higher than the National Database of Nursing Quality Indicators' median of 2.91.
An interprofessional fall prevention team evaluated the hospital's fall program using the evidence-based practice improvement model. A clinical practice guideline with 7 key practices guided the development of an individualized fall prevention program with interventions to address 4 fall risk categories and an algorithm to identify interventions. Interventions included nurse-driven mobility assessment, purposeful hourly rounding, and video monitoring for confused and impulsive fall-risk patients.
The fall rate decreased to 1.14, with a 72% expense reduction based on decreased sitter usage.
An interprofessional team successfully reduced falls with an evidence-based fall prevention program.
一家拥有245张床位的社区医院将预防患者跌倒作为患者安全的首要任务。
该医院的跌倒预防计划并非始终有效。基线跌倒率为3.21，高于国家护理质量指标数据库的中位数2.91。
一个跨专业的跌倒预防团队使用循证实践改进模型评估了该医院的跌倒计划。一份包含7项关键措施的临床实践指南指导制定了个性化的跌倒预防计划，其中包括针对4种跌倒风险类别的干预措施以及用于识别干预措施的算法。干预措施包括护士主导的活动能力评估、有目的的每小时巡视，以及对有跌倒风险的意识模糊和冲动患者进行视频监控。
跌倒率降至1.14，由于减少了陪护人员的使用，费用降低了72%。
一个跨专业团队通过循证跌倒预防计划成功减少了跌倒事件。
