评估单位冠军发起的审核对跌倒率的影响：提高意识。
Assessing the Effect of Unit Champion-Initiated Audits on Fall Rates: Improving Awareness.
机构信息
Department of Research, Innovation, and Professional Practice, Children's Hospital Colorado, Aurora (Dr Loresto); and Departments of Nursing (Mss Grant and Solberg) and Orthopedics (Ms Eron), Denver Health and Hospital Authority, Colorado.
出版信息
J Nurs Care Qual. 2020 Jul/Sep;35(3):227-232. doi: 10.1097/NCQ.0000000000000449.
BACKGROUND
Inpatient falls remain challenging with repercussions that can include patient injury and increased hospital expense. Fall rates were consistently above the national benchmark. An initiative to reduce fall rates was use of Fall Champion Audits (FCAs).
PURPOSE
The aim of this study was to assess the effect of FCAs on patient fall rates.
METHODS
FCAs were piloted on a medical-oncology unit. An interrupted time series design was used to assess the effect of FCAs on fall rates.
INTERVENTION
FCA is an audit conducted by the unit fall champion that assesses fall risk, interventions, and barriers among staff and patients.
RESULTS
Analysis suggested a significant decrease in fall rates from pre- (3.75) to postimplementation (1.62). FCAs worked in conjunction with a division-wide fall program in reducing fall rate.
CONCLUSIONS
FCAs, in conjunction with a fall program, are a feasible intervention in reducing fall rates.
背景
住院患者跌倒仍然是一个挑战，其后果可能包括患者受伤和医院费用增加。跌倒率一直高于全国基准。减少跌倒率的一项举措是使用跌倒冠军审核（FCA）。
目的
本研究旨在评估 FCA 对患者跌倒率的影响。
方法
FCA 在肿瘤内科进行了试点。采用中断时间序列设计评估 FCA 对跌倒率的影响。
干预措施
FCA 是由单位跌倒冠军进行的审核，评估患者和员工的跌倒风险、干预措施和障碍。
结果
分析表明，从实施前（3.75）到实施后（1.62），跌倒率显著下降。FCA 与全部门的跌倒计划一起工作，以降低跌倒率。
结论
FCA 与跌倒计划一起，是降低跌倒率的一种可行干预措施。
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