采用秋季服装干预患者安全（TIPS）计划，让养老院中的老年人参与预防跌倒。
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) Program to Engage Older Adults in Fall Prevention in a Nursing Home.
机构信息
The University of Texas Medical Branch, Galveston (Dr Tzeng); University of Saskatchewan, Saskatoon, Saskatchewan, Canada (Dr Jansen and Mr Okpalauwaekwe), Saskatchewan Health Authority, Saskatchewan, Canada (Ms Andreas); and Department of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts (Dr Dykes and Ms Khasnabish).
出版信息
J Nurs Care Qual. 2021;36(4):327-332. doi: 10.1097/NCQ.0000000000000547.
BACKGROUND
Falls are the leading cause of injury-related hospitalizations and deaths among older adults globally.
LOCAL PROBLEM
About 24% of Canadian nursing home residents fall annually. This quality improvement project evaluated the impact of the Fall Tailoring Interventions for Patient Safety (TIPS) program on preventing falls and fall-related injuries among older adult nursing home residents in a subacute care unit in Canada.
METHODS
We used the Standards for Quality Improvement Reporting Excellence (SQUIRE) 2.0 guidelines for reporting. The intervention site is a 15-bed subacute care unit within a government-funded nursing home.
INTERVENTION
The Fall TIPS program was adapted to a nursing home setting to prevent falls. It provides fall prevention clinical decision support at the bedside.
RESULTS
The rates of falls and injuries decreased after implementing the Fall TIPS intervention.
CONCLUSION
Engaging nursing home older adult residents in fall prevention is crucial in translating evidence-based fall prevention care into clinical practice.
背景
在全球范围内，老年人因跌倒而导致受伤住院和死亡的情况最为常见。
当地问题
加拿大约有 24%的养老院居民每年都会跌倒。本质量改进项目评估了跌倒患者安全定制干预措施（TIPS）项目对加拿大亚急性护理病房老年养老院居民跌倒及跌倒相关伤害的预防效果。
方法
我们使用了《标准质量改进报告卓越性》（SQUIRE）2.0 指南进行报告。干预地点是一家政府资助的养老院中的 15 张亚急性护理病床。
干预措施
对跌倒 TIPS 项目进行了调整，以适应养老院环境，预防跌倒。它为床边的跌倒预防提供临床决策支持。
结果
实施跌倒 TIPS 干预后，跌倒和伤害的发生率有所下降。
结论
让养老院中的老年居民参与到跌倒预防中，是将基于证据的跌倒预防护理转化为临床实践的关键。
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