Department of Occupational Therapy, 6614University of Pittsburgh, Pittsburgh, PA, USA.
Department of Occupational Therapy, 6559Jefferson College of Rehabilitation Sciences, Philadelphia, PA, USA.
J Appl Gerontol. 2022 Oct;41(10):2187-2196. doi: 10.1177/07334648221104375. Epub 2022 May 26.
Accidental falls are preventable adverse events for older post-acute care (PAC) patients. Yet, due to the functional and medical care needs of this population, there is little guidance to inform multidisciplinary prevention efforts. This scoping review aims to characterize the evidence for multifactorial PAC fall prevention interventions. Of the 33 included studies, common PAC intervention domains included implementing facility-based strategies (e.g., staff education), evaluating patient-specific fall risk factors (e.g., function), and developing an individualized risk profile and treatment plan that targets the patient's constellation of fall risk factors. However, there was variability across studies in how and to what extent the domains were addressed. While further research is warranted, health system efforts to prevent accidental falls in PAC should consider a patient-centered multifactorial approach that fosters a culture of safety, addresses individuals' fall risk, and champions a multidisciplinary team.
意外跌倒对于老年康复后护理（PAC）患者来说是可预防的不良事件。然而，由于这一人群的功能和医疗护理需求，几乎没有指导信息可以为多学科预防工作提供参考。本研究旨在对多因素 PAC 跌倒预防干预措施的证据进行特征描述。在纳入的 33 项研究中，常见的 PAC 干预领域包括实施基于机构的策略（例如，员工教育）、评估患者特定的跌倒风险因素（例如，功能）以及制定针对患者跌倒风险因素组合的个体化风险概况和治疗计划。然而，各研究在如何以及在何种程度上解决这些领域的问题上存在差异。虽然还需要进一步的研究，但医疗系统预防 PAC 中意外跌倒的工作应考虑采取以患者为中心的多因素方法，培养安全文化，解决个人的跌倒风险，并支持多学科团队。
