摘要
目的探讨环节管理在控制跌倒/坠床患者中的应用效果。方法科室成立安全小组,对每位患者进行评估,对于高危跌倒/坠床的患者在环节上进行控制,采取制度的告知,流程的完善及对护士的培训等方法预防跌倒事件的发生。结果控制前及控制后的高危患者跌倒率下降(P<0.01),护士的主动上报率上升。结论在高危跌倒/坠床患者中运用环节质量管理,对降低高危跌倒/坠床发生率有较好的作用,并提高护理人员对高危跌倒/坠床的主动上报率;但同时也发现,护理人员对高危跌倒/坠床发生的评估能力和正确性直接影响高危跌倒/坠床评价和后续有效处理。
Objective To explore the efficacy of link management in controlling falls or falling out of bed in clinical practice .Methods A security team was established to assess each patient in the department .For pa-tients with high-risk of accidental falls , precautions was taken in every link of management , including notification of regulations, refinement of the process, training of nurses, etc., to prevent accidental falls.Results The rate of falls has declined significantly after the control of patients with high -risk compared with that before the control （ P〈0.01）, and the rate of initiative reports by nurses has increased .Conclusion In the management of patients with high-risk of accidental falls , application of link quality management can reduce the incidence of accidental falls with positive efficacy and increase initiative report rate of high -risk accidental falls by nursing staff .Howev-er, it is also revealed that capability and validity of nurses＇assessment of the occurrence of high -risk accidental falls directly affects post -fall evaluation and effectiveness of subsequent treatment .
出处
《解放军医院管理杂志》
2016年第5期421-423,共3页
Hospital Administration Journal of Chinese People's Liberation Army
关键词
环节管理
跌倒/坠床
住院患者
护理管理
link management
accidental falls
inpatients
nursing management
