運用模擬訓練減少神經科住院病人跌倒之風險

Reduction of Fall Risk in Hospitalized Neurological Patients by a Simulative Training Program

「病人安全」是目前醫療照護目標與管理議題，跌倒是神經科病人最常發生的意外事件；跌倒預防重點在於病人安全觀念的建立，培養臨床工作判斷能力、辨識危險因子並加強病人安全警覺性，因此，必須規劃與進行完善防跌機制與環境來加強保護病人之安全。模擬訓練概念運用在跌倒議題，依照神經科病房跌倒案例中各項有害因子，進行創新模擬跌倒情境練習，並從模擬情境當中加以學習、計畫、執行及評價高危險性跌倒病人之照護，有助於掌握高危險跌倒病人潛在因子，對於提升人員跌倒因子的判斷力方面，也確實有極大幫助；另一方面，醫療團隊合作即時對造成跌倒之危險因素做具體改善，適時修訂神經科病人防跌計畫，研擬出更合宜的預防跌倒措施，也使得神經科病人能受到更完整的照護服務。

Patient safety is a new healthcare discipline. Most importantly, falls prevention has become a critical indicator measuring hospital service performance in patient safety, especially while falls are the most common cause of injury-related accident in neurological patients. To avoid the accidents, appropriate and effective policy and procedures will be required to be well-practiced, which include arousing awareness of safety concepts among patients, enhanced clinical experience and acute observation and care skills among professionals. Simulation Training Program is applied to falls prevention, which has proved to be practical and helpful. This application allows professionals to identify potential risks of falls in various scenarios of hospitalized neurological patients and enhance care skills. Meanwhile, medical teams which introduce this simulation program are able to efficiently improve quality of health care by improving trainees' skills as well as propose well-organized and effective falls prevention strategies; therefore, nursing care of neurological patients can be more advanced.