心臟內科病人預防跌倒改善專案

Project for Improvement in Falling Prevention for Inpatients of Cardiology Ward

心臟內科病人以老年人居多，由於老化致使病人跌倒的危險性增加。本專案自2007年5月1日至2008年4月20日，經由現況分析：跌倒高危篩選分數≧1分者屬於跌倒高危險群，護理人員預防病人跌倒措施執行率為60％，病人及主要照顧者對預防跌倒的認知為69％，改善措施包括：制定病人預防跌倒標準流程、制定高危險跌倒病人交班單張、設計預防跌倒叮嚀卡及製作拉拉手圈並安排教育訓練。結果顯示：跌倒率由0.12％，改善為0.02％，已達成專案目的0.06％；護理人員預防病人跌倒措施執行率由60％提升為95％；病人及主要照顧者對預防跌倒的認知由69％提升為84％，雖未達到專案目的85％，但已提升了15％。整體結果顯示有成果呈現，以達病人安全為目的，進而提升護理照護品質。

Most of the patients admitted to Cardiology ward are elderly. They are at a high risk of falling down due to advanced age. The study population was recruited from May 1, 2007 to April 20, 2008. The current analysis revealed that patients with falling risk screening score ≥1 were categorized to high risk group. The execution rate of falling prevention measures offered by nursing staff was 60%. Awareness of falling from patient and their major caregivers was 69%. Measures for improvement included: 1.Set up a standard protocol to prevent hospitalized patients from fall; 2.Develop a special sheet for turning over to the next shift about the high risk patients; 3.Design a reminding card for fall prevention; 4.Provide a La-La wristlet; and 5. Arrange education programs. The result of this study showed that the percentage of falling dropped from 0.12% to 0.02%, which has reached the goal of 0.06 set by the program. The execution rate of falling prevention measures offered by nursing staff increased from 60% to 95%. The awareness of falling among patients and there major caregivers increased from 69% to 84%. Although the completion rate of 85% was not achieved, the total elevation was up 15%. The study result showed effectiveness of this project. Besides, the objectives of patients’ safety improvement and nursing quality promotion were achieved.