腸胃科住院病患預防跌倒之改善方案

The Refined Program for The Prevention ofFall in GI Inpatients

跌倒是住院病患發生意外事件中一第一位。有鑑於腸骨科病房疾病的特性，跌倒發生率偏高，為有效控制跌倒，降低傷害，乃由預防跌倒著手。本專案為使同仁們能及早發現病患有跌倒之潛在問題，參考文獻並針對腸骨科病房的特性，建立跌倒危險評估量表，制訂預防跌倒衛教單張，擬定腸骨科住院病患預防跌倒防治模式；本病房於87年度跌倒發生率為萬分之10.85，施行專案後於88年度跌倒發生率降至萬分之5.39，目前89年度跌倒發生率仍逐漸下降中，藉著持續監測、檢討與改進，於新方案實施後第13-15個月，跌倒發生率為0，全年度為萬分之3.3；可見預防跌倒方案之有效性，值得推廣。Falling is the number one accident among inpatients. The incidence of falls is relatively high in GI inpatients. To lower the morbidity rate from falls, preventions is most important. The goals of this refined program include the following (1) listing risk factors contributing to falls in GI inpatients; (2) identifying the GI inpatients with high-risk factors of falls; (3) educating the high-risk patients how to avoid accidental falls; (4) finding the model of fall prevention in GI inpatients. The incidence of falls in our GI ward was 108.5 per 100, 000 in 1998. It lowered to 53.9 per 100, 000 after the prevention program for the first year in 1999. Furthermore, it is even lower to-date in 2000. The incidence of falls in GI inpatients is currently near zero after implementing the prevention program for 13 to 15 months. We conclude this refined program is effective in preventing falls of GI patients.