降低復健科住院病人跌倒發生率

Reduce the Incidence of Falls during Inpatient Rehabilitation

本院復健科住院病人2018年1～5月跌倒發生率0.11％，傷害性跌倒發生率為66.7％，其中重度傷害1件，造成住院天數延長，故成立專案小組，目的為透過團隊合作降低復健科住院病人跌倒發生率及傷害性跌倒發生率，經問卷分析原因為未制定復健科專科性及外語預防跌倒衛教單、無預防跌倒技能評核表、環境及設備部分缺失。於2018/6/1～2018/10/31實施改善對策包括：製作專科性及外語預防跌倒照護需知、實施病床空間擺放方式、汰換病房設備、舉辦在職教育訓練及健康講座、製作預防跌倒技能示教評核表、執行環境安全維護。結果顯示跌倒發生率由0.11％降為0.10％，傷害性跌倒由66.7％降為20％（重度傷害0件），藉由專案推動達目標，以維護病人住院安全及提升照護品質。

In the rehabilitation department, the incidence of falls in the period from January to May 2018 was 0.11%, 66.7% were damage falls with one serious fall injury, leading to an increase in hospital stay. The purpose of the project was to reduce the incidence of falls and incidence of the damage fall in inpatients in rehabilitation department through teamwork cooperation. The questionnaire analysis showed that the reasons for falls included lack of a multi-language rehabilitation related fall prevention instruction, lack of a form for assessing caregiver's fall prevention skills, insufficient fall prevention environment and equipment. The project was implemented during 2018/6/1~10/31. The strategies included producing a multi-language rehabilitation specific fall prevention instruction, creating a form to assess caregiver's skills in fall prevention, providing education and training courses and seminars, promoting safety in inpatient environment, and improve fall prevention equipment. The results showed that the incidence of falls decreased from 0.11% to 0.10%, and the proportion of damage fall decreased to 20% with no serious fall injury. The project was determined to be effective in improving the safety of hospitalization and the quality of care for rehabilitation patients.