內科住院病人預防跌倒之改善方案

A Project to Prevent Internal Inpatient Fall

跌倒是醫院常見之意外事件，威脅病人安全甚巨。此專案目的在降低內科住院病人之跌倒發生率。調查發現，因單位住院病人之疾病複雜度高、醫護人員缺乏完善預防跌倒認知致唔正確實施防範措施，已及相關較玉訓練不足，而使並人之跌倒發生率居高不下，2005-2006年間一直介於0.09%。透過評定評估表、標示手圈、輔具提供、張貼衛教海報、舉辦預防跌倒教育訓練、制定監測辦法，除護理人員外亦規範醫師需對跌倒高危險病人進行衛教等措施後，跌倒發生率至2008年4月底已降為0.034%。經推定此專案後，因有明確規範醫師參與跌倒防範之角色，不僅有效降低跌倒發生意外，無形中也強化整個醫護團隊之合作精神。

Patient fall is the most common unwanted event in the hospital and may result in negative impacts on patient safety. The aim of this project was to lower the fall incidence among medical inpatients. The contributing factors, such as complexity of diseases, lack of knowledge about preventing fall, and the shortage of training course, would heighten the fall incidence rate, 0.09% in particular between 2005 and 2006. After instituting the strategies for one year including assessment form, wristband, supplement of assisted devices, educational poster exhibition, staff education, monitoring procedure, as well as physician initiatively remind risky patients during ward around, the fall incidence rate had been reduced to 0.034% at August in 2008. Findings demonstrated collaborative team approach, especially physician participation, not only decreased the falling events but also enhanced cooperation between multidisciplinary team members.