設定單一醫療品質指標閾值應用於醫院不同科別之合宜性探討－－以跌倒發生率為例

The rationale for applying a single health care quality indicator threshold in different sections of the hospital-falls incidence for example

目的：跌倒事件占醫院住院病人意外事件的比率最高，跌倒發生率亦是醫院評鑑的指標之一，因此醫院會訂定跌倒發生率作為各科病房臨床醫療品質控管及防範跌倒成效指標。然專科間存在疾病和人口特質的差異，訂定全院單一閾值來控管是否合宜？為本研究欲探討之議題。

Objective: Falls make up the highest proportion of abnormal events in the hospital; therefore, every hospital sets a threshold for the incidence of falls as part of quality control and the hospital accreditation process. Few studies have discussed the rationale for using a common threshold for falls in different sections of the hospital. The aim of this study was to explore the rationale for applying such a common threshold for the incidence of falls in different sections as an administrative reference.