35例住院患者跌倒事件原因分析及安全管理对策  

Cause analysis of 35 hospitalized patient fall down cases and safety management countermeasures

作　　者：张研[1] 曲文文[1] 

机构地区：[1]北京市第六医院,100007

出　　处：《中国病案》2013年第7期76-79,共4页Chinese Medical Record

摘　　要：目的通过对患者跌倒事件的原因分析,提出护理安全管理对策,降低跌倒的发生率,保证患者安全。方法对我院住院患者发生的35例跌倒事件进行回顾性分析,采用根本原因分析法进行原因分析。结果造成患者跌倒的原因有患者自身的因素、医护人员的因素、陪护及家属的因素、管理因素、环境因素,设备因素。60岁以上跌倒患者占91.4%;原发疾病高血压、冠心病、卒中后遗症占40%;有陪护占60%。结论要在安全管理制度上层层把关,关口前移,同时加强护理人员的培训教育,重视环境、设备的安全、加强对患者及家属、陪护的安全宣教,提高对高危人群危险的认识和处理能力,是防范跌倒的关键。Objective Analyze the causes of fall down eases, provide the measures for nursing safety management, reduce the incidence of fall, and ensure patients＇ safety. Method We took retrospective analysis of 35 fall down cases who happened in hospitalized patients and used ultimate cause analysis as main method. Result The causes included patients, medical staff, accompanying persons, management, environment and equipment. And patients with over 60 - year- old account 91.4% for fall-down cases; Primary dis- ease of high blood pressure, coronary heart disease, and sequelae of stroke accounts for 40% ; Patients with accompany account for 60%. Conclusion Strengthens the medical security management system and enhances the training education of nursing staff, note the importance of environment and equipment＇s security, improve safety training to patients, their families and accompany staffs. We also should alert the awareness of risk and processing power to people with high risk, which is the key to prevent the happening of inpatients＇ fall down.

关 键 词：住院患者 跌倒 安全 

分 类 号：R195[医药卫生—卫生统计学]