流程管理在预防骨科住院患者跌倒中的临床应用  

Process management in the prevention of falls in orthopedic hospitalized patients

作　　者：李秀红[1] 叶青林[1] 杨丽霞[1] 

机构地区：[1]江西省萍乡市人民医院骨科,江西萍乡337055

出　　处：《中国现代医生》2013年第34期140-142,共3页China Modern Doctor

摘　　要：目的探讨流程管理在预防骨科患者跌倒中的应用效果。方法选取2011年4月～2012年3月收治的1850名患者为对照组,采用传统方案进行跌倒管理,2012年4月～2013年3月1910名患者为实验组,采用预防跌倒评估监控流程进行跌倒管理,流程化管理包括成立预防跌倒管理小组、筛查高危跌倒患者、制定预防跌倒的有效措施及跌倒的处理流程等,对比两组患者跌倒发生率。结果对照组跌倒发生率为1.405%(26/1850),患者满意度为89.8%;实施预防跌倒管理流程后,实验组跌倒的发生率为0.104%(2/1910),患者满意度为98.1%,实验组跌倒发生率明显低于对照组(P<0.01),实验组跌倒损伤情况明显低于对照组(P<0.01)。结论流程管理应用于骨科患者可降低跌倒发生率,有效预防患者跌倒,提高患者满意度。Objective To explore application effect of the process management in the prevention of falls in patients with orthopedic. Methods There were 1850 patients from April 2011 to March 2012 admitted to the control group, used the traditional fall management program, 1910 patients from April 2012 to March 2013 admitted to the observa- tion group ,the used of fall prevention assessment monitoring process for fall management, process management includ- ed the establishment of fall prevention management team, screening high-risk patients fall to develop effective mea- sures to prevent falls and falls processes, etc., compared two groups of patients the incidence of falls. Results In the control group,the incidence of falls by 1.405%（26/1850）,the patient satisfaction was 89.8%;implementing fall pre- vention management processes, the observation group, the incidence of falls by 0.104% （2/1910）,the patient satisfac- tion was 98.1%;The incidence rate of falls in observation group was significantly lower than the control group （P〈 0.01 ）.Fall injury in experimental group was significantly lower than the control group （P〈0.01）. Conclusion Process management to orthopedic patients can reduce the incidence of falls, and effectively prevent patient falls, and improve patient satisfaction.

关 键 词：骨科患者 跌倒 流程管理 

分 类 号：R47[医药卫生—护理学] R197.32[医药卫生—临床医学]