根因分析在骨科住院患者跌倒风险管理中的应用  

The application of root cause analysis in the fall risk management of in-patients of orthopedics department

作　　者：谢英[1] 朱雪华[1] 刘欢[2] 

机构地区：[1]四川省内江市第一人民医院骨科,641000 [2]第三军医大学新桥医院骨科,重庆400037

出　　处：《重庆医学》2015年第21期2931-2932,2934,共3页Chongqing medicine

基　　金：国家自然科学基金资助项目(81401801)

摘　　要：目的探讨根因分析(RCA)在骨科住院患者跌倒中的应用效果。方法将2013年1月至2013年12月的跌倒事件16起,采用RCA方法分析近端原因、根本原因,通过改造环境、再造防跌倒流程、人员培训等措施预防跌倒的发生,比较实施前后患者跌倒发生率。结果实施后,跌倒发生率0.14‰,明显低于实施前0.66‰,差异有统计学意义(P<0.01)。结论 RCA应用于骨科住院患者跌倒风险管理,能够有效地降低跌倒事件的发生。Objective To explore the effects of root cause analysis_in the patients who happened fall in the department of or- thopedics. Methods From January 2013 to December 2013,there had been 16 patients happened fall in the department of orthope- dics, we analyzed the proximate causes and root causes, and then took measures to prevent the occurrence of falls including to trans- form environment and process and train nurses. Then compare the incidence of falls. Results After the implementation, the falling rate （0.14‰） was significantly lovcet than that of before（0.66‰）, and the difference was statistically significant （P〈0.01）. Con- dusion Root cause analysis could be applied to patient＇s risk management of fall in the department of orthopedics, and could effec- tively reduce the incidence of falls event.

关 键 词：根因分析 跌倒 风险管理 

分 类 号：R473.6[医药卫生—护理学]