住院患者跌倒专项管理信息化平台的构建与应用  

Development and application of an information platform for specialized fall ma-nagement in hospitalized patients

作　　者：闫亚敏 虞正红 张玉侠 秦薇 Yan Yamin;Yu Zhenghong;Zhang Yuxia;Qin Wei(Nursing Department,Zhongshan Hospital,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学附属中山医院护理部,上海200032

出　　处：《护理学杂志》2025年第5期99-103,107,共6页Journal of Nursing Science

基　　金：复旦大学附属中山医院管理科学基金项目(2023ZSGL04)。

摘　　要：目的研发基于临床照护分类系统的住院患者跌倒专项管理信息化平台,并探讨其应用效果。方法构建跌倒专项知识库,通过系统信息集成,形成跌倒专项管理平台。基于不良事件管理平台监控数据,以系统中跌倒专项管理平台上线时间为分界点,分实施前(2022年1-9月)和实施后(2022年10月至2023年9月)两个阶段,实施前为责任护士主导的跌倒管理,实施后为信息化平台辅助责任护士进行跌倒管理,应用中断时间序列分析住院患者跌倒发生率的变化趋势。结果基于临床照护分类系统的住院患者跌倒专项管理平台实施后住院患者跌倒率发生为0.018‰,显著低于实施前的0.036‰(P<0.05)。中断时间序列分析结果表明,系统上线前,住院患者跌倒发生率有上升趋势(β_(1)=0.004,P<0.05);系统上线后,住院患者跌倒发生率斜率为-0.002(<0),呈下降趋势,发生率显著降低(P<0.05)。实施后患者跌倒伤害率降低,跌倒伤害程度较轻,但与实施前比较,差异无统计学意义(均P>0.05)。结论住院患者跌倒专项管理平台的实施可有效降低住院患者跌倒发生率,有助于临床跌倒不良事件管理的标准化与规范化,同时可为制订住院患者跌倒预防实践提供决策依据。Objective To develop an information platform for specialized fall management in hospitalized patients based on clinical care classification(CCC)system,and to explore its application effects.Methods Build a specialized knowledge base for falls ma-nagement and then construct it into a fall management platform through information integration.Based on the monitoring data of the adverse event management platform,taking the online time of the fall-specific management platform in the system as the demarcation point,two phases were divided into pre-implementation(January to September 2022)and post-implementation(October 2022 to September 2023),before implementation,fall management was led by responsible nurses,and after implementation,fall management was assisted by information platforms for responsible nurses,the interrupted time series(ITS)was used to analyze the trend of fall incidence among inpatients.Results After the implementation of the fall management platform based on the CCC system,the fall rate of inpatients was 0.018‰,which was significantly lower than the rate of pre-implementation(0.036‰,P<0.05).ITS analysis showed that the incidence of inpatients falls increased before the system went online(β_(1)=0.004,P<0.05);after the system went online,the slope of the incidence of inpatient falls was-0.002(<0),showing a decreasing trend,and the incidence rate was significantly lower(P<0.05).The rate of patient falls and injuries decreased after implementation,and the degree of fall injuries was less severe,but there was no significant difference when compared with the pre-implementation period(both P>0.05).Conclusion The implementation of a special management platform for inpatient falls can effectively reduce the incidence of inpatient falls,contribute to the standardization and normalization of the management of clinical adverse events of falls,and at the same time can provide a decision-making basis for the development of inpatient falls prevention practices.

关 键 词：住院患者 跌倒 跌倒伤害 临床照护分类系统 信息化平台 中断时间序列分析 护理管理 数智化护理 

分 类 号：R472[医药卫生—护理学] G250.73[医药卫生—临床医学]