鱼骨图法分析神经外科患者跌倒原因

The Employment of Fishbone Diagram in Analyzing the Reason of Neurosurgical Patients' Falling-Down

目的分析神经外科患者跌倒的原因,为防范神经外科患者跌倒提供对策依据。方法通过查阅本病区16例发生跌倒患者的相关资料,查找跌倒原因,分析后绘制鱼骨图。结果针对神经外科患者发生跌倒的原因建立跌倒的管理流程。结论鱼骨图用于神经外科患者跌倒原因的分析简便实用,为防范神经外科患者跌倒提供了对策依据,为进一步实现医疗安全持续改进提供了有力保证。

Objective To analyze the reason for the falling-down of neurosurgical patients and to provide some measures on its prevention.Methods The reason for falling was discovered after analysis of the 16 cases of falling patients in the neurosurgery department,and a fishbone diagram was drawn.Results A management process was established to prevent the fall of patients against the causes of falling.Conclusion Fishbone diagram is a practical and simple method to analyze the reason for neurosurgical patients＇ falling-down.It serves as an option for prevention of falling of patients in the neurosurgical department and will further promote medical safety.