摘要
应用根本原因分析法(RCA)总结了住院患者跌倒的原因,探讨患者安全和病房风险管理的防范对策。患者跌倒原因包括组织系统缺陷34例,占72.34%,是患者跌倒的根本原因,非系统因素13例,占27.66%。认为更新管理理念,持续护理质量改进,建立并实施患者预防跌倒安全管理制度和跌倒管理的质量控制方法,能从根源上预防和控制意外跌倒的发生,保障住院患者安全。
To summarize the causes of fall, and to discusses the of the ward The causes of fall include of organization system defects and non-organizatian system defects. ic fall knowledge training to nurses, in order to clear the principle of the Morse Fall Scale, hospitalized for continuous monitoring. risk management by root cause analysis. We consider that we should do systemat- to strengthen the nurses in all patients
