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对6例跌倒不良事件的回顾性原因分析

Retrospective cause analysis for the causes of 6 adverse events
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摘要 目的:探讨康复专科医院康复期住院患者预防跌倒的原因及对策。方法:采用回顾性原因分析法(retrospective cause analysis method,RCA),收集我院2018年7月至2019年6月发生的6例跌倒事件,查找流程中的缺点及存在风险并加以改进。结果:住院康复患者跌倒受多因素的影响,尤其是年老、多疾病、陪护人员意识不强及防护知识缺乏等。结论:通过RCA对跌倒进行查漏洞、找根因,可不断提高临床护理人员的跌倒相关知识及预见性防范能力等;也为护理管理者做好持续改进、制订相应策略提供依据。 Objective:To explore the causes and countermeasures of preventing falls in patients in rehabilitation hospitals.Methods:The retrospective cause analysis method(RCA)was used to collect 6 cases of falls occurred in our hospital from July 2018 to June 2019,and to find the shortcomings and risks in the process and improve them.Results:The fall of hospitalized convalescent patients is affected by multiple factors,especially old age,multiple diseases,weak consciousness of accompanying staff and lack of protective knowledge.Conclusions:Through RCA,we can check the loopholes and find the root cause of falls,so as to improve the knowledge and predictive ability of clinical nurses.It also provides the basis for nursing managers to make continuous improvement and formulate corresponding strategies.
作者 罗东梅 容洁 黄红梅 LUO Dong-mei;RONG Jie(Guangdong first disabled soldiers hospital Guangzhou Guangdong 510260,China)
出处 《医学食疗与健康》 2021年第7期210-212,共3页 Medical Diet and Health
关键词 康复期住院患者 跌倒 防范对策 Convalescent inpatients Fall Prevention countermeasures
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