Abstract：Objective To analysis the potential causes of hospitalized patients fall and to discuss the corresponding nursing strategy. Methods Clinical data of 50 patients who fell off during hospitalization were retrospectively analyzed. Root cause analysis method was used to investigate the potential causes of hospitalized patient fall. Results In 50 cases of hospitalized patient fall, malignant tumor, cerebral infarction and chronic obstructive pulmonary disease were main primary disease, accounting for 24.0%, 18.0% and 10.0% respectively. The main reason of fall down was disease issues (64.0%), followed by insufficient health education (56.0%), lacking awareness of accompanying by family members (54.0%). Occurrence of fall down was more likely happened in patients aged over 60 (68.0%), and in clinical ward (58.0%) and toilet (22.0%). Falls happened mainly during 14:00-16:00, 06:00-08:00 and 20:00-22:00, accounting for 18.0%、12.0% and 12.0% respectively. Conclusion It is suggested to carry out measures such as enhancement of training, proper allocation of nursing manpower, health education on patients and family members, environmental safety, in order to reduce the risk of fall of in hospitalized patients.
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