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Impact of a fall prevention program in the Internal Medicine wards of a tertiary care university hospital

机译:预防跌倒计划对三级大学医院内科病房的影响

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摘要

Objective: To determine whether a falls prevention program reduces the incidence of falls within a hospital.udMaterials and methods: Each patient admitted to the Internal Medicine ward was classiied into a risk category (high, medium, low) according to the scale of J.H. Downton, and then various general and speciic measures were applied by risk group. Interventions included appointments, teaching materials, and training of medical staff and family. Furthermore, a registration systemudwas developed that allowed adverse event fe edback to the program and identiicat ion of the causes of the fall. The SPSS version 20.0 was used for the data analysis. Descriptive analysis was used for quantitative variables, and qualitative variables were expressed as proportions. To compare the rate of pre- and post-program implementation falls, x 2 was used, with a  = 0.05uddetermining a signiicant statistical value. Results: Since the implementation of the program, the rate of falls per 1000 days/patient decreased from 1.9 in 2007 to 0.67 in the period 2008-2013, representing a decrease of the rate of falls of up to 70%, with a statistically signiicant difference (P=.02). Conclusions: The implementation of a falls prevention program is an effective tool and reduces the rate and complications associated with them.
机译:目的和方法:根据J.H.J.H.的量表,将每位入院内科病房的患者分为危险类别(高,中,低)。唐顿,然后按风险组采用各种常规和特殊措施。干预措施包括任命,教材和对医务人员及家庭的培训。此外,开发了一种注册系统,可以使不良事件反馈到程序中并确定跌倒的原因。使用SPSS 20.0版进行数据分析。描述性分析用于定量变量,定性变量表示为比例。为了比较计划实施前后的下降率,使用了x 2,其中= 0.05 udre确定了重要的统计值。结果:自该计划实施以来,每1000天/患者的跌倒率从2007年的1.9下降到2008-2013年期间的0.67,降幅高达70%,具有统计学意义差异(P = .02)。结论:跌倒预防计划的实施是一种有效的工具,可以减少与之相关的发生率和并发症。

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