Effect of tracking methodology in the fall prevention management of elderly patients
10.3760/cma.j.issn.1674-2907.2017.34.018
- VernacularTitle:追踪方法学在老年患者防跌倒管理中的应用
- Author:
Hongwen LI
1
;
Jinghua GAO
;
Yuan SUN
;
Shasha LIU
;
Yulian ZHANG
;
Xiaoqing WANG
;
Qian NIU
Author Information
1. 陕西省人民医院老年心内科
- Keywords:
Aged;
Accidental falls;
Tracking methodology
- From:
Chinese Journal of Modern Nursing
2017;23(34):4381-4385
- CountryChina
- Language:Chinese
-
Abstract:
Objective To reduce the incidence of falls in elderly patients and improve the quality of nursing safety using tracing method. Methods The tracking methodology was used to formulate fall prevention system and implement tracking path. The tracking centered on patients with high risk of fall and included three aspects: mastery degree of nurses on fall prevention system, participation degree of patients and the implementation of first class quality control. The comparison of tracking result analysis of two quarters in 2016 helped to find out the main reason of the occurrence of falls in elderly patients, make targeted improvement measures and evaluate the effect. Results After the continuous improvement of using tracking methodology, the scores of inspection results and the mastery degree of all nurses on fall core competence in the second quarter were significantly improved when compared to the first quarter (t=23.18, 17.25;P< 0.01); the incidence of falls decreased from 13 cases (6.5%) in the first quarter to 4 cases (2.0%) in the second quarter, while patients' satisfaction degree increased from 85.5% in the first quarter to 98.5% in the second quarter with statistically significant differences between two quarters (χ2=6.38, 14.72; P< 0.01). Conclusions The application of tracing method can effectively reduce the incidence of falls in elderly patients. The method is beneficial to the long-term management of nursing quality, simple, feasible, easy to use, and worthy promoting.