Application of failure mode and effects analysis in reducing inpatients' fall injury

VernacularTitle:失效模式与效应分析在降低住院患者跌倒伤害率中的应用
Author: Yueqin DAI ¹ ; Youhong JIN ; Ke MIAO ; Sheng YE ; Hongchun FAN ; Xiaodong WU ; Bo CHEN
Author Information

1. 苏州大学附属常熟医院护理部
Keywords: Accidental falls; Failure mode and effects analysis; Safety management
From: Chinese Journal of Modern Nursing 2018;24(33):4022-4026
CountryChina
Language:Chinese
Abstract: Objective To formulate effective safety management method for falls and reduce inpatients' fall occurrence rate and fall injury rate. Methods Setting up a multi-sectoral fall management team and the failure mode and effect analysis (FMEA) was used to form a fall assessment, education, prevention and disposal management system. Taking the inpatients of Changshu Hospital Affiliated to Soochow University from January 2014 to December 2017 as the research object, the incidence and injury rate of falls of inpatients before and after FEMA implementation were compared. Results After implementation, fall occurrence rate reduced from 0.091‰ in 2014 and 2015 to 0.076‰ in 2016 and 2017, however there was no statistical significance (P＞0.05). The rate of injury above Grade 2 caused by falls decreased from 42.86% to 21.25%. The difference was statistically significant (P＜ 0.05). Conclusions Using FEMA quality improvement tools to form a fall management system can effectively reduce the fall injury rate of hospitalized patients.