Application of root cause analysis in falling of hospitalized elderly patients
10.3760/cma.j.issn.1672-7088.2015.13.012
- VernacularTitle:根本原因分析在住院老年患者跌倒中的应用
- Author:
Shu ZHANG
;
Dongwen ZHOU
- Publication Type:Journal Article
- Keywords:
Inpatients;
Aged;
Accidental falls;
Root cause analysis
- From:
Chinese Journal of Practical Nursing
2015;31(13):977-979
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the falling events using root cause analysis (RCA) in hospitalized elderly patients in order to supply theoretic reference for precaution of falling events.Methods RCA method was used to analyze the root cause against 62 cases of nursing adverse events of hospitalized elderly patients' falling.Results Hospitalized elderly patients' falling is related to various factors such as body,disease,medicine,psychology,environment and so on.The root cause lied in the elderly' physical function decline,risk factors of external environment,unfulfilled health education,and lack of the care and support system for the elderly,among which cerebral infarction belonging to the disease factors accounted for 22.58％ (14/62),which was the highest;next was senile dementia [20.97％ (13/62)].The rates of agents against psychiatric disorders belonging to the medicine factors and no braking of bed pulley and no use of blister light belonging to environmental factors were the lowest,all were 3.23％ (2/62).Conclusions The falling reason of elderly inpatients can be found out by RCA in order to attain the purpose of improving procedure and prevention in advance.
