An information-based collaborative special improvement management model for reduction of falls of inpatient,hospital-acquired pressure injury and unplanned extubation in inpatients
10.3969/j.issn.1671-8283.2025.08.009
- VernacularTitle:信息化联合专项改进管理模式降低住院患者跌倒、压力性损伤、非计划拔管发生率的研究
- Author:
Zhongyi YANG
1
;
Chaoyan XU
;
Tingting ZHENG
;
Qian ZHOU
;
Lijing HU
Author Information
1. 中山大学附属第一医院 护理部,广东 广州,510080
- Publication Type:Journal Article
- Keywords:
information technology;
special improvement management;
adverse events;
falls;
pressure injury;
unplanned extubation;
critical value;
nursing management
- From:
Modern Clinical Nursing
2025;24(8):60-67
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of an information-based collaborative special improvement management model in reducing the incidences of falls,hospital-acquired pressure injuries(HAPI)and unplanned extubation among inpatients,hence to offer an effective management strategy.Methods This before-after controlled study included 779,249 inpatients from 1st January,2018 to 31st December,2023.A total 360,484 inpatients were assigned to the pre-implementation group(January 2018-December 2020)and received conventional nursing safety management,while 418,765 inpatients were assigned to the post-implementation group(January 2021-December 2023)and managed with an information-based collaborative special improvement management model.The two groups were compared with total incidence of nursing-related adverse events,rates of falls,HAPI,and unplanned extubation.Results In comparison with the pre-implementation group,the post-implementation group showed significant reductions in rates of total nursing-related adverse event(from 0.0960%to 0.0602%,P<0.01),HAPI(all unavoidable pressure injury)(from 0.0122%to 0.0050%,P<0.01),and unplanned extubation(from 0.0584‰ to 0.0297‰,P<0.01).Falling rate decreased from 0.0267‰ to 0.0263‰,but without significantly different(P>0.05).All four indicators demonstrated an annually downward trends after implementation of the information-based collaborative special improvement management model.Conclusion The information-based collaborative special improvement management model effectively reduces major nursing-related adverse events and enhances the safety of inpatient.
