Fall prevention among psychiatric patients in an Iranian hospital: a best practice implementation project.

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Jbi Evidence Implementation Pub Date : 2024-10-15 DOI:10.1097/XEB.0000000000000467
Neda Kabiri, Mahasti Alizadeh, Fatemeh Ranjbar, Sakineh Hajebrahimi, Hassan Soleimanpour, Khatereh Oladbaniadam, Karim Marjani, Behrouz Amini, Maryam Soleimanpour
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Abstract

Introduction: Falls are the main cause of disability among psychiatric patients, as well as being the most common adverse event in hospitals.

Aim: The aim of this evidence implementation project was to improve fall prevention and management among psychiatric patients in a neurology ward in an Iranian tertiary psychiatric hospital.

Methods: This project used the JBI Evidence Implementation Framework, which recommends an audit, feedback, and re-audit strategy. A baseline audit was conducted to evaluate current fall prevention practices among 50 psychiatric patients and 20 health care professionals. The baseline audit was used to identify gaps in compliance. After the implementation of improvement strategies, a follow-up audit was conducted to measure any changes in practice.

Results: The baseline and follow-up audits revealed that compliance with best practices improved in ward transfer fall risk assessment (Criterion 2: 87% to 90%), patient participation in fall risk assessment (Criterion 3: 95% to 96%), revising patient fall risk status (Criterion 9: 50% to 86%), and person-centered education of health care providers (Criterion 11: 78% to 96%). Other audit criteria remained unchanged. However, for Criterion 6 on patient engagement in goal-setting and treatment planning, compliance dropped from 100% at baseline to 94% at follow-up.

Conclusions: This project successfully increased evidence-based practices regarding fall prevention and management, as well as providing mechanisms for sustaining the practice changes. Future audits are required to further improve outcomes.

Spanish abstract: http://links.lww.com/IJEBH/A267.

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伊朗一家医院精神病患者的跌倒预防:最佳实践实施项目。
简介:跌倒是精神病患者致残的主要原因,也是医院中最常见的不良事件:跌倒是导致精神病患者残疾的主要原因,也是医院中最常见的不良事件。目的:本证据实施项目旨在改善伊朗一家三级精神病医院神经科病房中精神病患者的跌倒预防和管理:该项目采用了 JBI 证据实施框架,该框架建议采用审核、反馈和再审核策略。对 50 名精神病患者和 20 名医护人员进行了基线审计,以评估他们目前的跌倒预防做法。基线审核用于找出合规方面的差距。在实施改进策略后,又进行了一次后续审核,以衡量实践中的任何变化:基线审核和后续审核结果显示,在病房转移跌倒风险评估(标准 2:87% 至 90%)、患者参与跌倒风险评估(标准 3:95% 至 96%)、修改患者跌倒风险状况(标准 9:50% 至 86%)以及医护人员以人为本的教育(标准 11:78% 至 96%)方面,最佳实践的合规性有所提高。其他审核标准保持不变。然而,关于患者参与目标设定和治疗规划的标准 6 的达标率从基线时的 100%下降到了随访时的 94%:该项目成功地增加了有关跌倒预防和管理的循证实践,并提供了持续改变实践的机制。今后还需要进行审计,以进一步提高成果。西班牙文摘要:http://links.lww.com/IJEBH/A267。
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CiteScore
3.20
自引率
13.00%
发文量
23
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