Fall prevention among adult surgical patients in Tabriz, Iran: a best practice implementation project.

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Jbi Evidence Implementation Pub Date : 2024-10-18 DOI:10.1097/XEB.0000000000000477
Mehdi Nouri, Amin Talebpour, Sakineh Hajebrahimi, Zohreh Rezaei, Fatemeh Rahmati, Robab Mehdipour
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Abstract

Introduction: Falling out of bed is the most common unintentional cause of injury among patients and is a major safety problem in health care facilities. Current practices for fall prevention may not always be aligned with established best practices, leading to variability in patient outcomes. This uncertainty underscores the need to assess and improve compliance with best practice guidelines for fall prevention.

Objectives: This project aimed to improve fall prevention in the surgical ward of a general hospital in Tabriz, Iran.

Methods: This study was guided by the JBI Evidence Implementation Framework. A baseline audit was conducted using eleven audit criteria representing best practices for fall prevention. After the implementation of improvement strategies, a follow-up audit was conducted to evaluate changes in practice.

Results: The results revealed significant improvements, notably, fall risk assessment upon admission (87% to 92%), fall risk assessment upon ward transfer (39% to 79%), patient participation in fall risk assessment (26% to 68%), reassessment upon change in condition (53% to 74%), communicating fall prevention information to at-risk patients and their families/caregivers (42% to 63%), engagement of patients (100% to 100%), implementation of targeted strategies (89% to 92%), post-fall assessment and interventions (82% to 87%), revising patient fall risk status and reviewing care management plan (41% to 74%), fall prevention information to patients and their families/caregivers upon discharge (44% to 66%), and person-centered education of health care professionals (77% to 81%).

Conclusion: The use of standard clinical audit tools in hospitals can improve the quality of patient care and increase the effectiveness of interventions by identifying weaknesses in the patient care process.

Spanish abstract: http://links.lww.com/IJEBH/A283.

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伊朗大不里士成人手术患者的跌倒预防:最佳实践实施项目。
简介从床上摔下是导致病人意外受伤的最常见原因,也是医疗机构的一个主要安全问题。目前预防跌倒的做法可能并不总是与既定的最佳做法保持一致,从而导致患者的治疗效果参差不齐。这种不确定性凸显了评估和改进预防跌倒最佳实践指南合规性的必要性:本项目旨在改善伊朗大不里士一家综合医院外科病房的跌倒预防工作:本研究以 JBI 证据实施框架为指导。方法:该研究以 JBI 证据实施框架为指导,采用代表预防跌倒最佳实践的 11 项审计标准进行了基线审计。在实施改进策略后,进行了后续审核,以评估实践中的变化:结果显示,在入院时进行跌倒风险评估(从 87% 提高到 92%)、病房转移时进行跌倒风险评估(从 39% 提高到 79%)、患者参与跌倒风险评估(从 26% 提高到 68%)、病情变化时进行重新评估(从 53% 提高到 74%)、向高危患者及其家属/护理人员传达预防跌倒信息(从 42% 提高到 63%)等方面均有明显改善、患者参与(100% 至 100%)、实施有针对性的策略(89% 至 92%)、跌倒后评估和干预(82% 至 87%)、修订患者跌倒风险状况并审查护理管理计划(41% 至 74%)、出院时向患者及其家属/护理人员提供跌倒预防信息(44% 至 66%),以及对医护人员开展以人为本的教育(77% 至 81%)。结论在医院中使用标准临床审计工具可以提高患者护理质量,并通过发现患者护理过程中的薄弱环节来提高干预措施的有效性。西班牙文摘要:http://links.lww.com/IJEBH/A283。
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CiteScore
3.20
自引率
13.00%
发文量
23
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