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目的:探讨住院患者跌倒及跌倒致伤的相关因素,寻找防范住院患者跌倒的发生方法。方法:总结分析2014年1月至12月14例院内跌倒的患者不良事件报告,对跌倒后果严重的案例及时采用RCA的方法进行分析及采取相应对策进行干预。结果:跌倒不良事件与患者年老体弱、服用药物无主动动态评估、患者及家属依从性不高,护理人员配备不足有关。结论:应加强对高风险跌倒病例跌倒评估,重视用药期间的相关注意事项,提高患者及家属依从性,对住院患者跌倒的原因进行分析及提前干预处理,防微杜渐,防止不良事件的发生,确保患者安全。
Objective: To investigate the related factors of falls and falls in hospitalized patients and to find ways to prevent falls in inpatients. Methods: A total of 14 cases of adverse events reported in hospital from January 2014 to December 2014 were analyzed retrospectively. RCA was used to analyze the cases of serious falls and interventions were made accordingly. Results: Adverse events were related to the frailty of patients, the lack of active and dynamic assessment of taking drugs, the low follow-up of patients and their families, and the inadequate nursing staff. Conclusion: It is necessary to strengthen the evaluation of falls in cases of high-risk falls, pay attention to the matters needing attention during the treatment, improve the compliance of patients and their dependents, analyze the causes of falls in hospitalized patients and prevent them from happening prematurely, prevent the occurrence of adverse events, Safety.