I risultati di un progetto di implementazione delle buone pratiche di prevenzione e gestione della caduta in ospedale. (Italian)

Szczegóły
Abstrakt

Tytuł:: I risultati di un progetto di implementazione delle buone pratiche di prevenzione e gestione della caduta in ospedale. (Italian)
Autorzy:: Ivan, Rubbi
Lorenzo, Sciolino
Mongardi, Maria
Temat:: ACCIDENTAL falls
HOSPITAL care
HOSPITALS
MEDICAL protocols
MEDICAL records
SCIENTIFIC observation
RISK assessment
RETROSPECTIVE studies
EVALUATION of human services programs
Alternatywny tytuł:: The results of an implementation project for good practices and management of falls in hospital. (English)
Źródło:: L'Infermiere; 2020, Vol. 57 Issue 3, pe43-e51, 9p, 1 Chart
Abstract (English):: Introduction Fall is the most common adverse event among hospitalized patients. Falling risk assessment through an appropriate and adaptable tool for the hospitalized population constitutes a challenge for organizations. The Emilia Romagna Region has implemented intervention actions through tools for monitoring, event analysis and reporting activities, before and after the implementation of online training courses and the development of specific guidelines on the prevention of falls. Our study evaluates the fall prevention and management interventions of the Companies before (T0) and after the regional interventions (T1). Methods A retrospective observational study was conducted on medical records in public and private companies of the Emilia Romagna Region between 2016-2018, before and after the issue of the guidelines and the consequent training. Results 46 companies were involved, 14 public and 32 private (2400 folders). The instrument used recorded a good internal consistency (α =, 834). T1 showed significant results in attending FAD courses, in environmental, in multifactorial evaluation, in individual interventions and recordings in the files. Remain unsatisfying the additional physiotherapy, the pharmacological evaluation and the use of identifying systems and protecting devices for patients at risk. Conclusions Continuing the commitment with training, consolidating multi-professional assessment, educating and creating alliances with family members and caregivers, encouraging patient mobilization, avoiding architectural barriers, promoting audits, creating and using evidence-based guidelines, are recommended interventions. [ABSTRACT FROM AUTHOR]
: Czasopismo naukowe

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