- Volume 24 Issue 1
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A Study on Environment, Care Process, and Patient-related Factors Associated with Patient Falls - A Retrospective Study of Inpatient Falls in the Unit of General Medicine in the United States
환자낙상에 영향을 주는 환경, 의료과정, 그리고 환자 관련 요소에 관한 연구 - 미국의 일반내과병동 환자낙상 데이터 분석을 통한 후향성 연구
- Choi, Young-Seon (Department of Architecture, Kyungil University)
- Received : 2018.01.15
- Accepted : 2018.02.05
- Published : 2018.03.15
Purpose: The main objective of this paper is, to assess environment, care process, and patient-related factors associated with patient falls. The study also aims at identifying various factors that would affect inpatient falls and, therefore, helping both caregivers and designers contribute to better prevent inpatient falls in their own areas of expertise. Methods: A retrospective analysis of inpatient falls that occurred in the unit of General Medicine in the United States has been conducted and environment, care process, patient-related factors associated with those falls have been analyzed at the same time. Results: The study identified several factors associated with inpatient falls. They range from environmental factors to care process- and patient-related factors. Patient visibility and patient accessibility can matter to patient falls and where those falls occur, along with patient days per room, the percentage of patient days with high fall risk patients per room, the percentage of high fall risk patients per room. Implications: The findings of the study can provide design implications that can be incorporated into design process and design decisions to promote fall prevention in inpatient care units. Inpatient falls can be effectively reduced when caregivers and designers work together to understand the complex nature of inpatient falls and the importance of multidisplinary efforts among various experts in the areas of healthcare.
Supported by : 한국연구재단
- Choi, Mi Ra, 2016. "환자 안전사고 중 '낙상사고' 가장 많아" http://www.healthfocus.co.kr/news/articleView.html?idxno=61718
- Choi, Y. (2011). The Physical Environment and Patient Safety: An Investigation of Physical Environmental Factors Associated with Patient Falls. Doctoral Dissertation. Georgia Institute of Technology.
- Fonda, D., Cook, J., Sandler, V. & Bailey, M. (2006) Sustained reduction in serious fall-related injuries in older people in hospital. Medical Journal of Australia, 184(8), 379-382.
- Healey, F., Scobie, S., Oliver, D., Pryce, A., Thomson, R. & Glampson, B. (2008) Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. Quality & Safety in Health Care, 17(6), 424-430. https://doi.org/10.1136/qshc.2007.024695
- Hendrich, A.L., Fay, J. & Sorrells, A.K. (2004) Effects of acuity-adaptable rooms on flow of patients and delivery of care. American Journal of Critical Care, 13(1), 35-45.
- Hitcho, E.B., Krauss, M.J., Birge, S., Claiborne Dunagan, W., Fischer, I., Johnson, S., Nast, P.A., Costantinou, E. & Fraser, V.J. (2004) Characteristics and circumstances of falls in a hospital setting: a prospective analysis. Journal of General Internal Medicine: Official Journal of the Society for Research and Education in Primary Care Internal Medicine, 19(7), 732-739. https://doi.org/10.1111/j.1525-1497.2004.30387.x
- Oliver, D., Daly, F., Martin, F.C. & McMurdo, M.E.T. (2004) Risk factors and risk assessment tools for falls in hospital in-patients: a systematic review. Age and Ageing, 33(2), 122-130 https://doi.org/10.1093/ageing/afh017
- The Joint Commission (2005a) Defining the problem of falls. In Reducing the risk of falls in your health care organization. The Joint Commission, Oakbrook Terrace, IL, 13-17.
- The Joint Commission (2005b) Strategies for addressing the root causes of falls. In Reducing the risk of falls in your health care organization. The Joint Commission, Oakbrook Terrace, IL, 29-50.
- Tzeng, H.M. & Yin, C.Y. (2008) The extrinsic risk factors for inpatient falls in hospital patient rooms. Journal of Nursing Care Quality, 23(3), 233-241. https://doi.org/10.1097/01.NCQ.0000324588.91837.84
- Vassallo, M., Azeem, T., Pirwani, M.F., Sharma, J.C. & Allen, S.C. (2000) An epidemiological study of falls on integrated general medical wards. International Journal of Clinical Practice, 54(10), 654-657.
- Williams, T.A., King, G., Hill, A.M., Rajagopal, M., Barnes, T., Basu, A., Pascoe, G., Birkett, K. & Kidd, H. (2007) Evaluation of a falls prevention programme in an acute tertiary care hospital. Journal of Clinical Nursing, 16(2), 316-324. https://doi.org/10.1111/j.1365-2702.2005.01410.x