Quality Improvement in Health Care (한국의료질향상학회지)

Korean Society for Quality in Health Care (한국의료질향상학회)
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Incidence of Falls and Risk Factors of Falls in Inpatients

입원환자의 낙상 실태 및 위험요인 조사연구

  • Yoon, Soo-Jin (Office of Quality Management, National Health Insurance Service Ilsan Hospital) ;
  • Lee, Chun-Kyon (Office of Quality Management, National Health Insurance Service Ilsan Hospital) ;
  • Jin, In-Sun (Department of Nursing, National Health Insurance Service Ilsan Hospital) ;
  • Kang, Jung-Gu (Department of Surgery, National Health Insurance Service Ilsan Hospital)
  • 윤수진 (국민건강보험 일산병원 적정진료실) ;
  • 이천균 (국민건강보험 일산병원 적정진료실) ;
  • 진인선 (국민건강보험 일산병원 간호부) ;
  • 강중구 (국민건강보험 일산병원 외과)
  • Received : 2018.09.27
  • Accepted : 2018.12.30
  • Published : 2018.12.31
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Abstract

Purpose: The objective of this study was to report the incidence of falls in hospitals and analyze the risk factors for falls. Methods: This study used data on 1,216 patients who experienced falls from 2015 to 2017 during their hospitalization. The data was collected from the falls incident reports and patient' electronic medical record of hospital. Data were analyzed with descriptive statistics using Chi-square test, Fisher's exact test and multiple Poisson regression analysis with the SAS 9.4 Results: The incidence of falls was 1.38 per 1,000 patients days (2015), 1.81 per 1,000patients days (2016) and 1.99 per 1,000patients days (2017). The incidence of injury caused by falls (level III~V) was 0.05 per 1,000patients days (2015), 0.04 per 1,000patients days (2016) and 0.06 per 1,000patients days (2017). The largest number of falls occurred during night shift (42.5%), specifically in the patients' room (70.8%), and medical unit (66.0%). Average age of fallers was 69.1 years and 61.7% of them were older than 71 years. CCI and the patient's department have statistically significant differences in injury or injury levels from falls, but the integrated nursing care services had no significant difference in injury or injury levels from falls. Conclusion: The result of this study can be used as a reference for establishing a fall prevention strategy for hospitalized patients by presenting index values such as the fall rate.

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References

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