한국의료질향상학회지 (Quality Improvement in Health Care)

  • 제24권2호
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  • Pages.41-61
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  • 2018
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  • 1225-7613(pISSN)
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  • 2288-078X(eISSN)
한국의료질향상학회 (Korean Society for Quality in Health Care)
권호 표지
DOI QR코드

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낙상위험요인 평가 및 낙상예방활동 임상진료지침

Clinical Practice Guideline for Assessment and Prevention of Falls in Adult People

  • 천자혜 (세브란스병원 적정진료관리팀) ;
  • 김현아 (삼성서울병원 QI실) ;
  • 곽미정 (고려대학교안암병원 적정진료관리팀) ;
  • 김효선 (가톨릭대학교 의정부성모병원 PI팀) ;
  • 박선경 (순천향대학교 부속 부천병원 QI팀) ;
  • 김문숙 (서울대학교병원 간호본부 내과 간호과) ;
  • 최애리 (이화여자대학교 목동병원 QPS센터) ;
  • 황지인 (경희대학교 간호과학대학) ;
  • 김윤숙 (건국대학교병원 적정진료팀)
  • Chun, Ja-Hae (Office of QI, Severance hospital) ;
  • Kim, Hyun-Ah (Office of Quality Innovation, Samsung Medical Center) ;
  • Kwak, Mi-Jeong (Quality Improvement Team, Korea University Anam Hospital) ;
  • Kim, Hyuo-Sun (Performance Improvement Team in Uijeongbu St. Mary's Hospital) ;
  • Park, Sun-Kyung (Department of Quality Improvement, Soon Chun Hyang University Hospital Bucheon) ;
  • Kim, Moon-Sook (Medical Nursing Department, Seoul National University Hospital) ;
  • Choi, Ae-Lee (QPS center, Ewha Womans University Mokdong Hospital) ;
  • Hwang, Jee-In (Kyung Hee University College of Nursing Science) ;
  • Kim, Yoon-Sook (Department of Quality Improvement, Konkuk University Medical Center)
  • 투고 : 2018.11.26
  • 심사 : 2018.12.30
  • 발행 : 2018.12.31
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초록

Purpose: Falls are one of the most frequent health events in medical institutions, however, they can be predicted and prevented. The Quality Improvement Nurse Society clinical practice guideline Steering Committee developed the Clinical Practice Guideline for the assessment and prevention of falls in adult people. The purpose of this study was to assess the risk factors for falls in adults aged 19 years and older, to present an evidence for preventing falls, formulate a recommendations, and indicators for applying the recommendations. Methods: This clinical practice guideline was developed using a 23-step adaptation method according to the Handbook for clinical practice guideline developer (version 1.0) by National Evidence-based Healthcare Collaborating Agency. Evidence levels and recommendation ratings were established in accordance to SIGN 2011 (The Scottish Intercollegiate Guidelines Network). Results: The final 15 recommendations from four domains were derived from experts' advice; 1) assessment of risk factor for falls in adult 2) preventing falls and reducing the risks of falls or falls-related injury 3) management and reassessment after a person falls 4) leadership and culture. Conclusion: This clinical practice guideline can be used as a basis for evaluation and prevention of fall risk factors for adults, to formulate recommendations for fall risk assessment and fall prevention, and to present monitoring indicators for applying the recommendations.

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참고문헌

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