Title: Retrospective analysis of patient falls as a basis for evidence - based practice
Authors: Horová, Jana
Brabcová, Iva
Müllerová, Nina
Citation: HOROVÁ, J., BRABCOVÁ, I., MÜLLEROVÁ, N. Retrospective analysis of patient falls as a basis for evidence - based practice. Journal of Nursing, Social Studies, Public Health and Rehabilitation, 2018, roč. 9, č. 3-4, s. 111-120. ISSN 1804-1868.
Issue Date: 2018
Publisher: University of South Bohemia in České Budějovice
Document type: článek
URI: http://hdl.handle.net/11025/31170
ISSN: 1804-1868
Keywords in different language: Adverse event;Evidence-based practice;Fall;Hospital;Patient;Retrospective analysis
Abstract in different language: Abstract Aims: The aim of this work was to perform a five-year retrospective analysis of patient falls at the Regional University Hospital, as a basis for preventive programme implementation based on the evidence-based practice. Methods: The obtained data were processed by quantitative research methods. Descriptive statistics were obtained from patient fall report forms that were completed mandatorily over a five-year period. In the next phase, data correlation was performed, and areas in which the preventive anti-fall programmes are performed were determined at the significance level of 5%. The Stata of version 13 was used. The SPSS Answer Tree of version 3.1 was used to identify risk groups. Results: The Regional University Hospital is one of the largest healthcare facilities in the Czech Republic, with 1,729 beds and 4,480 employees. The analysis included a total of 2,280 patient falls that occurred over the fiveyear period. The data obtained by the descriptive statistics were correlated with the fall-risk area (chi-squared test). The statistically significant relationships seemed to be: year of monitoring, department, type of ward, age, mental condition, medication use, antipsychotics, cardiovascular drugs, diuretics, medication category, circumstances of fall, patient cooperation, patient mobility and post-fall development. Conclusion: The processing of patient fall incidence information as one of the most common adverse events in a hospital is relevant for national and transnational comparison. It may be an inspirational incentive for a more effective programme to prevent falls and fall-related injuries in other healthcare facilities.
Rights: Plný text není přístupný.
© University of South Bohemia in České Budějovice
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