Determinants of Harm in Fall Incidents in Hospital Settings With 200 or More Beds in Korea.

IF 1.7 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Youngmi Kang, Eunyoung Hong
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引用次数: 0

Abstract

Objective: Falls are a significant patient safety concern in hospital settings, often resulting in unintended harm. This study aimed to investigate the prevalence and risk factors for falls in Korean hospitals with 200 or more beds, analyzing 13,034 incidents reported to the Korean Patient Safety Reporting and Learning System from 2017 to 2021.

Methods: The level of harm was classified into 3 categories: near-miss, adverse, and sentinel events. Hospital-related factors (hospital type, bed capacity, and location and time of fall incident) and patient-related factors (sex, age group, and admitting medical department) were included in the analysis. χ2 tests were used to evaluate differences in fall severity, and binary logistic regression identified factors associated with harmful incidents.

Results: The study found that harmful falls were more likely to occur in nontertiary hospitals, particularly those with >500 beds, as well as in emergency departments. Furthermore, older female patients and those admitted to the internal medicine department are especially at risk.

Conclusions: Based on the results of this study, especially in nontertiary hospitals with >500 beds, comprehensive strategies for preventing falls, including the promotion of patient safety culture, are needed to reduce fall occurrence and its associated disabilities.

韩国200张及以上床位医院摔倒事故的决定因素
目的:跌倒是医院环境中一个重要的患者安全问题,经常导致意外伤害。该研究旨在分析2017年至2021年韩国患者安全报告和学习系统报告的13034起事件,调查200张以上病床的韩国医院摔倒的发生率和危险因素。方法:将危害程度分为3类:未遂事件、不良事件和前哨事件。医院相关因素(医院类型、床位容量、跌倒事件发生的地点和时间)和患者相关因素(性别、年龄组和入院医疗部门)被纳入分析。采用χ2检验评价跌倒严重程度的差异,采用二元logistic回归确定与有害事件相关的因素。结果:研究发现,有害跌倒更容易发生在非三级医院,特别是那些有500张床位的医院,以及急诊科。此外,老年女性患者和内科住院患者的风险尤其大。结论:根据本研究的结果,特别是在拥有500张床位的非三级医院,需要采取综合策略来预防跌倒,包括促进患者安全文化,以减少跌倒的发生及其相关的残疾。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Patient Safety
Journal of Patient Safety HEALTH CARE SCIENCES & SERVICES-
CiteScore
4.60
自引率
13.60%
发文量
302
期刊介绍: Journal of Patient Safety (ISSN 1549-8417; online ISSN 1549-8425) is dedicated to presenting research advances and field applications in every area of patient safety. While Journal of Patient Safety has a research emphasis, it also publishes articles describing near-miss opportunities, system modifications that are barriers to error, and the impact of regulatory changes on healthcare delivery. This mix of research and real-world findings makes Journal of Patient Safety a valuable resource across the breadth of health professions and from bench to bedside.
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