医院跌倒发生的特点及影响跌倒需要额外医疗护理的因素:基于事故数据库。

IF 1.7 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Journal of Patient Safety Pub Date : 2025-06-01 Epub Date: 2025-03-13 DOI:10.1097/PTS.0000000000001333
A Hiyama
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引用次数: 0

摘要

目的:本研究旨在分析日本各地医院的事故报告,了解医院跌倒发生的特点以及影响跌倒需要额外医疗护理的因素。方法:从日本优质卫生保健委员会医疗未遂/不良事件信息收集项目数据库中收集2012年至2021年医院内发生的跌倒数据。采用二项logistic回归分析(减变量法、似然比),以是否需要额外医疗服务为因变量。结果:在2012年至2021年间发生的所有跌倒中,78.9%需要额外的医疗护理。其中,758人报告了不可逆转的残疾,57人报告了死亡。大多数跌倒发生在病房或走廊。骨科和精神科是发生跌倒最常见的科室。步态障碍和痴呆/健忘症是跌倒前最常见的状况。工作日(优势比=1.151)、早晨(优势比=1.117)和两班倒工作制(优势比=1.261)是跌倒需要额外医疗护理的决定因素。结论:在日本医院需要额外护理的跌倒更有可能发生在工作日和早晨。人员配备条件,而不是经验的月份和前一周的工作时间,决定了需要额外医疗护理的跌倒。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Characteristics of Fall Occurrence in Hospitals and the Factors Influencing Falls That Require Additional Medical Care: Based on an Accident Database.

Objective: This study aimed to analyze accident reports of hospitals across Japan, and identify the characteristics of fall occurrence in hospitals and the factors influencing falls that require additional medical care.

Methods: Data on falls that occurred inside hospitals between 2012 and 2021 were collected from the Project to Collect Medical Near-Miss/Adverse Event Information database of the Japan Council for Quality Health Care. The data were analyzed using binomial logistic regression analysis (the reduced variable method, likelihood ratio) with the requirement/nonrequirement of additional medical care as the dependent variable.

Results: Out of all falls that occurred between 2012 and 2021, 78.9% required additional medical care. Of these, 758 reported irreversible disability, and 57 reported deaths. Most falls occur in the hospital room or corridor. The orthopedic surgery and psychiatry departments were the most common departments associated with fall occurrence. Gait disturbance and dementia/amnesia were the most common conditions prevailing before the fall. Weekdays (odds ratio=1.151), mornings (odds ratio=1.117), and two-shift work schedules (odds ratio=1.261) were the determinants of falls requiring additional medical care.

Conclusions: Falls requiring additional care in Japanese hospitals were more likely to occur on weekdays and mornings. Staffing conditions, rather than months of experience and hours worked the week before, determined falls requiring additional medical care.

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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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