頁籤選單縮合
題名 | 某區域教學醫院藥物與跌倒相關性評估與預防=Assessment and Prevention of Fall-alert Medications in a Regional Teaching Hospital |
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作者姓名(中文) | 林旭志; 張秀芳; 劉彥吟; 陳子殷; 鄭清連; 吳錦生; 莊峻毅; | 書刊名 | 健康與照顧科學學刊 |
卷期 | 2:1 2014.04[民103.04] |
頁次 | 頁1-12 |
分類號 | 419.38 |
關鍵詞 | 跌倒事件; 病人安全通報; 致跌倒警示藥品; 用藥安全; Fall events; Patient Safety Alert; Fall-alert medications; Drug safety; |
語文 | 中文(Chinese) |
中文摘要 | 目的:針對住院病患跌倒事件做探討,評估跌倒與藥物之相關性,並建立預防機制,降低病患跌倒之發生率。 方法:以中部某區域教學醫院「病人安全通報」的跌倒事件為研究對象,採用回溯性分析的方式來收集、整合與分析收案之跌倒案件。 結果:收集從2010年8月至2011年7月住院病患跌倒事件共26件,以大於60歲為主(76.9%);以女性為主(57.7%);以內科居多(46.2%);跌倒時無家人陪伴者(34.6%);因藥物導致病患跌倒者(61.5%),其藥理分類以鎮靜安眠劑10件(62.5%)及降血壓劑5件(32.3%)為主。 結論:藥物確實是導致病患跌倒的危險因子之ㄧ,且特定藥理類別之藥品是導致跌倒的高風險因素。為降低跌倒事件之發生,研究醫院特別檢視,並列出易致病患跌倒藥物清單,標示為「致跌倒警示藥品」,且在藥袋上加印註記,提醒藥師適時提供致跌倒藥品的用藥指導,以提升病患對致跌倒藥品的認知。而為提升臨床用藥安全,未來有必要於院內資訊系統建立醫囑警視畫面,以提醒醫護理人員預防病患因使用藥物導致跌倒事件發生。 |
英文摘要 | Objectives: We aimed at the fall events of inpatient patients to assess the correlation between fall and medications, and established preventive mechanisms to reduce the incidence rate of fall events. Methods: This study was implemented according to "Patient Safety Alert" in the fall events of a Regional Teaching Hospital. We collected the fall events and applied a retrospective analysis to assess age, sex of patients, and medical departments, fall related factors and other factors that could cause fall, respectively. Results: From the "Patient Safety Alert" notified 26 fall cases, we found that the fall events were frequently occurred in the elderly (over 60 years old), accounting for 76.9%; major in women, 57.7%; mostly in Department of Internal Medicine, 46.2%; fall when no family accompanied, 34.6%; medications lead to fall, 61.5%, and the major pharmacological classification is 10 sedative-hypnotic agents (62.5%) and 5 antihypertensive agents (32.3%). Conclusions: The results showed that medications are indeed a risk factor and specific pharmacological categories are high risk factor leading to fall. In order to reduce the incidence rate of fall events due to side-effects of drugs, medications were viewed in a particularly way by the Department of Pharmacy and made a list of easily-induced-fall drugs, labeled as "Fall-Alert Medications" to provide the reference for nurses; and marked the label on the drug bag to remind pharmacists provide timely guidance to improve patients’ cognition on the easily-induced-fall drugs. In order to promote the clinical drug safety, we plan to set up a medical advice in our hospital information system as the screen warning in the future to remind physicians and nurses to prevent fall events due to medications. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。