ED PATIENT FALLS AND RESULTING INJURIES
ED PATIENT FALLS AND RESULTING INJURIES
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DOI：
10.1016/j.jen.2008.01.004
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发表时间：
2009-03-01
影响因子：
1.7
通讯作者：
Ross, Mary J.
中科院分区：
文献类型：
--
作者：
Terrell, Kevin M.;Weaver, Christopher S.;Ross, Mary J.
引言：患者跌倒福尔斯是医院报告的最常见不良事件。关于住院福尔斯的文献越来越多，但缺乏关于艾德福尔斯的数据。我们应用亨德里克二跌倒风险模型的病人谁下跌期间，他们的艾德stays.Methods的病人和他们的描述：我们回顾性地审查了所有患者的医疗记录下降在急诊科在2年的时间。我们收集了Hendrich II跌倒风险模型中用于高风险跌倒识别的8个评估参数。我们还收集了受试者的特点，周围的情况下的福尔斯，下降相关的伤害，和艾德disposition.Results：五十七福尔斯记录，代表率为0.288福尔斯每1000名患者就诊。平均年龄为50岁，中位数为48.67%为男性。21例受试者具有Hendrich II模型，评分为5或更高，代表灵敏度为37.5%。11名受试者（19.6%）酒精中毒。11名受试者（19.6%）在跌倒前接受了潜在的镇静药物。36例受试者（64.3%）在其艾德病房跌倒。6例受试者（10.7%）在洗手间跌倒。三个福尔斯（5.4%）导致撕裂伤和2个福尔斯（3.6%）导致hematomas.Discussion：亨德里克II跌倒风险模型可能无法可靠地识别患者在艾德设置的高风险下降。可能有必要制定一个急诊部门特定的跌倒模型，考虑其他因素，如中毒和接受潜在的镇静药物。
Introduction: Patient falls are the most common adverse events reported in hospitals. There is a growing body of literature on inpatient falls but a lack of data on ED falls. We applied the Hendrich II Fall Risk Model to patients who fell during their ED stays and provided a description of the patients and their injuries.Methods: We retrospectively reviewed the medical records of all patients who fall in the emergency department during a 2-year period. We collected the 8 assessment parameters for high-risk fall identification in the Hendrich II Fall Risk Model. We also collected subject characteristics, circumstances surrounding the falls, fall-related injuries, and ED disposition.Results: Fifty-seven falls were recorded, representing a rate of 0.288 falls per 1000 patient visits. The average age was 50 years, and a median of 48.67% were men. Twenty-one subjects had a Hendrich II Model,score of 5 of greater, which represents a sensitivity of 37.5%. Eleven subjects (19.6%) were intoxicated with alcohol. Eleven subjects (19.6%) received a potentially sedating medication prior to the fall. Thirty-six subjects (64.3%) fell in their ED rooms. Six subjects (10.7%) fell in the restroom. Three falls (5.4%) resulted in lacerations and 2 falls (3.6%) resulted in hematomas.Discussion: The Hendrich II Fall Risk Model may not reliably identify patients at high risk of falling in the ED setting. It may be necessary to develop an emergency department-specific fall model considering additional factors, such as intoxication and receipt of potentially sedating medications.