Lessons Learned From Emergency Department Fall Assessment and Prevention Programs.
Lessons Learned From Emergency Department Fall Assessment and Prevention Programs.
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DOI：
10.7759/cureus.16526
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发表时间：
2021-07
期刊：
影响因子：
--
通讯作者：
Liu SW
中科院分区：
文献类型：
--
作者：
Thatphet P;Kayarian FB;Ouchi K;Hogan T;Schumacher JG;Kennedy M;Liu SW
目标 本研究描述了急诊科 (ED) 实施老年秋季计划的经验，并定性地综合了经验教训，为规划新的秋季计划实施的其他 ED 提供信息。方法 通过使用扎根理论，我们对通过有目的的抽样技术招募的急诊医生和老年病服务提供者进行了半结构化、开放式电话/Skype 访谈。访谈由两名调查员转录和审阅。代码已生成并列出，通用概念也随之出现。最后，最终代码被组织成概念和主题，旨在创建强大的编码结构。结果 吸取的主要经验教训是：(1) 了解医院现有的当地环境和资源，(2) 利用冠军和跨学科团队，(3) 承认不同机构之间具体的跌倒评估工具和干预措施差异很大，(4) 参与常规的计划-实施-研究-行动 (PDSA) 周期，以提高跌倒举措的质量，以及 (5) 在跌倒是一种综合症的原则下运作，必须将其纳入老年跌倒患者的多因素医疗需求中。结论 根据我们 ED 跌倒实施先锋的经验教训，在 ED 环境中实施有效的老年跌倒治疗方案非常复杂。了解医院的资源、分配冠军、作为跨学科团队工作、选择适当的秋季评估工具/干预措施以及完成定期的 PDSA 周期，对于计划实施自己的 ED 秋季项目的 ED 项目来说是重要的经验教训。
Objectives This research describes the experiences of emergency departments (EDs) with geriatric fall programs and qualitatively synthesizes lessons learned to inform other EDs planning new fall program implementation. Methods By using grounded theory, we conducted semi-structured, open-ended telephone/skype interviews of emergency physicians and geriatric providers recruited from a purposeful sampling technique. The interviews were transcribed and reviewed by two investigators. The codes were generated and listed, and common concepts emerged. Lastly, the final codes were organized into concepts and themes with the aim to create a strong coding structure. Result The main lessons learned are: (1) understand the hospital’s existing local environment and resources, (2) utilize champions and interdisciplinary teams, (3) acknowledge that specific fall assessment tools and interventions vary widely between institutions, (4) engage in routine plan-do-study-act (PDSA) cycles to improve the quality of fall initiatives, and (5) operate under the principle that falls are a syndrome, which must be incorporated within the multifactorial medical needs of geriatric fall patients. Conclusion Based on the lessons learned from our ED fall implementation pioneers, implementing an effective geriatric fall protocol in an ED setting is complicated. Understanding a hospital’s resources, assigning champions, working as an interdisciplinary team, choosing proper fall assessment tools/interventions, and completing regular PDSA cycles are important lessons for ED programs planning to implement their own ED fall programs.
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影响因子：
6.3
作者：
Florence CS;Bergen G;Atherly A;Burns E;Stevens J;Drake C
通讯作者：
Drake C
影响因子：
3.1
作者：
Tiedemann, Anne;Sherrington, Catherine;Close, Jacqueline C. T.
通讯作者：
Close, Jacqueline C. T.
影响因子：
4.4
作者：
Carpenter, Christopher R.;Scheatzle, Mark D.;Coben, Jeffrey H.
通讯作者：
Coben, Jeffrey H.
影响因子：
2.8
作者：
Koh SS;Manias E;Hutchinson AM;Donath S;Johnston L
通讯作者：
Johnston L
影响因子：
33.9
作者：
Bergen, Gwen;Stevens, Mark R.;Burns, Elizabeth R.
通讯作者：
Burns, Elizabeth R.