Development of a comprehensive fall prevention IT (information technology) system for elderly patients

1.跌倒风险评估工具的开发：比较跌倒风险测量的所有因素在跌倒频率方面的差异，并编制了一份风险评估检查表，其中包含9项内容：跌倒史、步态障碍、行走辅助工具的使用、症状、精神病表现、定向力受损、走神、排泄障碍和内科。2.分析一年来的所有报告，并使用该评估工具，如何通过护理工作来预防跌倒得到了验证。研究方法：对2004-04/2005-03提交的519篇秋季报告进行分析。根据该工具的评估，在总分为3分(高危)的患者中，有99例跌倒。第二高频率为97例，得分为4分(高危)。然而，即使在0分(无风险)的患者中，也有多达47例。3.预防跌倒护理标准：从跌倒风险评估工具的项目中制定一个预防护理标准，并在医院的每个病房中使用。4.开发可结合医院新工作系统的综合预防跌倒IT(信息技术)系统，并将于明年开始运行。

The fall prevention study was conducted with the cooperation of the University of Hamamatsu School of Medicine Hospital and patients.1.The development of the fall risk assessment tool :All the factors of fall risk measurement were compared in terms of fall frequency, and a checklist for risk assessment was developed with nine items : "Fall history", "Gait disorder", "Use of walking assistance tool", "Symptoms", "Psychotic manifestation", "Impaired orientation", "Wandering", "Excretion trouble", and "Internal medicine"2.Fall reports over a one-year period were analyzed, and using the assessment tool, how falls could be prevented by working on nursing care was verified. Research Method : The 519 fall reports submitted from April 2004 to March 2005 were analyzed. There were 99 cases of falling among the patients who obtained a total of 3 points (high risk), as assessed by the tool. The next highest frequency, 97 cases, was among those with 4 points (high risk). However, even among patients with 0 points (no risk), there were as many as 47 cases. Compared with the previous year, the number of multiple fall cases decreased.3.The fall prevention care standard : A prevention care standard was developed from the items of the fall risk assessment tool, and both were used in each ward of the hospital.4.Development of comprehensive fall prevention IT (information technology) system which will be able to being combined hospital new work system was established and we will be able to start to operate it next year.