CalNOC Partners to Reduce Patient Falls Project

CalNOC 合作减少患者跌倒项目

• 批准号: 6617671
• 负责人: NANCY E DONALDSON
• 金额: $ 9.9万
• 依托单位: ASSOCIATION OF CALIFORNIA NURSE LEADERS
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2006-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6617671
• 关键词: Internet; accidental falls; clinical research; computer system design /evaluation; cooperative study; data collection; health service demonstration project; health services research tag; human subject; injury prevention; nurse performance; nursing care evaluation; nursing care quality; nursing intervention; patient /disease registry; patient care management; patient safety /medical error

The primary aim of the CalNOC Partners for Quality TRIP To Reduce Patient Falls Project, a four-year quality improvement demonstration project, is to use evidence from the reported literature and the California Nursing Outcomes Coalition statewide repository to reduce the incidence of patient falls and severity of fall-related injury in California Hospitals. The proposed project builds on the established infrastructure and capacity of the California Nursing Outcomes Coalition (CalNOC). CalNOC engages California acute care hospitals in voluntarily reporting standardized nurse staffing, patient fail, and fall-related injuries, as well as other quality indicators, in a collaborative repository development and benchmarking project using American Nurses Association's quality indicators. CalNOC, described in pubications that are presented in Appendix A (Donaldson, Brown, Aydin & Burnes Bolton, 2001; Brown, Donaldson, Aydin, & Carlson, 2001), is the largest of the American Nurse's Association (ANA) nursing quality measurement research and development projects and a major contributor of data to the ANA's National Database for Nursing Quality Indicators (NDNQI). The proposed demonstration project expands and advances CaINOC's efforts to use its quality benchmarking infrastructure as a vibrant network to expedite the transfer of evidence-based knowledge into practice as the basis for improving patient care quality and safety. Reducing patient falls in acute care hospitals in California may be viewed as a first step in reducing patient falls nationally. Analysis of the quarters of CalNOC prospective hospital-generated patient falls risk assessment, incidence, and injury data reveals wide variation in fall rates, ranging from less than 1.0 to 13.0+ per 1,000 patient days and nearly 50% of patients with unknown or undocumented risk assessment status. A majority of CalNOC sites (76%) report using "home grown" fall risk assessment tools with unknown predictive validity. We believe these findings may be representative of processes of care nationwide and present a clear professional mandate to reduce patient fails in acute care hospitals by translating evidence-based knowledge of fails risk assessment and the efficacy of fall prevention interventions into nursing practice.

CalNOC 质量旅行合作伙伴减少患者跌倒项目是一个为期四年的质量改进示范项目，其主要目标是利用报告文献和加州护理成果联盟全州存储库中的证据来减少加州医院患者跌倒的发生率和跌倒相关伤害的严重程度。拟议的项目建立在加州护理成果联盟 (CalNOC) 现有的基础设施和能力的基础上。 CalNOC 与加州急症护理医院合作，在使用美国标准的协作存储库开发和基准测试项目中，自愿报告标准化护士人员配置、患者失败和跌倒相关伤害以及其他质量指标。 护士协会的质量指标。 CalNOC 在附录 A 的出版物中进行了描述（Donaldson、Brown、Aydin 和 Burnes Bolton，2001 年；Brown、Donaldson、Aydin 和 Carlson，2001 年），它是美国护士协会 (ANA) 最大的护理质量测量研究和开发项目，也是 ANA 国家护理质量指标数据库 (NDNQI) 数据的主要贡献者。拟议的示范项目扩大并推进了 CaINOC 的努力，利用其质量基准基础设施作为一个充满活力的网络，以加快将基于证据的知识转化为实践。 为提高患者护理质量和安全奠定基础。 减少加利福尼亚州急症护理医院的患者跌倒可能被视为减少全国患者跌倒的第一步。对 CalNOC 前瞻性医院生成的患者跌倒风险评估、发生率和伤害数据的分析显示，跌倒率差异很大，从每 1,000 个患者日不到 1.0 到 13.0+不等，并且近 50% 的患者具有未知或未记录的风险评估状态。大多数 CalNOC 站点 (76%) 报告使用“自制”跌倒风险评估工具，但预测有效性未知。我们相信这些发现可能代表全国范围内的护理过程 提出明确的专业任务，通过将失败风险评估的循证知识和跌倒预防干预措施的有效性转化为护理实践，减少急症护理医院患者的失败。