Development of STEADI: A Fall Prevention Resource for Health Care Providers
Development of STEADI: A Fall Prevention Resource for Health Care Providers
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DOI：
10.1177/1524839912463576
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发表时间：
2013-09-01
影响因子：
1.9
通讯作者：
Phelan, Elizabeth A.
中科院分区：
文献类型：
--
作者：
Stevens, Judy A.;Phelan, Elizabeth A.
福尔斯在年龄≥ 65岁的人群中是伤害死亡和急诊创伤就诊的主要原因。研究表明，许多福尔斯跌倒是可以预防的。在临床环境中，有效的跌倒干预包括评估和解决个人的跌倒风险因素。这种个性化的方法是美国和英国老年医学协会（AGS/BGS）实践指南中推荐的。本文介绍了STEADI（停止老年人事故，死亡和伤害）的发展，跌倒预防工具包，其中包含一系列的医疗保健提供者的资源，用于评估和解决跌倒风险的临床设置。作为疾病控制和预防中心伤害中心的研究人员，我们回顾了相关文献，并与医疗保健提供者进行了深入访谈，以确定与老年人跌倒预防相关的当前知识和实践。我们根据AGS/BGS指南开发了资源草案，纳入了提供者的意见，并解决了已确定的知识和实践差距。资源草案由六个卫生保健提供者重点小组审查并修订。完整的STEADI工具包，预防老年患者福尔斯-提供者工具包，旨在帮助医疗保健提供者将跌倒风险评估和个性化跌倒干预纳入常规临床实践，并将临床护理与基于社区的跌倒预防计划联系起来。
Falls among people aged >= 65 years are the leading cause of both injury deaths and emergency department visits for trauma. Research shows that many falls are preventable. In the clinical setting, an effective fall intervention involves assessing and addressing an individual's fall risk factors. This individualized approach is recommended in the American and British Geriatrics Societies' (AGS/BGS) practice guideline. This article describes the development of STEADI (Stopping Elderly Accidents, Deaths, and Injuries), a fall prevention tool kit that contains an array of health care provider resources for assessing and addressing fall risk in clinical settings. As researchers at the Centers for Disease Control and Prevention's Injury Center, we reviewed relevant literature and conducted in-depth interviews with health care providers to determine current knowledge and practices related to older adult fall prevention. We developed draft resources based on the AGS/BGS guideline, incorporated provider input, and addressed identified knowledge and practice gaps. Draft resources were reviewed by six focus groups of health care providers and revised. The completed STEADI tool kit, Preventing Falls in Older Patients-A Provider Tool Kit, is designed to help health care providers incorporate fall risk assessment and individualized fall interventions into routine clinical practice and to link clinical care with community-based fall prevention programs.