住院患者跌倒监测系统的研发与临床验证

Research and clinical verification of fall monitoring system for inpatients

  • 摘要:
      背景  住院患者跌倒不良事件上报与分析是护理质量管理的重要途径,是持续质量改进的着眼点,但该方法存在耗时、费力、延迟、失真等现象,未实现医护工作站信息共享与利用,无法满足当下医院多元化信息建设与数据分析的需求。
      目的  基于医院信息系统构建一套能够自动提取、实时呈现的跌倒监测系统,以推动实施全面、动态、持续地住院患者跌倒安全管理。
      方法  依据临床实际工作流程确定跌倒疑似病例信息来源及筛查策略,疑似病例经临床确认后纳入跌倒病例数据库,通过临床调研验证系统的灵敏度与准确性。
      结果  构建了住院患者跌倒监测系统,实现了数据自动获取;能够分层级、分病区、分时段提取数据。
      结论  构建了自动实时、动态持续、客观性强的实时监测系统,实现了住院患者跌倒事件的及时监测,加强了跌倒的管理。

     

    Abstract:
      Background  Reporting and analysis of fall adverse events in hospitalized patients is an important way for nursing quality management and the focus of continuous quality improvement. However, this method is time-consuming, laborious, time-laged and distorted, for it cannot realize the information sharing and utilization at medical workstations, and cannot meet the current needs of diversified information construction and data analysis in hospitals.
      Objective  To construct a fall monitoring system based on hospital informatization environment, which can automatically extract and present in real time, so as to promote the comprehensive, dynamic and continuous implementation of fall safety management for hospitalized patients.
      Methods  According to the actual clinical workflow, the information source and screening strategy were determined based on the suspected fall cases, then the cases detected by the system were included in the fall case database after clinical confirmation. The sensitivity and accuracy of the system were verified through clinical investigation.
      Results  A real-time monitoring system for falls detecting in hospitalized patients was constructed, which realized the automatic acquisition of data, and it could extract data by level, ward and time.
      Conclusion  An automatic real-time, dynamic continuous and objective real-time monitoring system is constructed, thus realizing the timely monitoring of fall events in hospitalized patients and strengthening the management of falls.

     

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