Study On The Comprehensive Intervention Measures To Reduce The Failure Rate Of Fall Safety Incidents In Hospital

Objective:1.A cross-sectional study was conducted to investigate the underreporting rate of hospital fall safety events and the underreporting rate of various injury levels among inpatients.2.The root cause analysis method was used to analyze the various factors causing the underreporting of fall events,and to provide theoretical basis for the formulation of practical intervention programs.3.Based on the advanced experience of foreign countries and the semi-structured interview method,propose the theoretical framework of the management model of hospital fall incident reporting for patients in China,and discusse various reporting approaches to provide reliable basis for its application and follow-up research,in order to improve the rate of incident reporting and promote patient safety.4.According to the previous studies,combined with literature research and expert conference method,a comprehensive intervention plan was constructed to reduce the missing reporting rate of hospital fall safety events for inpatients,so as to provide a reference for improving the reporting rate of hospital fall safety events and a new way to improve the safety of inpatients.Methods:1.Current situation investigation and root cause analysisA 3 armour hospital in Shanxi Province from 2017 to 2019 discharged patients medical records as the research object,using the hospital medical record management of big data platform and adverse events in special management information system for retrieval,analysis and statistics,determine the fall in the inpatients nosocomial security incident non-response rates the status quo,the damage degree of proportion and the omission of events,use the root cause analysis method to analyze its related factors.2.Build a management modelThe target sampling method is used to select 11 experts in relevant fields who meet the requirements of expert selection.The semi-structured interviews are conducted,and the data are analyzed by Colaizzi method.The theoretical framework of the management model of hospital fall incident reported by patients in China is preliminarily constructed.3.Build an intervention planBased on the results of previous studies and the opinions of relevant literatures,a comprehensive intervention plan to reduce the missing alarm rate of hospital fall safety events for inpatients was constructed.Through the method of expert meeting,the applicability and feasibility of the first draft of the scheme are discussed,and the practical and operable parts are retained and improved to form the final draft of the scheme.Results:1.The situation of missed reporting of inpatient fall safety incidents in hospital is serious.The survey results show that the missing report rate of hospital fall safety incidents among inpatients is as high as 43.87%,and the phenomenon of missing report is very serious.Among the missing report incidents,63.24% are the incidents that cause no harm to patients and 27.94% are the incidents that cause mild injury.It can be seen that the severity of the outcome of the event has a great influence on whether to report.2.The root cause analysis was used to determine that the root causes of the unreported fall events of inpatients were imperfect relevant systems(management,supervision,communication)and training system,imperfect event reporting system,and the practice environment needed to be improved.3.The semi-structured interview was used to preliminarily establish the management model of patients’ reporting of fall safety events in line with China’s national conditions,and the reporting methods were analyzed to promote the formation of a management system involving both doctors and patients.4.According to the root causes of omission and relevant literature review,10 experts in relevant fields will discuss and improve the first draft of the scheme and form the final draft of the scheme.Conclusion:1.The fall in the inpatients nosocomial security incident high non-response rates,the root cause analysis study is the result of which will be affected by many factors,because our country special medical background,country level improvement measures a somewhat time-consuming hard,be badly in need of managers from the hospital level to build a broad and deep events than the attention of the patients,take various measures to improve security atmosphere,reduce real events non-response rates to ultimately achieve the goal of ensuring patient safety.2.Established by patients event reporting,analysis,event management departments to verify,sharing,scientific feedback of fall in the patients reported security incident management model,and analyses the report way,can choose the telephone,in the early We Chat,directly to the network,the combination of straight into the national unified network report system step by step.3.The comprehensive intervention measures to reduce the missing report rate of hospital fall safety incidents mainly include management system,supervision system,training system,incident reporting system,patient participation,and practice environment.