Applying the intervention programme in clinical practice
Hana Hajduchová1, Iva Brabcová1, Valérie Tóthová1, Sylva Bártlová1, Martin Doseděl2, Josef Malý2, Jiří Vlček2
1 University of South Bohemia in České Budějovice, Faculty of Health and Social
Sciences, Institute of Nursing, Midwifery and Emergency Care, České Budějovice,
Czech Republic
2 Charles University, Faculty of Pharmacy in Hradec Králové, Department of Social
and Clinical Pharmacy, Hradec Králové, Czech Republic
Korespondenční autor: Hana Hajduchová (hajducho@zsf.jcu.cz)
ISSN 1804-7181 (On-line)
Full verze:
Submitted:22. 5. 2019
Accepted: 3. 6. 2019
Published online: 31. 7. 2019
Summary
The goal is to present partial results of the programme which was carried out in order to decrease the incidence of falls of hospitalized patients.
Methods: In January 2018, 16 monitored departments in 4 South Bohemian hospitals started the annual intervention programme, the goal of which was to reduce the incidence of falls. The selected (intervention) nurses were responsible for the realization and coordination of the interventions of fall prevention in co-operation with the managers of selected departments. The interventions included the identification of fall risk patients and standard nursing interventions in fall risk patients (by the departments’ standards) as well as the trainings of nurses in fall prevention of hospitalized patients, individual education of patients and their close relatives, special labelling of the beds of fall risk patients, and ensuring compensation and safety aids and after-fall medical audit using interactive databases.
Results: This article presents the data from only two selected departments (internal department and subsequent care department of the South Bohemian regional hospital), which recorded a decrease of falls compared to the same period in 2017. The internal department recorded 27 falls in 2018 (in 2017, there were 42 falls) and the subsequent care department recorded 18 falls in 2018 (in 2017, there were 38 falls).
Conclusions: Despite all measures, we recorded falls of patients in the monitored period (January–December 2018). However, it is positive that most workplaces included in our programme recorded a decrease compared to last year.
Keywords: Hospitalized patients; Intervention programme; South Bohemian hospitals; Prevention of falls
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