PDCA循环管理在预防肝病内科高危跌倒风险住院患者跌倒中的应用

目的：探讨PDCA循环管理在降低肝病内科高危跌倒风险住院患者跌倒发生率、预防跌倒护理管理中的效果。方法对肝病内科高危跌倒风险住院患者运用PDCA程序找出跌倒常见原因并进行分析，制定相应的预防措施：包括成立跌倒管理小组；制作相关的健康宣教材料；在病房的重点区域张贴警示标识；对住院患者进行跌到风险筛查；对有高危跌倒风险的患者及家属进行告知并签署知情同意书；对高危跌倒风险患者进行有针对性的健康宣教；采取相应的预防措施并及时评价效果。结果实行PDCA循环管理后，肝病内科高危跌倒风险住院患者跌倒的人数由2014年的17例，降至2015年的1例，风险发生率仅为0.064‰，患者安全得到保障。结论执行PDCA循环管理可以减少肝病内科高危跌倒风险住院患者发生跌倒的风险。

The application of PDCA cycling management in preventing falls of hospitalized pa-tients with high risk of falling down in hepatology department

Objective To explore the effect of PDCA cycling management in reducing the incidence of falling for hospitalized patients with high risk of falling down in hepatology department and in nursing management for preven-ting falls. Methods Hospitalized patients with high risk of falling down in hepatology department were investiged by PD-CA program to find out the common causes for falling and relevant preventive measures were formulated, including set-ting up the management team of fall, preparing the relevant health education materials, posting warning labels in the ward area, screening risks of falling for hospitalized patients, informing the patients with high risk of falling and their families and signing consent form, and conducting targeted health education for patients with high risk of falling. And relevant preventing measures were taken and the effects were evaluated. Results Number of patients who fell among the hospitalized patients with high risk of falling down in hepatology department was decreased from 17 in 2014 to 1 in 2015 after the implementation of PDCA cycling management and the risk rate was only 0. 064 ‰. The patientsˊ safety were guaranteed. Conclusions PDCA cycling management can reduce the risk of falling for hospitalized patients with high risk of falling down in hepatology department.