| Summary: | 碩士 === 長庚大學 === 商管專業學院碩士學位學程在職專班醫務管理組 === 105 === According to patient safety statistics, the rate of inpatient fall events ranged from 25% to 84%, which suggested that “patient fall” is one of the most important issues in patient safety. It may result in patients’ physical damage, low activities function, and complications. Even worse, after the fall event the patient may fear of falls and need more assistance during hospitalization. On the other hand, it may cause the medical staff to feel anxious and fear, and as a result increase medical expenditure and health care costs. Thus, medical institutions take it as an important indicator of care quality.
The rate of falls can be reduced by early detection of high-risk patients, which can provide individual prevention and make injury less severe. Despite the patient-related factors such as physiological and behavioral conditions, the occurrence of falls are relevant to the environment, medication, and medical equipment. This study aims to examine the relationship between adverse effect of medication and occurrence of falls. The result of the study contributes to build prevention mechanisms to reduce the incidence of falls related to drug use.
This study applied retrospective patient record review method by includingpatients aged over 20 who has be hospitalized in a regional hospital from January 1 to December 31 in 2015. A total of 104 cases with fall incidents in the period, and another 104 hospitalized pateints without fall history were included as the control group. This resulted in a total of 208 inpatient recoreds were reviewed and analyzed.
The results showed that both groups were differ significantly in the number of polymedication and the Drug Burden Index, suggesting that the incidents of fall are relevant to medication. This study suggests that medication is an important factor of fall incidents. For patient safety, the administrator should pay attention to develop monitoring system for early dection of risk factors relevant to fall incidents.
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