| Summary: | 碩士 === 慈濟大學 === 公共衛生學系碩士班 === 105 === Background
Falling accident is a critical issue to inpatients and a lot of factors cause its happening. After the global budget of health insurance taking effect, the first impact to the hospital is the nursing manpower. In order to reduce the cost, in general, the hospital will not fill up the position while a nurse resigns. The occupancy rate has a great impact on the quality of medical care and whether a nurse is willing to stay or not. In terms of spontaneously notified the issues on inpatient falls, nurses are highly in compliance with the rule. Therefore, it is worthy to further study on the connection between inpatient falls and medical quality indicators.
Methods
The study is based on the information received from seven different units’ Abnormal Event Notification System on fall events that occurred during hospitalization from 2012 to 2015. Using the method of descriptive statistics, chi-square test, and regression analysis, the researcher is to study the relationship and the key factor between the dependent variable and the independent variables.The correlation intensity is displayed by the odds ratio.
Results
During the hospitalization period of 2012-2015, there were 412 inpatients fall cases, with men’s ratio higher than women, and 53.4% ≥ the age of 65. The rate of falling accident causing direct impact to the inpatients’ health is 28.2%. The regression analysis shows that nurse’s turnover rate, the beds level, the location of the incident, the age of a patient, and a patient’s independent activity before the event were the main factors to affect patient’s health.
Conclusions
The study is based on the 2012-2015 data of a regional teaching hospital and the main purpose is to find out what factors cause inpatients’ falling accident. The researcher hopes to provide useful information to the decision makers of medical institutions that will help to improve medical environment safety for inpatients.
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