Analysis of patient falls among hospitalised patients in Makkah region.

Autor: Flimban MA; General Director: Quality and Patient Safety Department. General Directorate of Makkah Region Health Affairs., Abduljabar DF; Patient Safety Supervisor, Quality and Patient Safety Administration in General Directorate of Makkah Region Health Affairs, Makkah Al-Mukkaramah., Dhafar KO; Consultant General Surgeon Al-Noor Specialist Hospital Makkah Al-Mukkaramah., Deiab BA; Nursing Department Makkah Region General Directorate of Healthcare Affair Makkah Region-Nursing Department, Makkah Al-Mukkaramah., Gazzaz ZJ; Assistant Professor of Medicine /Consultant Medicine (Diabetes) Rabigh Medical College King Abdulaziz University, Jeddah., Bansuan AU; Nursing Department, King Abdul Aziz Specialist Hospital / Taif, Directorate of Healthcare Affair Taif, Kingdom of Saudi Arabia., Balbed AA; General Directorate of Healthcare Affair Makkah Region-Quality and Patient Safety Department, Kingdom of Saudi Arabia., Al-Shaikhi AM; Nursing Department Al-Qunfotha Hospital Directorate of Healthcare Affair Al-Qunfotha, Kingdom of Saudi Arabia., Al-Motari SS; Nursing Department Al-Qunfotha Hospital Directorate of Healthcare Affair Al-Qunfotha,Kingdom of Saudi Arabia., Suliman MI; Clinical Skills, Department of Medicine, Faculty of Medicine at Rabigh, King Abdul Aziz University, Kingdom of Saudi Arabia.
Jazyk: angličtina
Zdroj: JPMA. The Journal of the Pakistan Medical Association [J Pak Med Assoc] 2016 Aug; Vol. 66 (8), pp. 994-8.
Abstrakt: Objective: To assess the frequency and its correlation of patient fall with preventing or precipitating factors among inpatients.
Methods: The observational study was conducted in Makkah Region, Saudi Arabia from October 15 2012 to November 4, 2013. Data was collected using a questionnaire from 16 hospitals in four districts of Makkah province. The material was sampled through systematic randomisation from inpatient files and data was collected for those who had fallen inside the hospital. The questionnaire, validated through a pilot study run under the Directorate of Quality and Patient Safety in Makkah, was used to see whether the hospitals had adopted and applied international standards for assessment of adult and paediatric patients for falls as well as effectiveness of these applications.
Results: Of 4,799 beds, occupancy rates ranged from 1680(35%) to 4,799(100%). Out of 291 falls in all, 144(49.48%) were in Jeddah. Besides, 116(40%) of the falls occurred in the last quarter of the Islamic calendar. Statistically significant difference was found in fall episodes in different months (p=0.007). Statistical analysis indicated that the factors that significantly raised the number of patient falls were increase in hospital beds and their occupancy rate (Spearman's correlation: 0.621 and 0.579 respectively).
Conclusions: The frequency of falls varied from hospital to hospital and factors like higher number of bed capacity and occupancy rate increased the falls.
Databáze: MEDLINE