CAJ | 학술논문

目的：建立基于JCI标准的预防住院患儿跌倒的措施，减少跌倒的发生。方法对患儿跌倒事件用鱼骨图进行原因分析，确定要因，并进行基于JCI标准的持续质量改进：完善和落实患儿防跌倒的管理制度和加强评估，及早识别高跌倒风险人群和高跌倒风险区域，有针对性地采取预防措施，加强培训和检查，全员参与持续质量改进，制定和落实防跌倒健康教育和工人拖地的标准流程、增加防跌倒设置和环境警示标识等。结果采取针对性的对策后，患儿跌倒发生率由原来的0.125‰降至最低0.024‰。结论修订防跌倒管理制度和加强评估，加强对高风险跌倒特别是1~3岁患儿和高风险跌倒区域的管理，加强健康教育，落实清洁工人标准化操作流程，提供安全的设施等措施，并进行持续质量改进，能有效减少住院患儿跌倒的发生，确保患儿安全。
목적：건립기우JCI표준적예방주원환인질도적조시，감소질도적발생。방법대환인질도사건용어골도진행원인분석，학정요인，병진행기우JCI표준적지속질량개진：완선화락실환인방질도적관리제도화가강평고，급조식별고질도풍험인군화고질도풍험구역，유침대성지채취예방조시，가강배훈화검사，전원삼여지속질량개진，제정화락실방질도건강교육화공인타지적표준류정、증가방질도설치화배경경시표식등。결과채취침대성적대책후，환인질도발생솔유원래적0.125‰강지최저0.024‰。결론수정방질도관리제도화가강평고，가강대고풍험질도특별시1~3세환인화고풍험질도구역적관리，가강건강교육，락실청길공인표준화조작류정，제공안전적설시등조시，병진행지속질량개진，능유효감소주원환인질도적발생，학보환인안전。
Objective To take measures to prevent hospitalized children ’s fall based on Joint Commission International Accreditation Standards for Hospital so as to reduce the incidence of fall. Methods With fishbone diagrams, major causes of fall were identified then continuous quality improvement was implemented based on JCI standards including improving falling prevention management system and evaluation, early identification of high risk population and high risk area, targeted preventive measures and full participation of medical staff. Results The incidence of children’s fall decreased from 0.125‰ to a minimum of 0.024‰. Conclusion JCI standard-based continuous quality improvement contributes to the decrease of hospitalized children ’s fall.