Croatian Nursing Journal, Vol. 9 No. 1, 2025.
Stručni rad
https://doi.org/10.24141/2/9/1/10
Analysis of Patient Falls at Clinical Hospital Dubrava
Natalia Cesar
; Dubrava University Hospital, Zagreb, Croatia
Tea Jelić
orcid.org/0009-0008-4333-033X
; Dubrava University Hospital, Zagreb, Croatia
*
Sanja Kunštek
orcid.org/0009-0008-4333-033X
; Dubrava University Hospital, Zagreb, Croatia
* Dopisni autor.
Sažetak
Aim. The aim of the conducted analysis was to determine
the frequency of patient falls at the Clinical
Hospital Dubrava and to present, based on the data
collected, the most common risk factors for falls,
causes and consequences of falls, the location and
manner of falls, and the need for additional interventions
or actions taken after a fall.
Methods. The analysis examined falls in 22,639 patients
hospitalized at the Clinical Hospital Dubrava
from July 1, 2022, to June 30, 2023. The analysis
included the age and gender of patients, fall risk assessment
using the Morse Scale, location and manner
of falls, falls with and without consequences, and
whether patient falls required additional healthcare
interventions. Data were sourced from the Hospital
Information System (HIS). The study used graphic and
tabular methods of presentation through MS Excel.
Results. A total of 144 patient fall cases were reported,
which represents an incidence rate of 6.3
falls per 1,000 hospitalizations, or 0.935 falls per
1,000 patient days. A significant clinical issue is the
fact that 75% of patients were over 65 years old. Using
the Morse Scale for fall risk assessment, 47% of
patients were assessed as being at high risk for falls.
In terms of internal and external risk factors, 77% of
falls were due to internal factors, with the majority of
falls occurring in the patient’s room (78%). Additional
interventions requiring staff time and presence were
necessary for 53% of patients.
Conclusion. The long-term goal is to reduce the incidence
of falls, which will lead to a reduction in treatment
costs and a shorter hospital stay for patients.
It is essential to develop a quality system to provide
the best possible and reliable care for patients.
Ključne riječi
fall, patient, assessment, education
Hrčak ID:
331009
URI
Datum izdavanja:
20.5.2025.
Posjeta: 265 *