| Project/Area Number |
17590466
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Medical sociology
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| Research Institution | AICHI PREFECTURAL COLLEGE OF NURSING AND HEALTH |
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Principal Investigator |
IIJIMA Sachiko Aichi Prefectural College of Nursing and Health, Department of Nursing Administration, Associate Professor, 看護学部, 准教授 (80389890)
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| Co-Investigator(Kenkyū-buntansha) |
HRAI Sayoko Aichi Prefectural University of Nursing and Health, Department of Nursing Administration, Professor, 看護学部, 教授 (70290046)
SAKANASHI Kaoru Yokohama City University, School of Medicine College of Nursing, Professor, 医学部・看護学科, 教授 (60290045)
YASUKAWA Fmiaki Doshisya Institute for Health Policy and Busness, Director, 大学院・総合政策科学研究科・医療政策・経営研究センター, 所長 (90301845)
FUKUDA Takashi The University of Tokyo, Department of Health Economics and Epidemiology Reserchi Graduate School of Medcine, Associate Professor, 大学院・医学系研究科, 准教授 (40272421)
KAZAWA Miki Aichi Prefectural University of Nursing and Health, Department of Nursing Administration, Research Associate, 看護学部, 助教 (10363954)
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| Project Period (FY) |
2005 – 2006
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| Project Status |
Completed (Fiscal Year 2006)
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| Budget Amount *help |
¥3,500,000 (Direct Cost: ¥3,500,000)
Fiscal Year 2006: ¥1,800,000 (Direct Cost: ¥1,800,000)
Fiscal Year 2005: ¥1,700,000 (Direct Cost: ¥1,700,000)
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| Keywords | patient safety / economics / hospital management / nursing / clinical / quality / effectiveness / cost |
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| Research Abstract |
Objectives : To examine the relationship between the incidence of falls and the implementation of safety measures for patients and nurse staffing in wards and required expenses for safety measures and equipment to prevent falls. Methods : Covering 1500 hospitals and 1090 health care elderly health care facilities (EHCFs), this study examined the number of falls in wards, the total number of patients, the nursing skill mix, the number of patients at risk for falling and the number of patients for whom measures to prevent falls had been implemented, and expenses to purchase equipment to prevent falls.
Results : Responses were received from 259 wards of hospitals and 161 EHCF wards. The incidence of falling incidents was 1.83 per 1000 bed days for hospitals and 4.06 for EHCFs. The rate of falling injuries was 0.28 per 1000 bed days for hospitals and 1.08 for EHCFs. The proportion of patients at risk for falling was 46.4% for hospitals and 60.0% for EHCFs. For hospitals, there were 6 patien
… More
ts per staff member on the day shift while there were 11 for EHCFs. For hospitals, there were 4.0 items implemented per patient to prevent falls while for EHCFs there were 8.9. For hospitals, equipment to prevent falls consisted of an average of 21.4 pieces at an expense of 2.37 million yen while for EHCFs this equipment consisted' of 8 pieces at an expense of 110,000 yen. Multiple regression analysis indicated that factors related to the rate of falling injuries in hospitals were the proportion of patients with frequent urination, the proportion of agitated patients, the rate of implementation of measures to have patients lie on mats on the floor, the rate of use of restraints, and the number of nurses. In EHCFs, these factors were the proportion of patients using anxiolytics and the number of nurses.
Conclusion : The lower incidence of falls was related to a higher nursing skill mix, the patient's risk of falling, and measures to prevent such falls. Having numerous pieces of equipment to prevent falls was not related to a lower incidence of falls. In the future, standard programs and measures to prevent falls should be developed in accordance with a patient's risk of falling and measures to augment manpower and material resources should be examined. Less
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