| Project/Area Number |
23593188
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Fundamental nursing
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| Research Institution | Juntendo University |
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Principal Investigator |
IIJIMA SACHIKO 順天堂大学, 医療看護学部, 教授 (80389890)
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| Co-Investigator(Kenkyū-buntansha) |
TOYOKAWA Satoshi 東京大学, 医学系研究科, 准教授 (40345046)
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| Co-Investigator(Renkei-kenkyūsha) |
MORITA Emiko 公立瀬戸旭看護専門学校, 副校長
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| Project Period (FY) |
2011-04-28 – 2015-03-31
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| Project Status |
Completed (Fiscal Year 2014)
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| Budget Amount *help |
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2013: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2012: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Fiscal Year 2011: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
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| Keywords | 医療安全 / 転倒予防 / 看護管理 / 医療経済 / 医療費 / 費用効果分析 / 質評価 / propensity score / 傾向スコア / 前後比較 / マッチング / 医療費分析 / 国際情報交換 / 米国フロリダ州 / 電子カルテ / IT / 電子化 / 国際研究者交流 / アメリカ / フロリダ / 退役軍人病院 / 国際情報交流 / 急性期病院 / 費用効果 |
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| Outline of Final Research Achievements |
The purpose of this research was to compare the costs and effectiveness before and after the introduction of a system that, working together with a computerized falls assessment tool, formulates plans for the prevention of standard types of falls.
The reported rate for fall accidents was 0.11% before the introduction of the system (2007), and also 0.11% after its introduction (2009～2011), representing no significant difference. Expenses required for the assessment and planning were \560 per patient before the introduction and \493 after, which is a significant drop (p<0.01). Furthermore, medical expenses related to injuries incurred due to falls stood at \621,048 per patient before the introduction of the system and an average of for 3 years \275,009 after its introduction, representing a significant drop (p=0.03). This improvement was due to a reduction in the number of patients requiring surgery after bone breakages.
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