A costs effectiveness analysis of a computerized falls assessment tool and falls prevention plans

2014 Fiscal Year Final Research Report

• Project/Area Number: 23593188
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Fundamental nursing
• Research Institution: Juntendo University
• Principal Investigator: IIJIMA SACHIKO 順天堂大学, 医療看護学部, 教授 (80389890)
• Co-Investigator(Kenkyū-buntansha): TOYOKAWA Satoshi 東京大学, 医学系研究科, 准教授 (40345046)
• Co-Investigator(Renkei-kenkyūsha): MORITA Emiko 公立瀬戸旭看護専門学校, 副校長
• Project Period (FY): 2011-04-28 – 2015-03-31
• 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

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.

Free Research Field

看護管理学　医療経済学　医療安全