Las caídas hospitalarias, estrategia de mejora para disminuir su incidencia / Hospital falls, improvement strategy for reducing their incidence

OBJETIVO: Evaluar la evolución de las caídas con las medidas implementadas para mejorar la atención de los pacientes de riesgo y disminuir el número de caídas. Conocer las características de los pacientes que las han sufrido. MÉTODO: Se ha hecho un análisis de todas las caídas registradas entre 2008-2013 para determinar la evolución de estas y describir las medidas implantadas a partir de la historia clínica electrónica en el Hospital Universitario de Fuenlabrada. Se ha estimado la incidencia de caídas en pacientes hospitalizados y se ha estudiado la evolución con el test de chi cuadrado. Se presentan las frecuencias de las características de los pacientes que sufren caídas en cuanto a edad, estancia, actividad que realizaban, acompañante, nivel de movilidad, estado de conciencia. RESULTADOS: Se produjeron 445 caídas registradas en total. El 2009 es el año en el que se produjeron más caídas con 86 caídas en 15.819 pacientes dados de alta (0,55%) descendiendo hasta el 2013 a 55 caídas en los 15.052 pacientes dados de alta (0,37%). Esta diferencia no resultó estadísticamente significativa. CONCLUSIÓN: La implantación de la valoración al ingreso sobre el riesgo de caídas ha servido para identificar los factores de riesgo de forma individualizada, así como el recordatorio y alertas ayudan al personal de enfermería a considerar la prevención de las caídas como un acto rutinario y que se tomen medidas en los pacientes más vulnerables

TARGET: To evaluate the evolution of falls with the implemented measures to improve the attention of patients at risk and to reduce the number of falls. To know the characteristics of patients who have suffered fall-related injuries. Method: All the falls registered between 2008 and 2013 have been analyzed to determine the evolution of these and to describe the implemented measures through the electronic clinical history at University Hospital of Fuenlabrada. The incidence of falls in hospitalized patients has been estimated and the evolution with the chi square test has been studied. The frequencies of the characteristics of patients who fall has been presented: age, length of stay, performed activity, patient companion, mobility level, state of consciousness. RESULTS: 445 registered falls happened.2009 is the year with the highest number of falls, 86 patients fell of a total of 15,819 discharged patients (0.55%). The statistic drops until 2013, where 55 patients fell out of 15,052 discharged patients (0.37%). This difference was not statistically significant. CONCLUSIONS: The deployment of an assessment about fall risk at admission has helped to identify individualized risk factors. Furthermore, the awareness and alerts to the nursing staff have helped to consider fall prevention as a rutinary procedure, hence appropriate measures can be implemented on the most vulnerable patients

[Hospital falls, improvement strategy for reducing their incidence]. / Las caídas hospitalarias, estrategia de mejora para disminuir su incidencia.

TARGET: To evaluate the evolution of falls with the implemented measures to improve the attention of patients at risk and to reduce the number of falls. To know the characteristics of patients who have suffered fall-related injuries. METHOD: All the falls registered between 2008 and 2013 have been analyzed to determine the evolution of these and to describe the implemented measures through the electronic clinical history at University Hospital of Fuenlabrada. The incidence of falls in hospitalized patients has been estimated and the evolution with the chi square test has been studied. The frequencies of the characteristics of patients who fall has been presented: age, length of stay, performed activity, patient companion, mobility level, state of consciousness. RESULTS: 445 registered falls happened. 2009 is the year with the highest number of falls, 86 patients fell of a total of 15,819 discharged patients (0.55%). The statistic drops until 2013, where 55 patients fell out of 15,052 discharged patients (0.37%). This difference was not statistically significant. CONCLUSION: The deployment of an assessment about fall risk at admission has helped to identify individualized risk factors. Furthermore, the awareness and alerts to the nursing staff have helped to consider fall prevention as a rutinary procedure, hence appropriate measures can be implemented on the most vulnerable patients.

[Usefulness and difficulties for the elaboration of the nursing discharge report, according to Hospital de Fuenlabrada (Spain) nursing group]. / Utilidad y dificultades para la realización del informe de enfermería al alta hospitalaria según las enfermeras del Hospital de Fuenlabrada.

OBJECTIVE: To evaluate the utility and difficulty of writing the nursing discharge report perceived by nurses working in the hospitalization unit of the Fuenlabrada Hospital in Spain. METHOD: We performed a cross-sectional, descriptive study in all nurses working in hospitalization units in the Fuenlabrada Hospital (Madrid) in the last trimester of 2006. A questionnaire was used to collect sociodemographic variables, variables related to perceived utility of the report in general and variables measuring the difficulty of completing the report. The questionnaires were delivered to the hospitalization units and collected personally. For the statistical analysis, the chi-square test and Student's t-test and/or analysis of variance were used. The SPSS/PC statistical package, version 12.0, was used. RESULTS: Seventy-four completed questionnaires were obtained (57.4 % of the population analyzed). Of the nurses surveyed, 61 (82.4 %) considered the report to be useful in assuring continuity of care and 57 nurses (77 %) thought it useful in providing information to the patients. In total, 60 nurses (82.1 %) considered the report's structure to be not very suitable or unsuitable. CONCLUSIONS: Nurses' satisfaction with the report is high. The report is seen as effective in assuring continuity of care and as useful to patients. However, the report's structure should be improved.