論文詳細
敬心・研究ジャーナル第１巻 第２号
脳神経外科病棟における転倒転落予防に向けた多職種連携の効果
坂本雄1）
小諸信宏2）
2）セコメディック病院 医療安全管理室
要旨
脳神経外科病棟における転倒転落予防に向けた多職種連携の効果について検討した。多職種連携としては、５職種による転倒転落チームを設立し、転倒転落の予防策として早期からの情報共有や病棟環境整備、用語の統一や勉強会を実施した。また、転倒転落発生後、都度カンファレンスを開催し、転倒転落状況の分析と情報共有を行った。本研究の対象期間は転倒転落チーム設立前１年間と設立後３年間、更に活動終了後の１年間の計５年間とした。方法は各年の当該病棟年間入院延べ患者数と転倒転落発生件数から転倒転落発生率を求め、チーム設立前と設立後の各年、および設立後３年目と活動終了後の転倒転落発生率の差について検討した。結果、設立前と１年目で有意差は認められなかった。設立前と２年目および３年目では設立前が有意に高かった。また、３年目と活動終了後で有意差は認められなかった。このことから、複数年の活動により多職種連携の効果が得られること、また活動終了後もその効果が持続することが示唆された。
Effects of interprofessional collaboration for fall prevention in a neurosurgery ward
Sakamoto Takashi 1）
Komoro Nobuhiro 2）
1） Rehabilitation Department, Secomedic Hospital
2） Safety Management room, Secomedic Hospital
Abstract
The effects of interprofessional collaboration for fall prevention in a neurosurgery ward were investigated. A fall prevention team consisting of people from five professions was created: the team carried out fall prevention measures including early information sharing, maintenance of the ward environment, unification of terminology, and study sessions. In addition, any time a fall occurred, a case conference was held to analyze the circumstances of the fall and to share information. The evaluation period was five years, beginning one year before the fall prevention team was established, including the three years of its operation, and ending one year after its activities were concluded. The fall incidence was calculated based on the total number of patients hospitalized each year in the ward concerned and the number of fall events. Rates were compared between each year of the program and one year before it, and between the third year of the program and one year after it became inactive. No significant difference in the fall incidence was found for the program’s first year with respect to before its establishment. However, the fall incidence was significantly higher before the program’s establishment than in the second and third years, and no significant difference was found for the year after it became inactive with respect to the third year. These findings suggest that an interprofessional collaboration program performed over several years can effectively prevent falls, and that its efficacy can persist even after the program ends.