Search

To carry out a cycle of improvement in adherence to the fall prevention protocol in the surgical clinic unit. This is the implementation of an improvement, observational and intervention cycle, using a quasi-experimental design, before and after, with a quantitative approach in a surgical unit. Seven criteria were developed to evaluate the quality of filling out the Morse scale regarding the fall prevention protocol. A total of 420 medical records were evaluated regarding the completion of the Morse scale, which were submitted to statistical analysis. The identification showed a significant improvement in the values referring to compliance with the criteria for completing the Morse Scale and assessment of the risk of falling by the evaluated Nurses. Statistical significance was observed in the evaluations of criteria C1, C2, C3, C4 and C6, with an increase in the median values of the rate of falls after the intervention. The effectiveness of the improvement cycle in the quality of the fall prevention process was evidenced. Planned interventions with the aid of quality tools favor the improvement of organizational processes. [ABSTRACT FROM AUTHOR]

Introducción: el envejecimiento provoca cambios en el adulto mayor, que condicionan su deterioro funcional y producen situaciones de incapacidad. Objetivo: determinar los factores de riesgo asociados a las caídas en los ancianos, según el grado de dependencia. Métodos: se realizó un estudio descriptivo y transversal de 57 pacientes, que recibieron atención ortopédica en el área de salud Guanabo del municipio Habana del Este de la provincia Ciudad de la Habana, desde enero hasta julio del 2011. Resultados: predominaron los gerontes de 80-89 años y las fracturas de caderas como las lesiones más frecuentes. Entre los principales factores de riesgo extrínsecos figuraron: mobiliario inestable, suelos irregulares e iluminación insuficiente; los intrínsecos fueron hipertensión arterial, alteraciones visuales y osteoarticulares. Según el índice de Bather y la escala de Lawton, la mayoría de los afectados mostraron un grado de dependencia leve para el primero y de 3-4 actividades instrumentales de la vida diaria, para el segundo. Conclusiones: el riesgo de caída fue mayor en las féminas y aumentó con la edad; influyeron factores intrínsecos y extrínsecos, asi como el grado de dependencia que poseían.

Introduction: aging produces changes in the elderly which cause his functional deterioration and generates situations of disability. Objective: to determine the risk factors associated to falls in the elderly, according to dependence. Methods: a descriptive and cross sectional study of 57 patients who received orthopedic care in Guanabo health area of Habana del Este municipality was carried out from January to July, 2011. Results: elderly from the age group 80-89 and hips fractures as the most frequent lesions prevailed. Among the main extrinsic risk factors there were: unstable furniture, irregular floors and insufficient illumination; the intrinsic ones were hypertension, visual and osteoarticular changes. According to the index of Bather and the Lawton scale, most of the affected patients showed a degree of mild dependence for the index of Bather and 3-4 instrumental activities of the daily life, for the Lawton scale. Conclusions: the fall risk was higher in the females and it increased with age; intrinsic and extrinsic factors influenced, as well as the degree of dependence they had. [ABSTRACT FROM AUTHOR]

Objective: To describe the risk of falls assessments properties and profiles of the patients who fell in a public hospital of the National Health System, and to determine the relationship between the "presence of a fall" and the previous score using the Downton scale, in order to calculate some of the features of this tool: Sensitivity, specificity, positive predictive value, negative predictive value, likelihood ratio, and odss ratio., Materials and Methods: A study with a descriptive retrospective design was conducted on the incidence of falls recorded in Cartagena Hospital. An analysis was made of possible causes and effects of falls during the period from March 2010 to March 2015. A total of 576 patients fell during the period of the study, of whom 107 were recorded in the no "fall risk" registry, leaving a sample of 469 patients in the study. Data analysis was performed using the SPSSv.19 Statistics Package., Results: In the context in which the assessment was made, the Downton scale had a sensitivity of 0.58, specificity 0.62, a positive likelihood ratio of 1.55, and negative likelihood ratio of 0.67. The odds ratio calculated was 2.31., Conclusions: The data on the incidence of falls (0.51%) are similar to those found in other studies. Poor scores obtained on the Downton Index should serve as a wakeup call for the healthcare institutions. An assessment tool that classifies the at-risk patient should be included in patient safety profiles, provided it is of relevant validity to cover any changes in the patient's situation, and acts as a better yardstick than the nurses' own assessment., (Copyright © 2017 Elsevier España, S.L.U. All rights reserved.)