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Design and Implementation of an Inpatient Fall Risk Management Information System

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收录情况： ◇ SCIE

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单位： [1]School of Management, Wuhan University of Technology, Wuhan, China. [2]Department of Nursing,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,China.

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关键词： fall hospital information system patient safety quality improvement management implementation

摘要：

Falls had been identified as one of the nursing-sensitive indicators for nursing care in hospitals. With technological progress, health information systems make it possible for health care professionals to manage patient care better. However, there is a dearth of research on health information systems used to manage inpatient falls.This study aimed to design and implement a novel hospital-based fall risk management information system (FRMIS) to prevent inpatient falls and improve nursing quality.This implementation was conducted at a large academic medical center in central China. We established a nurse-led multidisciplinary fall prevention team in January 2016. The hospital's fall risk management problems were summarized by interviewing fall-related stakeholders, observing fall prevention workflow and post-fall care process, and investigating patients' satisfaction. The FRMIS was developed using an iterative design process, involving collaboration among health care professionals, software developers, and system architects. We used process indicators and outcome indicators to evaluate the implementation effect.The FRMIS includes a fall risk assessment platform, a fall risk warning platform, a fall preventive strategies platform, fall incident reporting, and a tracking improvement platform. Since the implementation of the FRMIS, the inpatient fall rate was significantly lower than that before implementation (P<.05). In addition, the percentage of major fall-related injuries was significantly lower than that before implementation. The implementation rate of fall-related process indicators and the reporting rate of high risk of falls were significantly different before and after system implementation (P<.05).The FRMIS provides support to nursing staff in preventing falls among hospitalized patients while facilitating process control for nursing managers.©Ying Wang, Mengyao Jiang, Mei He, Meijie Du. Originally published in JMIR Medical Informatics (https://medinform.jmir.org), 02.01.2024.

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中科院(CAS)分区：

出版当年[2023]版：

大类 | 3 区医学

小类 | 4 区医学：信息

最新[2025]版：

大类 | 3 区医学

小类 | 3 区医学：信息

JCR分区：

出版当年[2022]版：

Q3 MEDICAL INFORMATICS

最新[2023]版：

Q2 MEDICAL INFORMATICS

影响因子： 3.2 最新[2023版] 3.5 最新五年平均 3.2 出版当年[2022版] 3.6 出版当年五年平均 3.228 出版前一年[2021版] 3.2 出版后一年[2023版]

第一作者：

第一作者单位： [1]School of Management, Wuhan University of Technology, Wuhan, China. [2]Department of Nursing,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,China.

通讯作者：

通讯机构： [1]School of Management, Wuhan University of Technology, Wuhan, China. [2]Department of Nursing,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,China.

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Design and Implementation of an Inpatient Fall Risk Management Information System

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