Jämförelse av fallhändelsedokumentation före och efter införandet av en kvalitetsnorm för fallprevention

Sammanfattning: ABSTRACT Aim: The aim of this study was to examine differences in the documentation of the case incident reports, before (FRP) and after (FRE) the introduction of a quality standard for fall prevention in the geriatric departments at a Swedish University hospital. Method: 51 fall incident reports were collected before the introduction of quality standards for fall prevention and 63 after. Differences in documentation between the fall incident reports were analyzed with a Chi-2 test. Results: Number of case incidents in which the use of the alarm mat was documented increased after the introduction of quality standards for fall prevention and documented use of shoes and walker decreased. The majority of all documented case incidents occurred inside the patient room according to both FRP and FRE. Documented use of hypnotics increased, while the documented use of diuretics decreased between FRP and FRE. Documented time for falls has changed. For the FRP were these moments more often during the daytime (06:00 to 17:59) and for FRE were times more frequently during the night (18.00-05.59). Conclusion: There were many significant differences in documentation between the case incident reports FRP and FRI, what these differences is caused by is difficult to say, therefore, calls for further studies in which also a relationship between differences are examined. It would also be of interest to conduct studies with control groups to compare aid appliance use among patients who fall and don´t fall. Then the effect of aid appliances could be evaluated.