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KMID : 1031020180240020041
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Quality Improvement in Health Care
2018 Volume.24 No. 2 p.41 ~ p.61
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Clinical Practice Guideline for Assessment and Prevention of Falls in Adult People
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Chun Ja-Hye
Kim Hyun-Ah
Kwack Mi-Jeong
Kim Hyuo-Sun
Park Sun-Kyoung
Kim Moon-Sook
Choi Ae-Lee
Hwang Jee-In
Kim Yoon-Sook
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Abstract
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Purpose: Falls are one of the most frequent health events in medical institutions, however, they can be predicted and prevented. The Quality Improvement Nurse Society clinical practice guideline Steering Committee developed the Clinical Practice Guideline for the assessment and prevention of falls in adult people. The purpose of this study was to assess the risk factors for falls in adults aged 19 years and older, to present an evidence for preventing falls, formulate a recommendations, and indicators for applying the recommendations.
Methods: This clinical practice guideline was developed using a 23-step adaptation method according to the Handbook for clinical practice guideline developer (version 1.0) by National Evidence-based Healthcare Collaborating Agency. Evidence levels and recommendation ratings were established in accordance to SIGN 2011 (The Scottish Intercollegiate Guidelines Network).
Results: The final 15 recommendations from four domains were derived from experts’ advice; 1) assessment of risk factor for falls in adult 2) preventing falls and reducing the risks of falls or falls-related injury 3) management and reassessment after a person falls 4) leadership and culture.
Conclusion: This clinical practice guideline can be used as a basis for evaluation and prevention of fall risk factors for adults, to formulate recommendations for fall risk assessment and fall prevention, and to present monitoring indicators for applying the recommendations.
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KEYWORD
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Clinical practice guideline, Falls, Assessment, Prevention, Adult
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