Su Ching-Ling

Kaohsiung Veterans General Hospital Tainan Branch, Taiwan

Abstract Title:Reducing the Incidence of Falls among Patients in Chronic Psychiatric Wards

Biography:

In 2008, Su Ching-Ling graduated from the clinical care group of the Institute of Nursing in the form of an on-the-job class, with a master's degree. and has been engaged in clinical nursing for more than 30 years. Currently serving as Deputy Head of Nursing in psychiatric ward, teaching staff and interns. I am very passionate about nursing work and academic publications, and I look forward to having more contact with and publishing academic reports.

Research Interest:

"Preventing patient falls" is one of the hospital's patient safety goals. In 2021, the incidence rate of falls in the chronic psychiatric ward was 0.07%, an increase of more than three times, which seriously harmed patients' physical and mental health. In June 2021, a quality control circle was established to brainstorm many creative projects.

1. Staff have insufficient awareness of fall prevention:

a. To creating posters and videos about fall prevention.

b. AR somatosensory interactive game-style "fall prevention"

c. Organizing fall prevention experiential camps.

2. To help patients with lower limb weakness and instability in gait: Organizing lower limb strength training courses.

3. Increase the prevent fall mechanism of the ward environment:

a. Installing real-time fixed surveillance cameras.

b. Using dummy nurses to accompany patients.

c. Installing motion sensing lights

d. Affixing fluorescent stickers on commode chairs.

e. Using walking aids for patients.

f. Equipping public restrooms with non-slip flooring in and repairing tiles.

g. Replacing lobby seating with sturdy, connected chairs.

After the improvement, the fall incidence rate was 0.03%. In the process, we materialized and applied the concepts in life, such as combining plush dolls and human models to create dummy nurses who soothe the emotions of dementia patients. Installing real-time fixed surveillance cameras to reduce the defensiveness of patients with schizophrenia and reduce the feeling of being monitored.

At present, we simplify the medicines one by one to second- or third-generation antipsychotics, treating osteoporosis elderly people, add multimedia video to the previous lower limb strength training courses. and continued tracking until September 2024, with the fall incidence rate being 0.035%.

The quality control circle activity has won numerous awards and has been praised by colleagues The most important thing is to protect patient safety and maintain results.