지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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The aims of study were; (1) to evaluate the validity and sensitivity of a fall-risk assessment tool, and (2) to establish continuous quality improvement (CQI) methods to monitor the effective use of the risk assessment tool. Methods: A retrospective case-control cohort design was used. Analysis was conducted for 90 admissions as cases and 3,716 as controls during the 2006 and 2007 calendar years was conducted. Fallers were identified from the hospital`s Accident Reporting System, and non-fallers were selected by randomized selection. Accuracy estimates, sensitivity analysis and logistic regression were used. Results: At the lower cutoff score of one, sensitivity, specificity, and positive and negative predictive values were 82.2%, 19.3%, 0.03%, and 96.9%, respectively. The area under the ROC was 0.60 implying poor prediction. Logistic regression analysis showed that five out of nine constitutional items; age, history of falls, gait problems, and confusion were significantly associated with falls. Based on these results, we suggested a tailored falls CQI process with specific indexes. Conclusion: The fall-risk assessment tool was found to need considerable reviews for its validity and usage problems in practice. It is also necessary to develop protocols for use and identify strategies that reflect changes in patient conditions during hospital stay.
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참고문헌 (23)
참고문헌 신청
1. [보고서] - American Medical Directors Association / 2002 / Falls and fall risk
2. [단행본] - Atman,D.G / 1990 / Practical statistics for medical research / Champman & Hall
3. [학술지(정기간행물)] - Berwick,D.M / 1989 / Continuous improvement as an ideal in health care / New England Journal of Medicine 320 (1) : 53 ~ 56
4. [학술지(정기간행물)] - Brenner, H / 1997 / Variation of sensitivity, specificity, likelihood ratios and predictive values with disease prevalence / Statistics in Medicine 16 : 981 ~ 991
5. [단행본] - Capezuti, E / 2008 / Evidence‐based geriatric nursing protocols for best practice(3rd ed.) / Springer Publishing Company
2. [단행본] - Atman,D.G / 1990 / Practical statistics for medical research / Champman & Hall
3. [학술지(정기간행물)] - Berwick,D.M / 1989 / Continuous improvement as an ideal in health care / New England Journal of Medicine 320 (1) : 53 ~ 56
4. [학술지(정기간행물)] - Brenner, H / 1997 / Variation of sensitivity, specificity, likelihood ratios and predictive values with disease prevalence / Statistics in Medicine 16 : 981 ~ 991
5. [단행본] - Capezuti, E / 2008 / Evidence‐based geriatric nursing protocols for best practice(3rd ed.) / Springer Publishing Company
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UCI(KEPA) : I410-ECN-0101-2016-512-002726287