2013, Number 1
Escala de valoración de riesgo de caídas en pacientes hospitalizados
Language: Spanish
References: 7
Page: 9-14
PDF size: 83.10 Kb.
ABSTRACT
Introduction: The National Health System has been constructing a security platform in tune with the World Alliance for Patient Safety. One of the objectives of the 2007-2012 Health Sector Program is to promote the use of clinical practice guidelines and protocols to reduce variability and risk in the provision of medical services. Given the lack of a validated instrument in Mexico, the Directorate of Nursing/ Permanent Commission of Nursing published the Protocol for the Prevention of Falls in Hospitalized Patients to identify risks and prevent falls.Objective: To determine the applicability of the fall risk assessment scale.
Methods: Transversal descriptive study. Following a literature review and an operational review, a falls risk assessment scale was selected and applied to a nonrandom sample of 806.
Results: 91% of participants agreed that the schedule should be unchanged. The average degree of risk was 4, equivalent to high risk. Patients at high risk for falls had medical diagnoses of postpartum, diabetes mellitus, fractures, stroke, hypertension, head injury, pneumonia, chronic obstructive pulmonary disease, seizures and chronic renal failure.
Conclusions: The fall hazards rating scale utilized is applicable to the Mexican population, regardless of population structure and inpatient type, and discriminates by diagnosis between patients at high and low risk of falls.
REFERENCES
Secretaría de Salud (México). Subsecretaría de Innovación y Calidad. Dirección General de Calidad y Educación en Salud. Comisión Interinstitucional de Enfermería. Prevención de caídas en pacientes hospitalizados. Cap. 2. En: Evaluación de la calidad de los servicios de enfermería. Tres nuevos indicadores para la prevención e infecciones y seguridad del paciente. México: Secretaría de Salud; 2006, pp. 19-34.
Vega Elguézabal JF, Díaz De León González E, Barragán Berlanga AJ, Méndez Lozano DH. La escala de Tinetti igual o menor a 24 puntos es un factor asociado a caídas en pacientes geriátricos. Rev AVANCES. 2010; 7(21):31-40 [En línea] http://www.imbiomed.com.mx/1/1/ articulos.php?method=showDetail&id_articulo=70739&id_ seccion=2943&id_ejemplar=7063&id_revista=156 [Consultado el 20/11/2012].