Application of Swiss cheese model in fall prevention management for elderly patients

doi:10.3969/j.issn.1009-6493.2018.07.015

Abstract：Objective:To observe the application effect of management model based on Swiss cheese model in fall prevention of of elderly patients,and to further explore the fall management model used in the elderly patients.Methods:A total of 386 elderly patients admitted in our department from July 1 to December 31,2016 were included in the control group.which was given standard fall prevention management.A total of 397 elderly patients admitted between January 1 and May 31,2017,were included in the experiment group.They were given the Swiss cheese model of fall prevention management.The incidence of fall,the implementation of the nurses' fall measures,and the satisfaction of patients when they discharged from the hospital were compared between the two groups.Results:Fall occurred in 0 case in the experimental group and 2 cases in the control group.There was no statistical difference between the two groups (P=0.244).After using the Swiss cheese model,the implementation of nurses' fall measures was significantly better than that in the control group,and the difference was statistically significant (P＜0.05).The patients in the experimental group were more satisfied with the nursing service than that in the control group,and the difference was statistically significant (P＜0.05).Conclusions:The application of Swiss cheese model in geriatric fall prevention management model could effectively improve the implementation of fall prevention measures.