Application evaluation of precision interventions guided by patient safety goals in fall prevention management for elderly patients with communication disorders
患者安全目标导向下精准干预在老年沟通障碍患者防跌倒管理中的应用评价

摘要

目的 基于《中国医院协会患者安全目标（2025版）》，构建并评价以患者安全目标为导向的精准干预策略在防范老年沟通障碍住院患者跌倒事件中的应用效果。方法 采用自身前后对照设计，选取2025年1月至2025年7月我院收治的60例老年沟通障碍患者为研究对象，实施以“正确识别患者身份”与“防范与减少意外伤害”为核心、结合多维度精准干预的防跌倒质量管理方案。比较干预前后患者跌倒/坠床事件发生率。结果 实施精准干预后，患者跌倒/坠床总发生率由干预前的13.33%（8/60）显著降至1.67%（1/60），差异有统计学意义（χ2=5.866，P=0.015）。结论 以患者安全目标为导向的精准干预模式，通过标准化身份核对、多模态风险评估、环境适老化改造及强化巡视等多重策略，能有效突破沟通障碍所致的护理盲区，显著降低老年沟通障碍患者的跌倒风险，系统提升专科护理质量与患者安全水平。

Abstract

Objective Based on the 2025 Edition of Patient Safety Goals by the Chinese Hospital Association, this study aims to develop and evaluate the effectiveness of patient safety goal-oriented precision intervention strategies in preventing falls among hospitalized elderly patients with communication disorders.
Methods A pre-post self-controlled design was employed. A total of 60 elderly patients with communication disorders admitted to our hospital from January 2025 to July 2025 were enrolled. A fall prevention quality management program centered on “Correctly Identifying Patients” and “Preventing and Reducing Accidental Injuries” integrated with multi-dimensional precision interventions, was implemented. The incidence of falls/bed falls before and after the intervention was compared.
Results Following the implementation of the precision intervention, the total incidence of falls/bed falls significantly decreased from 13.33% (8/60) pre-intervention to 1.67% (1/60) post-intervention, with a statistically significant difference χ2=5.866, P=0.015.
Conclusion   The patient safety goal-oriented precision intervention model, incorporating strategies such as standardized patient identification, multimodal risk assessment, age-friendly environmental modifications, and enhanced routine patrols, effectively overcomes nursing blind spots caused by communication disorders. It significantly reduces the risk of falls in elderly patients with communication disorders and systematically enhances the quality of specialized nursing care and patient safety.