Navegando por Palavras-chave "Acidentes Por Quedas"

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    Análise de sistema de suporte à decisão clínica em quedas e úlcera por pressão no ambiente hospitalar
    (Universidade Federal de São Paulo (UNIFESP), 2019-12-19) Santoro, Ricardo Da Silva [UNIFESP]; Marin, Heimar De Fatima [UNIFESP]; http://lattes.cnpq.br/5458785300394469; http://lattes.cnpq.br/9683155818988733; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Healthcare costs have increased rapidly in all countries. This trend tends to worsen with the aging of the population which will demand more complex care and for a longer period, that due both scientific and technological evolution. In line with today's challenges, clinical computing can be defined as the study and use of data and healthcare information technology to improve performance and ability to maintain quality in healthcare. Methods: This is an experimental study with allocation of a known population of individuals (inpatients). Data were collected from both Adverse Event Management System and Electronic Health Records System. Data were collected from a 24-month period with a total sample of 106,658 patient records. Results: The use of the decision support system evaluated in this study has contributed to reduce cases of adverse events related to pressure ulcer developed in the inpatient unit. There was a 16.2% reduction in total cases, reduction of 42.9% in cases of Pressure Ulcer developed in the inpatient unit by patients over 60 years old and reduction of 46.5% in cases of complex lesions (stages 3, 4 and deep tissue injury) developed by patients over 60 years old. No contributions from the decision support system to reduce cases of fall-related adverse events were identified. Discussion: The study shows that the fact that activating decision support systems and providing this support in the form of alerts or protocol suggestions does not mean that positive results will be obtained. It is necessary to adopt change management methodologies, validations of interfaces with professionals who know the workflows and attention to data quality so that the information generated is reliable. Conclusions: This study demonstrated that integrated decision support systems, considering the large amount of data inside Electronic Health Record systems, can add important contribution to healthcare services for inpatients.
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    Medo De Cair E Chance De Queda No Idoso: Revisão Sistemática
    (Universidade Federal de São Paulo (UNIFESP), 2017-09-28) Pena, Silvana Barbosa [UNIFESP]; Barros, Alba Lucia Bottura Leite De [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Nursing faces daily with elderly people who live in community-dwelling and who suffer falls. The falls are multifactorial and they cause impact in the elderly person’s life, in the family and in the health system. It can be noted an increase number of studies that investigate the fear of falling in elderly people living in community-dwelling with or without a precedent history of falls. These elderly are attended by nurses through the nursing appointment, which subsidizes the clinical reasoning for a diagnostic phase that allows a choice of interventions that impact the reduction of falls. In front of the exposed, this review aims to answer the following research question: is there scientific evidence in the literature about the fear of falling into the elderly person living in community-dwelling with a precedent history of falls? Objective: To identify the fear of falling and the chance of falls in elderly people living in community-dwelling with precedent history of falls. Method: It is about a systematic review. The strategy for formulating a research question to define the PECOS: Patient: who corresponds to the elderly person 60 years of age or older, who lives in community-dwelling with a precedent history of falls; Exhibition: elderly people with fear of falling; Comparison: the group without fear of falling; Outcome: the result falls and Studies: comparative observational studies were selected. Comparative observational studies were included regardless of language and type of publication to evaluate elderly individuals living in community-dwelling. The sources of information used were: LILACS, Medine/Pubmed, CINAHL/SPORTDISCUS, Embase, Cochrane Library, PyscINFO and PEDro. The selection of studies was performed by two independent reviewers. The included studies had their data extracted by three evaluators, using data extraction form, observing the participants, methodology, exposure and outcomes. The analysis of the methodological quality of the studies was effected through the SCROBE instrument (Strengthening the Reporting of Observational Studies in Epidemiology)-(CRD 42016042780). Results: The searches were made on March 24, 2017 and resulted in a total of 3,781 articles, with a selection of 13 for reading the title, abstract and full text. Of the selected, six studies were included in the review and filled more than 80% of the criteria established by STROBE. The meta-analysis of the four studies that used a simple and direct question to investigate the fear of falling demonstrate a reason of chance of falls of 16,75 (IC 95%, 14, 43-19, 45) for the group with fear. Conclusion: There is a chance of falling of 16.75 times for a group of elderly with fear of falling, when compared to the group of elderly without fear of falling living in community-dwelling.
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    Relação entre percepção do risco de quedas, capacidade funcional, dor e risco para quedas em idosos assistidos em um serviço de emergência
    (Universidade Federal de São Paulo (UNIFESP), 2020-11-26) Souza, Lidia Ferreira De [UNIFESP]; Okuno, Meiry Fernanda Pinto [UNIFESP]; Universidade Federal de São Paulo
    Introduction: During hospitalization, the older people, may experience loss of function, which may be due to the disease that determined the hospitalization, previous clinical conditions, submitted procedures, and poor adaptation of the health system to the demands of an aging and frailty population. Falls are among the main causes of death and the most frequent reason for seeking emergency medical services among people over 65 years of age. Objective: To verify the factors associated with risk, perception and knowledge of falls and pain in the older people in a Emergency Service. List the sociodemographic, economic and clinical variables and whether or not they have a caregiver. Method: Crosssectional study carried out with 197 older people in an emergency room setting. The following were applied: Falls Risk Awareness Questionnaire, Morse Falls Scale, numerical pain scale, Katz index and Lawton scale. Results: Individuals at high risk of falls were older and had higher family income. The illiterate older people had a higher percentage of total dependence and those who had completed elementary school had a higher percentage of independence. Those classified as independent had higher income than those totally dependent. The respondents divorced and without a caregiver had a higher score on the Lawton Scale. Elderly with systemic arterial hypertension, neoplasia and walking impairment had lower scores on the Lawton scale. The better the perception of fall risks by the elderly, the less independent they were for instrumental activities. Those at low risk for falls had less independence. Conclusion: The results demonstrate the importance of exploring the support network and including the caregiver in the planning of care for the older people during hospitalization, and also preparing him for post-discharge care, unveiling the contribution of the interprofessional team. These precautions should be directed to maintaining and/or mitigating the deterioration of functional capacity and preventing falls. In addition, they are useful to assist health professionals in planning actions that enhance the safety of the elderly, in addition to the importance of using not only the instrument that assesses the risk of falling and pain, but also the perception and knowledge of the elderly regarding the risk of falls.