Volume 23 Issue 1
Jan.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(1): 153-156
JIAO Jianhui, HU Lanying, ZHANG Yu, LI Zhiping, SHAN Qing, ZHANG Xiao, YANG Yan, YUAN Yuan. Integrating HFEMA and the CATCH model to develop a fall safety management system for elderly patients[J]. Chinese Journal of General Practice, 2025, 23(1): 153-156. doi: 10.16766/j.cnki.issn.1674-4152.003856
Citation: JIAO Jianhui, HU Lanying, ZHANG Yu, LI Zhiping, SHAN Qing, ZHANG Xiao, YANG Yan, YUAN Yuan. Integrating HFEMA and the CATCH model to develop a fall safety management system for elderly patients[J]. Chinese Journal of General Practice, 2025, 23(1): 153-156. doi: 10.16766/j.cnki.issn.1674-4152.003856
shu

Integrating HFEMA and the CATCH model to develop a fall safety management system for elderly patients

doi: 10.16766/j.cnki.issn.1674-4152.003856
  • 1.

    Department of Nursing, Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu 225001, China

Funds:

 LK2021054

 JSYGY-3-2021-608

  • Received Date: 2024-01-04
    Available Online: 2025-02-13
    Abstract
  •   Objective   To explore the effectiveness of combing the healthcare failure mode and effect analysis (HFEMA) with the CATCH fall management model in constructing a fall management system for elderly hospitalized patients.   Methods   A total of 36 888 elderly patients hospitalized at our hospital from January 2022 to December 2022 were selected as the research objects. The incidence of falls and fall-related injuries, as well as the realization rate of fall education among nursing staff and the awareness rate of fall prevention among elderly patients and their families, were compared before and after the implementation of the HFEMA combined with the CATCH model.   Results   Following the implementation of the combined HFEMA and CATCH fall management model, the incidence of falls in elderly patients decreased significantly, from 0.13% (21/16 696) in the first half of 2022 to 0.04% (9/20 192) in the second half of 2022 (χ2=7.417, P=0.006). Fall injuries of grade 2, 3, and 4 also decreased from 5, 2, and 8 cases to 3, 0, and 4 cases respectively (Z=9.828, P < 0.05). The compliance rate of nursing staff with fall education increased from 95.1% (15 878/16 696) to 100.0% (20 192/20 192), and the awareness rate of fall prevention among elderly patients and their families increased from 85.3% (14 242/16 696) to 92.5% (18 678/20 192), the differences were statistically significant (P < 0.001).   Conclusion   The integration of the HFEMA with the CATCH fall management model effectively reduces the risk of falls in elderly hospitalized patients by combining fall assessment, prevention, and intervention. This system is highly effective and recommended for broader implementation.

     

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