Introduction The World Falls Guideline 2022 recommends that measurement of lying-standing blood pressure (LSBP) is an integral part of the multifactorial falls assessment (1). Pre-intervention less than half of eligible patients had a LSBP recorded and documented. The aim was to improve the recording and documentation of LSBP for adults aged 65 and over admitted with a fall or at high risk for falls. Method All patients aged 65 and over admitted with fall or identified as at high risk for falls to a care of the elderly ward were included over the period of 15th September 2023-15th November 2023. Royal College of Physicians (RCP) guidance (2017) for standard measurement of LSBP was used2. Data was collected on electronic spreadsheets from electronic observation charts. Two plan do study act (PDSA) cycles were conducted. Firstly, ward posters demonstrated how to record and document LSBP. Secondly ward-based one-to-one teaching interventions using RCP LSBP lanyard flashcards (2) were conducted. Results Following cycle one, 50% of eligible patients had LSBP documented. Following cycle two, 80% of eligible patients had LSBP documented. Following two PDSA cycles, there was a 37.1% increase in the average number of eligible patients who had LSBP correctly recorded and documented. Conclusion(s) Interventions of aide memoirs and education for nursing and medical staff improved the recording and documentation of LSBP. Indications and correct measurement guidance for LSBP should be included in future ward staff induction information and departmental teaching sessions. References 1) Montero-Odasso, M, Van der Velde N, Martin FC et al. The Task Force on Global Guidelines for Falls in Older Adults, World guidelines for falls prevention and management for older adults: a global initiative, Age and Ageing, Volume 51, Issue 9, September 2022. 2) Measurement of lying and standing blood pressure: A brief guide for clinical staff. 2017. https://www.rcplondon.ac.uk/projects/outputs/measurement-lying-and-standing-blood-pressure-brief-guide-clinical-staff.

中文翻译：

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2326 改进卧位站立血压的记录和记录 患者 > 65 因跌倒/跌倒风险高 入院


简介 2022 年世界跌倒指南建议测量卧位血压 （LSBP） 是多因素跌倒评估的一个组成部分 （1）。干预前，只有不到一半的符合条件的患者记录和记录了 LSBP。目的是改善 65 岁及以上因跌倒入院或有跌倒高风险的成年人的 LSBP 记录和记录。方法 在 2023 年 9 月 15 日至 2023 年 11 月 15 日期间，所有 65 岁及以上因跌倒入院或被确定为跌倒高风险的患者均被纳入老年病房护理。使用了皇家内科医师学会 （RCP） 指南 （2017） 来标准 LSBP 测量2。数据是从电子观测图中收集在电子电子表格上的。进行了两个计划研究行为 （PDSA） 周期。首先，病房海报演示了如何记录和记录 LSBP。其次，使用 RCP LSBP 挂绳抽认卡 （2） 进行以病房为基础的一对一教学干预。结果 在第一周期之后，50% 的符合条件的患者记录了 LSBP。在第二周期之后，80% 的符合条件的患者有 LSBP 记录。在两个 PDSA 周期之后，正确记录和记录 LSBP 的合格患者平均人数增加了 37.1%。结论 助手回忆录的干预以及对护理和医务人员的教育改善了 LSBP 的记录和记录。LSBP 的适应症和正确的测量指南应包含在未来的病房工作人员入职信息和部门教学课程中。参考资料 1） Montero-Odasso， M， Van der Velde N， Martin FC et al. 老年人跌倒全球指南工作组，老年人跌倒预防和管理世界指南：一项全球倡议，年龄与老龄化，第 51 卷，第 9 期，2022 年 9 月。2） 卧位和站立位血压的测量：临床工作人员的简要指南。2017. https://www.rcplondon.ac.uk/projects/outputs/measurement-lying-and-standing-blood-pressure-brief-guide-clinical-staff。