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[{"key": "dc.contributor.advisor", "value": "H\u00e4kkinen, Arja", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Hyv\u00f6nen, Hanna", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2020-06-12T06:39:41Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2020-06-12T06:39:41Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2020", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/69903", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Kaatuminen tai putoaminen ovat yleisimm\u00e4t tapaturmaisen kuoleman syyt Suomessa. Nelj\u00e4sosa kyseisist\u00e4 vaaratapahtumista sattuu hoitolaitoksissa. Tutkielman tavoitteena oli selvitt\u00e4\u00e4 Keski-Suomen keskussairaalan vuodeosastopotilaiden kaatumis- ja putoamistapaturmia sek\u00e4 niist\u00e4 tehtyjen haittatapahtumien raportointiprosessin eli HaiPro-vaaratapahtumailmoitusten sis\u00e4lt\u00f6\u00e4 vuosina 2016 ja 2018. \nAineisto koostui 162 hoitohenkil\u00f6kunnan tekem\u00e4st\u00e4 kaatumis- ja putoamistapaturmien HaiPro- vaaratapahtumailmoituksesta valikoiduilta konservatiivisilta ja operatiivisilta osastoilta. Ilmoitukset sis\u00e4lsiv\u00e4t avoimia tapahtumakuvauksia sek\u00e4 strukturoituja tietoja. Laadullinen aineisto analysoitiin aineistol\u00e4ht\u00f6isell\u00e4 sis\u00e4ll\u00f6nanalyysill\u00e4 ja kvantifioitiin m\u00e4\u00e4r\u00e4lliseen muotoon. Analyysi\u00e4 jatkettiin jakamalla muuttujat potilaasta johtuviin ja ulkoisiin tekij\u00f6ihin sek\u00e4 seurauksiin. Aineisto analysoitiin frekvenssien, prosenttiosuuksien sek\u00e4 ristiintaulukoinnin khiin neli\u00f6 -testin avulla. \nVuonna 2018 ilmoituksia tehtiin kolme kertaa enemm\u00e4n suhteessa vuoteen 2016. Avoimiin tapahtumakuvauksiin raportoitiin p\u00e4\u00e4asiassa potilaan toimintaa (63\u201382 %), oliko hoitaja paikalla (91 %), mik\u00e4 oli tapahtumapaikka (86 %) ja mink\u00e4laista vammaa potilaalle aiheutui (78\u201380 %). Strukturoituja tietoja raportoitin enemm\u00e4n (86\u201396 %). Vuonna 2018 raportoitiin useammin tapahtuman riskiarvio (p=0.026), mutta potilaalle tehtyjen tutkimusten raportointi v\u00e4heni (p=0.035). Potilaasta johtuvista tekij\u00f6ist\u00e4 yleisimmin tapaturmat sattuivat potilaan wc-asioinnin yhteydess\u00e4 (38 %). Kaatumisten aikana potilaat olivat useimmiten jalkeilla (44 %), kun putoamiset tapahtuivat noustessa tai siirtyess\u00e4 (44 %). Ulkoisista tekij\u00f6ist\u00e4 hoitaja ei p\u00e4\u00e4asiassa ollut paikalla (63 %) ja tapahtumapaikka oli yleisimmin potilashuone (56 %). Seurauksena potilaille aiheutui tyypillisimmin liev\u00e4\u00e4 haittaa (53 %). Heist\u00e4 21 % kolautti p\u00e4\u00e4ns\u00e4 ja 34 % l\u00f6i kaatuessaan jonkin muun kehonosan. \nPotilaasta johtuvia sek\u00e4 ulkoisia riskitekij\u00f6it\u00e4 raportoitiin vaihtelevasti HaiPro-ilmoituksen tapahtumakuvaukseen. Se kuitenkin antaa vaaratapahtumista t\u00e4rke\u00e4\u00e4 tietoa, jota hy\u00f6dynt\u00e4m\u00e4ll\u00e4 n\u00e4m\u00e4 tilanteet voidaan tunnistaa ja potilasturvallisuutta edist\u00e4\u00e4. Raportointij\u00e4rjestelm\u00e4n kehitt\u00e4minen tulevaisuudessa olisi t\u00e4rke\u00e4\u00e4 perusteellisen tiedon saamiseksi.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Falls are the most usual accidents causing death in Finland. Of them, one quarter happens in institutions. Aim of this study was to gain information about inpatient falls in Central Finland Central Hospital, and about the post-fall reporting in HaiPro reporting system within years 2016 and 2018. \nThe data consisted of 162 HaiPro adverse event notifications, from the selected operative and non-operative hospital units, reported by nurses. Reports consisted mainly of the narrative data and partly of the menu-driven data. The qualitative data was analyzed by a data-based content analysis and quantified. Analysis was continued by classifying variables into patient related factors, external factors, and consequences. Frequencies, percentages, and chi square test was used. \nIn 2018, HaiPro notifications were done three times as much as in 2016. In open narratives mostly reported items were patient\u2019s action (63\u201382%), was the nurse present or not (91%), what was the place of the fall (86%), and what kind of injury resulted for the patient (78\u201380%). Structured menu-driven information was more reported (86\u201399%). The risk analysis was done more often in 2018 (p=0.026), but reporting of how the patient was examined, decreased (p=0.035). Mostly falls were related to toileting (38%). As patient related factors fall (from standing position) happened usually (44%) when patient was on his/her feet e.g. walking or standing. Fall (from the sitting or lying position) happened usually (44%) during getting up or transferring. Relating to external factors, the nurse wasn\u2019t usually present at the time of the fall (63%) and the falls happened in the patients\u2019 room (56%). As a consequence, mild harm was the most typical for the patients (53%). Of the patients, 21% hit their head, and 34% hit another body part. \nReporting of patient related and extrinsic factors varied in open narratives. However, it provides important information about the adverse events. By utilizing it, events can be recognized, and patient safety can be improved. For the comprehensive information, development of the adverse event reporting systems would be important in the future.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2020-06-12T06:39:41Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2020-06-12T06:39:41Z (GMT). No. of bitstreams: 0\n Previous issue date: 2020", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "65", "language": "", "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "vaaratapahtumat", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "HaiPro-ilmoitus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "vuodeosastopotilaat", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Vuodeosastopotilaiden kaatumis- ja putoamistapaturmat sek\u00e4 niiden raportointi Keski-Suomen keskussairaalassa", "language": "", "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-202006124148", "language": "", "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Fysioterapia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Physiotherapy", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": null, "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "50422", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "riskitekij\u00e4t", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "vuodeosastot", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "putoaminen", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kaatuminen", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "potilaat", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "tapaturmat", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "potilasturvallisuus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "raportointi", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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