20.500.12556/ReVIS-13964 OBVLADOVANJE DEJAVNIKOV TVEGANJA ZA PADCE IN POŠKODBE V KLINIČNEM OKOLJU MANAGEMENT OF RISK FACTORS FOR FALLS AND INJURIES IN THE CLINICAL ENVIRONMENT Izhodišča: Padci v kliničnem okolju sodijo med najpogostejše neželene dogodke, ki pomembno vplivajo na varnost pacientov, stroške zdravstvene obravnave in organizacijsko odgovornost zdravstvenih ustanov. Namen raziskave je raziskati in analizirati dejavnike tveganja za padce in poškodbe v kliničnem okolju. Metode: Izvedena je bila kvantitativna presečna raziskava, ki je bila opravljena s pomočjo anketnega vprašalnika med 94 zdravstvenimi delavci na internističnem oddelku sekundarne ravni. Podatki so bili analizirani z opisno statistiko in osnovnimi primerjavami frekvenc za oceno razširjenosti opaženih dejavnikov tveganja, praks poročanja ter stališč do organizacijskih ukrepov. Rezultati: Zaposleni kot najpogostejše notranje dejavnike tveganja navajajo kognitivno okvaro (28 % anketiranih), motnje gibanja (27 %) in farmakoterapijo (19 %), med zunanjimi pa odsotnost oziroma nezadostno prisotnost osebja ter pretekle padce (oba po 35 %), neprilagojeno opremo (17 %), neurejene prostore in ovire na tleh (7 %) ter pomanjkljivo osvetlitev (4 %). Večina (60 %) ocenjuje obstoječe protokole za preprečevanje padcev kot ustrezne. Razprava: Ugotovitve potrjujejo večfaktorsko naravo padcev in poudarjajo potrebo po celostnem pristopu, ki združuje sistematično ocenjevanje tveganja, krepitev varnostne kulture, stalno izobraževanje osebja ter redno timsko analiziranje padcev. Za nadaljnje zmanjšanje tveganja so ključne organizacijske izboljšave, boljša implementacija protokolov in aktivno vključevanje pacientov ter svojcev v preventivne aktivnosti. Ključne besede: padci pacientov, dejavniki tveganja, klinično okolje, varnost pacientov, medicinska sestra. Introduction: Falls in clinical settings are among the most frequent adverse events and have a substantial impact on patient safety, healthcare costs and the organizational liability of healthcare institutions. The aim of this thesis was to examine how health professionals recognize intrinsic, extrinsic and organizational risk factors for falls in hospitalized patients and to assess their perceptions of protocols, training and safety culture on a selected clinical ward. Methods: A quantitative cross‑sectional study was conducted using an anonymous survey questionnaire among healthcare workers on an internal medicine ward at a secondary care hospital. Data were analysed using descriptive statistics and basic frequency comparisons to determine the prevalence of perceived risk factors, reporting practices and attitudes towards organizational measures. Results: Employees cite cognitive impairment (28% of respondents), movement disorders (27%) and pharmacotherapy (19%) as the most common internal risk factors, while external risk factors include absence or insufficient staff presence and past falls (both 35%), unsuitable equipment (17%), untidy spaces and obstacles on the floor (7%) and inadequate lighting (4%). The majority (60%) consider existing fall prevention protocols to be adequate. Discussion: The findings confirm the multifactorial nature of falls and underline the need for a comprehensive approach that combines systematic risk assessment, a strong safety culture, ongoing staff education and regular multidisciplinary review of fall events. Further risk reduction requires organizational improvements, better implementation of protocols and active involvement of patients and family members in prevention strategies. Keywords: patient falls, risk factors, clinical setting, patient safety, nursing. padci pacientov dejavniki tveganja klinično okolje varnost pacientov medicinska sestra. patient falls risk factors clinical setting patient safety nursing. true false false Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-06-02 19:48:23 2026-06-02 19:48:23 2026-06-03 03:27:33 0000-00-00 00:00:00 2026 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 1970-01-01 25013 4355$$obvladovanje_dejavnikov_tveganja_za_padce_in_poskodbe_v_klinicnem_okolju.pdf 4355$$obvladovanje_dejavnikov_tveganja_za_padce_in_poskodbe_v_klinicnem_okolju.pdf 1 AD5582588798EB718B05026C52BCA857 1c489882cb2d21c8bf07b85c4fb6f9ddfc69b0cd76c9f6ca0b3298625810cdee 405eba91-5eab-11f1-8e51-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=16930 Univerza v Novem mestu - Fakulteta za zdravstvene vede 0 0 0