跌倒會降低住院病人參與日常生活及復健活動的意願，也會影響病人的心理健康甚至引起醫療糾紛。本專案探討造成復健科住院病人跌倒的原因包括藥物因素、病人健康因素、照顧者因素、環境因素、和設備因素。藉由復健醫謢團隊的合作與努力、主管的重視、越語衛教單張的制訂、肌力訓練、持續衛生教育與稽核、無記名通報系統、環境改善、輪椅及浴廁安全設施增設等，跌倒率由0.08%降至0%。醫療團隊成員需持續性的評估造成病人跌倒的危險因素並加以預防，隨時監測與評估病人個別性需求，給予個別性衛教與照護，使病人的安全更有保障。

Fall may decrease inpatients’willingness to perform daily activities and
rehabilitation. It may influence patients’mental health , and even cause the medical dispute. The purpose of this project was to explore the fall factors of inpatients in the rehabilitation ward including medication, patients’health status, caregiver, environment, and equipment factors. The fall incidence rate reduced from 0.08% to 0% through the rehabilitation teamwork and efforts, managers’ concern, making the Vietnamese language health education sheet, muscle training, continuing health education and auditing, anonymous reporting chain, environment improvement, as well as wheelchair and bathroom safety improvement. The medical care team should continue to assess and prevent the risk factors of inpatients’fall, as well as to monitor and assess inpatients’individual needs in order to provide personal health education
and care to promote inpatients’safety.