• Jin-Ying Gu and Chun-Jun Yang.
• Department of Medical Care, Tianjin Medical University General Hospital, No. 154 of Anshan Road, Heping District, Tianjin, 300052, China. jinyinggudr@21cn.com.
• Ir J Med Sci. 2023 Aug 1; 192 (4): 174517501745-1750.

AimTo observe the effect of the implementation of improved high-risk sign boards for older people inpatients.MethodThe older people inpatients of the Department of Geriatrics at our hospital were selected as the research subjects and divided into two groups. The control group used the single-strip high-risk sign, and the intervention group used the improved double-layer card slot, push-pull integrated high-risk sign board (national patent). The sign-related nurse operation time, patient/attendant satisfaction, and high-risk-related adverse events were observed and compared between the two groups.ResultsAfter the adoption of the improved high-risk sign board, the nurse operation time was reduced from 94.3 ± 16.2 s to 53.9 ± 12.5 s, and patient/attendant satisfaction increased from 6.65 ± 0.38 points to 9.30 ± 0.52 points (P < 0.001). The incidence of high-risk-related adverse events decreased from 6.08 to 1.86%, but the difference was not statistically significant (χ2 = 3.675, P = 0.055). The implementation of the improved high-risk sign board can increase nursing efficiency and enhance the awareness of risk prevention in high-risk patients among nurses, older people inpatients, and attendants.ConclusionThe application of double-layer card slot and push-pull comprehensive high-risk identification card to older people inpatients can alert nurses, patients, and nursing staff more prominently, which can improve patient satisfaction, reduce installation time and reduce the incidence of adverse events to a certain extent.© 2023. The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.

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