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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
According to the Taiwan Patient Safety Reporting System Annual Report (2023), patient falls accounted for 21% of hospital safety incidents, ranking second among all events. Hemodialysis patients are vulnerable to osteoporosis due to hypertension, medication use, and electrolyte imbalance. Falls can result in head injury, fractures, loss of independence, or death, making fall prevention a critical goal in healthcare quality improvement. In 2023, our dialysis unit reported four fall incidents, including one severe case that led to major compensation and reduced staff morale. Recent near-fall collisions in treatment and weighing areas revealed safety concerns. Therefore, a multidisciplinary project team was established to identify causes, design interventions, and enhance patient safety and care quality.
The team conducted workflow observations and data collection to identify factors associated with low completeness in fall-prevention care. Analysis revealed five key problems: insufficient nursing knowledge and training, lack of in-service education on high-risk fall care, absence of systematic and specialized fall-prevention education, disorganized movement flow in the post-dialysis weighing area, and limited multilingual educational materials for diverse patients. Based on these findings, an improvement threshold of ≥95% was set to ensure effective implementation and measurable outcomes. Eight major interventions were implemented: reinforcement of nursing guidance and supervision; revision of fall-risk assessment macros and system reminders; inclusion of in-service fall-prevention training in the unit plan; reinforcement of access control; optimization of the weighing-area layout with safety reminders; placement of fall-prevention posters; production of multilingual educational videos with QR codes; and establishment of standardized educational tools and workflows.
After implementation, the completeness of high-risk fall nursing documentation improved from 1.2% to 96.7%, fall-prevention education completeness rose from 2.5% to 95%, and satisfaction with nursing guidance increased from 46% to 98.7%. No fall incidents occurred from January to September 2024. These outcomes demonstrated that the interventions effectively enhanced patient safety and nursing performance.
The project achieved its objectives through systematic interventions and interdisciplinary collaboration. The main challenge was changing staff attitudes and work habits; after emphasizing the importance of fall prevention, compliance improved. Future initiatives include encouraging bedside cycling exercises during dialysis to strengthen lower-limb muscles and implementing digitalized educational leaflets, though elderly patients without smartphones remain a limitation. By integrating information technology and teamwork, this project successfully reduced falls among hemodialysis patients and significantly contributed to improving nursing quality, patient safety, and professional development.
