目的 检索医疗机构老年人预防跌倒环境管理的相关证据，形成最佳证据总结。 方法 系统检索国内外数据库关于医疗机构老年人预防跌倒环境管理的临床决策、指南、证据总结、系统评价、专家共识等。 结果 总结出包括环境评估、环境危险因素识别、营造适老化环境、建设无障碍环境、高危跌倒警示提醒、健康教育等6个方面共24条证据。 结论 医疗机构可应用最佳证据开展老年人预防跌倒环境管理的实践变革，以降低老年人跌倒发生率，减少跌倒伤害。

Objective To search and summarize the best evidence on the environmental management for fall prevention among the elderly institution residents. Methods The clinical decisions，guidelines，evidence summaries，systematic reviews and expert consensus on the environmental management for fall prevention among the elderly institution residents were systematically retrieved from domestic and foreign databases． Results A total of 24 pieces of evidence were extracted, belonging to six aspects of environmental assessment，identification of environmental risk factors，creating a safe environment suitable for aging，building a barrier-free environment，high-risk fall warning reminders and health education. Conclusions Medical institutions can apply the best evidence to carry out the practice reform of environmental management for the prevention of falls among the elderly，and reduce the incidence of falls and fall injuries among the elderly.

R47

2021年江苏省干部保健科研课题立项（BJ21004）