Retrospective Analysis of Factors Associated With a Revised Fall Prevention Bundle in Hospitalized Patients.


Journal

The Journal of nursing administration
ISSN: 1539-0721
Titre abrégé: J Nurs Adm
Pays: United States
ID NLM: 1263116

Informations de publication

Date de publication:
Nov 2020
Historique:
entrez: 26 10 2020
pubmed: 27 10 2020
medline: 12 11 2020
Statut: ppublish

Résumé

The study aims to describe factors associated and injuries sustained with inpatients who fell while hospitalized and identify the impact of a revised fall-prevention bundle. Approximately 1 million falls occur in hospitals annually, accounting for approximately 70% of inpatient accidents. Inpatient falls can result in physical injury, increased patient mortality and morbidity, decreased quality of life, and increased length of stay and cost. We used a retrospective review of patient fall data for adult inpatients who fell while hospitalized. After reeducation and implementation of all elements of a revised fall-prevention bundle, there were fewer falls per patient day. We identified additional characteristics indicating when patients were more likely to be injured in a fall. A fall-prevention bundle is effective in decreasing inpatient falls and falls with injury. Raising awareness of additional factors may decrease risk of injuries during an inpatient fall.

Sections du résumé

OBJECTIVE OBJECTIVE
The study aims to describe factors associated and injuries sustained with inpatients who fell while hospitalized and identify the impact of a revised fall-prevention bundle.
BACKGROUND BACKGROUND
Approximately 1 million falls occur in hospitals annually, accounting for approximately 70% of inpatient accidents. Inpatient falls can result in physical injury, increased patient mortality and morbidity, decreased quality of life, and increased length of stay and cost.
METHODS METHODS
We used a retrospective review of patient fall data for adult inpatients who fell while hospitalized.
RESULTS RESULTS
After reeducation and implementation of all elements of a revised fall-prevention bundle, there were fewer falls per patient day. We identified additional characteristics indicating when patients were more likely to be injured in a fall.
CONCLUSIONS CONCLUSIONS
A fall-prevention bundle is effective in decreasing inpatient falls and falls with injury. Raising awareness of additional factors may decrease risk of injuries during an inpatient fall.

Identifiants

pubmed: 33105333
doi: 10.1097/NNA.0000000000000939
pii: 00005110-202011000-00006
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

571-577

Références

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Auteurs

Sandra Scheidenhelm (S)

Author Affiliations: Director Professional Practice/Magnet Program Director (Dr Scheidenhelm), and Educator (Dr Astroth), OSF St Joseph Medical Center, Bloomington; Director Graduate Program/Professor (Dr Astroth), Mennonite College of Nursing at Illinois State University, Normal; Registered Nurse (Ms Starkey), OSF St Joseph Medical Center; and Quality and Safety Manager-Eastern Region (Ms DeLong), OSF HealthCare, Bloomington; and Statistician (Mr Wolfe), OSF Healthcare System, Peoria, Illinois.

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