Preview

A literature Review on inpatient falls

Better Essays
Open Document
Open Document
878 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
A literature Review on inpatient falls
A literature Review on inpatient falls NRS 433V August 3rd, 2014

A Literature Review on inpatient falls According to the reports published by the Centers for Disease Control and Prevention Injury Centre (2007), falls are the third most common cause of unintentional injury death across all age groups and the first leading cause among people 65 years and older. A hospital can be a dangerous and erratic place for inpatients because of its unfamiliar physical environment (different from their home settings) and because of changes in patients’ medical conditions as related to their physical and psychological health and sensory systems (Tzeng, H., & Yin, C. (2008). The following research articles focused on the nurses’ role in preventing and managing patient falls in hospitals.
Study 1: Barker A, Kamar J., Tyndall T. & HILL K. (2013) reducing serious fall related injuries in acute hospitals: are low-low beds a critical success factor?
Literature Search 1: Reducing serious fall related injuries in acute hospitals: are low-low beds a critical success factor?
Abstract:
Aim:
This article is a report of a study of associations between occurrences of serious fall-related injuries and implementation of low-low beds at The Northern Hospital, Victoria, Australia. Background:
A 9-year evaluation at The Northern Hospital found an important reduction in fall-related injuries after the 6-PACK fall prevention program was implemented. Low-low beds are a key component of the 6-PACK that aims to decrease fall-related injuries.
Design: A retrospective cohort study.
Methods: Retrospective audit of The Northern Hospital inpatients admitted between 1999–2009. Changes in serious


References: Barker, Kamar, Tyndall & HILL (2013) Reducing serious fall related injuries in acute hospitals: are low-low beds a critical success factor? Journal of Advanced Nursing 69(1), 112–121. Doi: 10.1111/j.1365-2648.2012.05997.x Forrest, George P. MD, Eric Chen2, BS, Sara Huss1, MD & Andrew Giesler1, MD, PGY3 A comparison of the functional independence measure and Morse Fall Scale as tools to assess risk of fall on an Inpatient Rehabilitation. November 19, 2012. Doi: 10.1002/rnj.86 Lamis, Rebecca L. and Joan S. Kramer. Fall risk associated with inpatient medications. American Society of Health-System Pharmacists, Inc. 1079-2082/12/1101-1888$06.00 DOI 10.2146/ajhp110723
Continue Reading
View Writing Issues

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Fall Risk Nurses: Movie Analysis
    • 111 Words
    • 1 Page

    Fall Risk Nurses: Movie Analysis

    The most important aspect of the film is that nurses should identify fall risk patients and implement interventions to prevent future falls. Interestingly, the image above has quite a few fall risks depicted, for example: the rug, coffee table, and furniture layout. However, one major risk is the large area rug in the center of the room. Often, people trip and stumble while walking on them and its outer corners. To lower the fall risk in this home, I would remove the area rug and rearrange the furniture to promote safer ambulation. Lastly, I would install a small outlet light near the bathroom to brighten the pathway for enhanced nighttime…

    • 111 Words
    • 1 Page
    Satisfactory Essays
    Read More
  • Satisfactory Essays

    Soma Shift Report
    • 86 Words
    • 1 Page

    Soma Shift Report

    The optimal measure to prevent fall is hourly rounding with asking 4 P( potty, position, pain, placement) and providing education. One can reduce fall from these factors. Education can make patient to understand their weakness and consciously avoid falling. Shift report also needs to give to CNAs so they are aware who are high fall risk and need to be accompanied when they are out of bed. For the confused patient, the Soma bed would be the appropriate option to prevent the fall with physician's…

    • 86 Words
    • 1 Page
    Satisfactory Essays
    Read More
  • Good Essays

    Ethical Issues In Physician Assisted Suicide Case Study
    • 645 Words
    • 3 Pages

    Ethical Issues In Physician Assisted Suicide Case Study

    Safety is a major concern for patients who have fallen before and are at risk for falling again. There are many reasons someone could be at risk for falling. They may have an unsteady gait due to their health, medications that may be making them dizzy, and their environment could even be a major factor. In this paper I will talk about safety measures needed for a patient at risk for falls, ethical concerns that could impact care for the patient, and nursing interventions that could be implemented during care.…

    • 645 Words
    • 3 Pages
    Good Essays
    Read More
  • Good Essays

    Assisted Suicide Case Study Essay
    • 2099 Words
    • 9 Pages

    Assisted Suicide Case Study Essay

    One of the causes of falls at my current place of employment is patients taking multiple medications. Polypharmacy is when a patient uses four or more medications to treat an illness. The usage of many medications often lead to a fall. Baranzini, Diurni, Ceccan, Poloni, Cazzamalli, Constantin and Callegari (2009), explain that “Polypharmacy is…

    • 2099 Words
    • 9 Pages
    Good Essays
    Read More
  • Satisfactory Essays

    Health Fall Prevention Policy
    • 257 Words
    • 2 Pages

    Health Fall Prevention Policy

    Each unit in the hospital have fall prevention committee that develops policy on how to prevent fall incidents among patients and how to reduce injuries related to fall during hospitalization. Some of the fall prevention policies include wearing of non-skid foot wear, use of bed alarm, and mandatory hourly rounds.…

    • 257 Words
    • 2 Pages
    Satisfactory Essays
    Read More
  • Best Essays

    Falls Prevention Research Paper
    • 1077 Words
    • 5 Pages

    Falls Prevention Research Paper

    Miake-Lye, I., Hempel, S., Ganz, D., & Shekelle, P. (2013). Inpatient fall prevention programs as a patient safety strategy [Supplemental material]. Annals of Internal Medicine, 158(5),…

    • 1077 Words
    • 5 Pages
    Best Essays
    Read More
  • Good Essays

    Fall Prevention Tactics
    • 1096 Words
    • 5 Pages

    Fall Prevention Tactics

    A retrospective review of the unit fall rate was performed, fall rates were compared quarterly and with the implementation dates of fall prevention interventions, which are safety huddles, signage and hourly rounding. Also, the culture of safety scores was examined to assess its effect on lowering fall rates. A substantial decrease in fall rate was noted after the initial revitalization efforts of the inpatient culture of safety concurrent with hour rounding. According to the research hour rounding is an appropriately safe and useful strategy for patient safety and fall prevention. According to Leone et al., (2016), hour rounding or purposeful rounding have a positive effect on decreasing fall rate. It allows for a patient to receive assistant with the 4Ps: pain, position, potty, and placement of personal items, meeting these needs will prevent the patient from getting out of bed without assistance to try and help themselves. Also regular meeting in discussing outcomes and review the effectiveness of unit policy and procedures is necessary to assess if goals are being met and formulate new ideas to promote quality care and ensure best practice. Communication is a vital component in delivering safe quality care; therefore, safety huddles at the begin of each shift allows staff on the…

    • 1096 Words
    • 5 Pages
    Good Essays
    Read More
  • Better Essays

    Fall Prevention Research Paper
    • 626 Words
    • 3 Pages

    Fall Prevention Research Paper

    Falling in most care settings is deemed as an unmet need and has serious consequences. There needs to be proper interventions in place to prevent falls, or injuries from the fall. “Fall risk assessment is a process aimed at identifying an individual’s…

    • 626 Words
    • 3 Pages
    Better Essays
    Read More
  • Good Essays

    Falls Prevention
    • 948 Words
    • 4 Pages

    Falls Prevention

    They are among the leading cause of injury related deaths in older adults. Falls also cause a substantial increase in cost due to an increased length of stay. Falls are detrimental to the health and well-being of the patients and are preventable. Falls prevention is imperative in providing the highest quality of care to our patients. As a result, decreasing the incidence of falls in patients in the hospital setting is a vital change that needs to be implemented.…

    • 948 Words
    • 4 Pages
    Good Essays
    Read More
  • Powerful Essays

    Telemetry: Patient Safety Analysis
    • 1749 Words
    • 7 Pages

    Telemetry: Patient Safety Analysis

    As operationally sound as the idea may be patient safety analyst Susan C. Wallace from the Pennsylvania Patient Safety Authority writes that using patient sitters to directly observe patients at a high risk for falls is a practice suggested as part of several evidence-based fall prevention guidelines. However, the clinical and cost-effectiveness of sitters have been questioned. Unfortunately, this is one of the exact reasons this program was cut from this local facility. It all comes back around to cost-effectiveness in relation to goals or outcomes achieved. The battle between costs and rewards is a delicate balance. Michelle Feil, a senior patient safety analyst weighs in on the subject reporting, sitters can be effective in reducing falls, and the savings can exceed the costs of the sitters themselves. The cost savings achieved in decreasing rates of falls with harm, both in terms of money saved and decreased severity of injury, might justify the costs associated with implementing and maintaining a sitter program. Feil’s analysis resulted in the cost savings achieved in decreasing rates of falls with harm, both in terms of money saved and decreased severity of injury, might justify the costs associated with implementing and maintaining a sitter program. Although the results can be spotty related to countless research on the topic of safety sitters.…

    • 1749 Words
    • 7 Pages
    Powerful Essays
    Read More
  • Good Essays

    Fall Prevention
    • 1446 Words
    • 6 Pages

    Fall Prevention

    For decades, hospitals and other health care organizations have integrated to understand the contributing causes of falls, to minimize their occurrence and resulting injuries or deaths. Today, organizations have begun reaching out to each other for collaboration on the best ways to prevent falls. Based on Centers for Disease and Prevention (2012) data, each year one in three older Americans (65 and older) falls and about 30% of those falls require medical treatment. Falls are not only the leading cause of fatal and nonfatal injuries but also the most common cause of hospital admission for trauma. More than $19 billion annually is spent on treating the elderly for the adverse effects of falls: $12 billion for hospitalization, $4 billion for emergency department visits, and $3 billion for outpatient care. Most of these expenses are paid for by the Center for Medicare and Medicaid Services through Medicare. It is projected that direct treatment costs from elder falls will escalate to $43.8 billion annually by 2020. (www.cdc.gov ).…

    • 1446 Words
    • 6 Pages
    Good Essays
    Read More
  • Good Essays

    High Fall Prevention Essay
    • 674 Words
    • 3 Pages

    High Fall Prevention Essay

    Keeping high fall risk patients safe is a challenge in nurses worldwide. Despite implementation of many prevention strategies, patient falls in hospitals continue to be a serious safety problem, causing nursing staff and administrators to seek innovative ways to further reduce falls among hospitalized patients. If high fall risk patients were to be monitored at all times of the day, the risk for falls would decrease drastically.…

    • 674 Words
    • 3 Pages
    Good Essays
    Read More
  • Best Essays

    Quality Insurance
    • 1721 Words
    • 7 Pages

    Quality Insurance

    Accidental Falls have become the most commonly reported incident in hospitals today, and Self-Regional Hospital is no exception. Recently, Self-Regional researched and gathered specific fall data that included “mobility/gait, lower-extremity strength, history in fractures, visual, or auditory impairments, dizziness, dehydration, depression, stroke, ischemic attacks, and cardiac arrhythmias” and the role they play with patient falls in the organization (The Joint Commission, 2007, p. 26). They are now in the process of researching various methodologies to help manage and improve this area of concern. Several concepts that concern total quality management (TQM), and quality improvement (QI) are offering health care organizations and their administrators the opportunity to decide which methodology would be most successful in improving quality care for their patients. There are three methodologies Self-Regional is considering: 1) Six Sigma, 2) Lean, and 3)…

    • 1721 Words
    • 7 Pages
    Best Essays
    Read More
  • Powerful Essays

    Literature Search
    • 981 Words
    • 4 Pages

    Literature Search

    Koh, S., Manias, E., Hutchinson, A., & Johnston, L. (2007). Fall incidence and fall prevention practices at acute care…

    • 981 Words
    • 4 Pages
    Powerful Essays
    Read More
  • Good Essays

    Prevention of Fall in Mental Health
    • 1517 Words
    • 7 Pages

    Prevention of Fall in Mental Health

    Reducing a fall is a major concern of health promotion that is familiar to all formal and informal carer. (Hainswoth, 2004). The rational behind this topic is that, there is a growing concern in current progress in prevention and management of falls in older people as outlined in a key government target in standard six of the national service framework (NSF) for older people (Department of health, 2001) Falls are major cause of disabilities and the leading cause of mortality in older people and preventing falls in older people with save lives (DOH, 2001)…

    • 1517 Words
    • 7 Pages
    Good Essays
    Read More