An opportunistic evaluation of a routine service improvement project to reduce falls in hospital

Sheppard, Diane; Clarke, Elaine; Hemming, Karla; Martín, James; Lilford, Richard

doi:10.1186/s12913-021-06073-4

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…Sheppard et al. [ 66 ] conducted a time series analysis on the effects of implementing the NICE falls prevention clinical guidelines. They found fewer falls per 1,000 occupied bed days in the intervention period (5.89) compared to the control period (6.62).…”

Section: Resultsmentioning

confidence: 99%

“…Six were rated as having ‘some concerns’ due to issues with randomisation [ 30 , 44 , 68 ], imbalance in participant characteristics [ 68 ], deviations from the intended interventions [ 30 , 44 , 68 ], missing outcome data [ 35 ], or problems with measurement of the outcome [ 32 , 63 ]. One had a high risk of bias due to problems with randomisation, identification and recruitment of participants, deviations from the planned intervention, measurement issues and selection of reported results [ 66 ].…”

Section: Resultsmentioning

confidence: 99%

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Interventions to reduce falls in hospitals: a systematic review and meta-analysis

et al. 2022

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Background Falls remain a common and debilitating problem in hospitals worldwide. The aim of this study was to investigate the effects of falls prevention interventions on falls rates and the risk of falling in hospital. Design Systematic review and meta-analysis. Participants Hospitalised adults. Intervention Prevention methods included staff and patient education, environmental modifications, assistive devices, policies and systems, rehabilitation, medication management and management of cognitive impairment. We evaluated single and multi-factorial approaches. Outcome measures Falls rate ratios (rate ratio: RaR) and falls risk, as defined by the odds of being a faller in the intervention compared to control group (odds ratio: OR). Results There were 43 studies that satisfied the systematic review criteria and 23 were included in meta-analyses. There was marked heterogeneity in intervention methods and study designs. The only intervention that yielded a significant result in the meta-analysis was education, with a reduction in falls rates (RaR = 0.70 [0.51–0.96], P = 0.03) and the odds of falling (OR = 0.62 [0.47–0.83], P = 0.001). The patient and staff education studies in the meta-analysis were of high quality on the GRADE tool. Individual trials in the systematic review showed evidence for clinician education, some multi-factorial interventions, select rehabilitation therapies, and systems, with low to moderate risk of bias. Conclusion Patient and staff education can reduce hospital falls. Multi-factorial interventions had a tendency towards producing a positive impact. Chair alarms, bed alarms, wearable sensors and use of scored risk assessment tools were not associated with significant fall reductions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Interventions to reduce falls in hospitals: a systematic review and meta-analysis

et al. 2022

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“…This study proved a reciprocal relationship between employee relationship and intention staff in the work unit, makingthe employee relationship and team cooperation more compact to implement the patient safety program 18 . The intention is a predictor of the implementation of the patient safety program in a hospital.…”

Section: Resultsmentioning

confidence: 64%

Influence of Employee Relationship Unit on Team Intention:A Case Study in Implementation of Patient Safety Program

Suswojo¹,

Hadi²,

Pudjirahardjo³

et al. 2021

Indian Journal of Forensic Medicine & Toxicology

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Incidencesregarding patient safety still occur,and not all are reported to the Hospital Patient Safety Committee. The aim studyto analyze the employee relationship influences the work unit staff's intention in implementingthe patient safety program-the study was conducted bythe quantitative design of observational analytics and through a cross-sectional staff approach. The research sites includedSidoarjo Regional Hospital, Anwar Medika Sidoarjo Hospital, and Ahmad Yani Surabaya Islamic Hospital. The research collects data during May-July 2019. The variables consist of employee relationship as the independent variable and intention as the dependent variable. The results show that the development stage's employee relationship was broadly establishing (46.51%), whereas, for the relationship stage, it was a majority of trusts (72.09%). The source intention stage was mostly personal intention(62.79%), and at the intention level, most of the distal intention was 84.88%. The leadership type affects theworking unit staff's discretionto implement patient safety programs in hospitals, with employee relationships as a variable mediator.The study concluded that the employee relationships had a significant influence on the working unit staff's intention in hospitals to carry out patient safety programs. However,employee relationships affect the work unit staff's intention to carry out the patient safety program.

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A Participatory Design Approach to Develop Visualization of Wearable Actigraphy Data for Health Care Professionals: Case Study in Qatar

et al. 2022

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Background Several tools have been developed for health care professionals to monitor the physical activity of their patients, but most of these tools have been considering only the needs of users in North American and European countries and applicable for only specific analytic tasks. To our knowledge, no research study has utilized the participatory design (PD) approach in the Middle East region to develop such tools, involving all the stakeholders in the product development phases, and no clear use cases have been derived from such studies that could serve future development in the field. Objective This study aims to develop an interactive visualization tool (ActiVis) to support local health care professionals in monitoring the physical activity of their patients measured through wearable sensors, with the overall objective of improving the health of the Qatari population. Methods We used PD and user-centered design methodologies to develop ActiVis, including persona development, brainwriting, and heuristic walkthrough as part of user evaluation workshops; and use cases, heuristic walkthrough, interface walkthrough, and survey as part of expert evaluation sessions. Results We derived and validated 6 data analysis use cases targeted at specific health care professionals from a collaborative design workshop and an expert user study. These use cases led to improving the design of the ActiVis tool to support the monitoring of patients’ physical activity by nurses and family doctors. The ActiVis research prototype (RP) compared favorably with the Fitbit Dashboard, showing the importance of design tools specific to end users’ needs rather than relying on repurposing existing tools designed for other types of users. The use cases we derived happen to be culturally agnostic, despite our assumption that the local Muslim and Arabic culture could impact the design of such visualization tools. At last, taking a step back, we reflect on running collaborative design sessions in a multicultural environment and oil-based economy. Conclusions Beyond the development of the ActiVis tool, this study can serve other visualization and human–computer interaction designers in the region to prepare their design projects and encourage health care professionals to engage with designers and engineers to improve the tools they use for supporting their daily routine. The development of the ActiVis tool for nurses, and other visualization tools specific to family doctors and clinician researchers, is still ongoing and we plan to integrate them into an operational platform for health care professionals in Qatar in the near future.

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An opportunistic evaluation of a routine service improvement project to reduce falls in hospital

Cited by 3 publications

References 13 publications

Interventions to reduce falls in hospitals: a systematic review and meta-analysis

Interventions to reduce falls in hospitals: a systematic review and meta-analysis

Influence of Employee Relationship Unit on Team Intention:A Case Study in Implementation of Patient Safety Program

A Participatory Design Approach to Develop Visualization of Wearable Actigraphy Data for Health Care Professionals: Case Study in Qatar

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