Factors Associated With Falls During Hospitalization in an Older Adult Population

Titler, Marita G.; Shever, Leah L.; Kanak, Mary; Picone, Debra M.; Qin, Rui

doi:10.1891/1541-6577.25.2.127

Cited by 50 publications

(38 citation statements)

References 20 publications

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“…Regarding the use of drugs, those with potential depression of the central nervous system are related to falls, such as benzodiazepines (26,30,32,34,37,43,49,59,60,71) , antipsychotics (26,33,38,44,49,56,59,72) , antidepressants (37,43,59) , narcotics/opiate (33)(34)71) , barbiturate (14,16,27,32,37,(47)(48) , antihistamines (31,36,71) , anticonvulsants (31,36,44,59,60) and sedatives (20,27,37) in general. Medicines that may cause hypotension are also associated with risk of falls (antihypertensives) (16,26,35,49,60) , in addition to diuretics (16,…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Medicines that may cause hypotension are also associated with risk of falls (antihypertensives) (16,26,35,49,60) , in addition to diuretics (16,26,(36)(37)59,74) . Laxatives were mentioned in a few studies (37,72,59) . However, the antidiabetics that have excelled in only one case-control study (31) and another crosssectional (49) , and the antiarrhythmics (26,43) and anticoagulants (44) , that were mentioned in this integrative review only in literature reviews, do not seem to show strong enough evidence to be associated with the outcome.…”

Section: Discussionmentioning

confidence: 99%

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Risk factors for falls in hospitalized adult patients: an integrative review

Severo

Almeida

Kuchenbecker

et al. 2014

Rev. esc. enferm. USP

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Rev Esc Enferm USP2014; 48(3):537-51 www.ee.usp.br/reeusp/ RESUMEN Objetivo: Identificar los factores de riesgo para la ocurrencia de caídas en pacientes adultos hospitalizados. Método: Revisión integradora de la literatura de artículos publicados entre los años 1989 al 2012 en las bases de datos LILACS, SciElO, MEDLINE y Web of Science. Resultados: La muestra final estuvo compuesta por setenta y un artículos. Entre los factores de riesgo de caídas indicados en esta revisión están los relacionados con el paciente (intrínsecos), con el ambiente hospitalario y con el proceso de trabajo de los profesionales de la salud, especialmente enfermería (extrínse-cos). Conclusión: La detección sistemática de factores de riesgo asociados a caídas fue identificada como un factor que contribuye a la reducción de este daño, favoreciendo de esta manera su no ocurrencia, la que a pesar de ser prevenible puede acarrear consecuencias graves, incluyendo la muerte. DESCRIPTORESAccidentes por caídas Pacientes interno Hospitalización Seguridad del paciente Atención de enfermeira Revisión RESUMOObjetivo: Identificar os fatores de risco para a ocorrência de quedas em pacientes adultos hospitalizados. Método: Revisão integrativa realizada nas bases de dados LILACS, SciELO, MEDLINE e Web of Science, abrangendo artigos publicados entre 1989 e 2012. Resultados: Setenta e um artigos compuseram a amostra final do estudo. Os fatores de risco para quedas apresentados nesta revisão foram relacionados ao paciente (intrínsecos), ao ambiente hospitalar e ao processo de trabalho dos profissionais da saúde, em especial à enfermagem (extrínsecos). Conclusão: A triagem sistemática de fatores de risco para queda foi identificada como fator contribuinte para a redução desse agravo, auxiliando a não ocorrência deste evento que, apesar de ser prevenível, pode determinar consequên-cias graves incluindo o óbito. DESCRITORES Acidentes por quedas Pacientes internados Hospitalização Segurança do paciente Cuidados de enfermagem Revisão ABSTRACTObjective: Identifying risk factors for the occurrence of falls in hospitalized adult patients. Method: Integrative review carried out in the databases of LILACS, SciELO, ME-DLINE and Web of Science, including articles published between 1989 and 2012. Results: Seventy-one articles were included in the final sample. Risk factors for falls presented in this review were related to patients (intrinsic), the hospital setting and the working process of health professionals, especially in nursing (extrinsic). Conclusion: The systematic screening of risk factors for falls was identified as a contributing factor to the reduction of this injury, helping the nonoccurrence of this event that, despite being preventable, can have serious consequences including death. DESCRIPTORS

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Risk factors for falls in hospitalized adult patients: an integrative review

Severo

Almeida

Kuchenbecker

et al. 2014

Rev. esc. enferm. USP

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“…Finally, staffing on inpatient units has also been examined as a system or unit-level predictor of falls in hospitalized patients. There is empirical evidence that low nurse-to-patient ratios and a higher proportion of registered nurses(RN) to unlicensed assistive personnel (UAP) on hospital units are important factors to consider in inpatient fall preventions efforts (Lake, Shang, Klaus, & Dunton, 2010;Titler, Shever, Kanak, Picone, & Qin, 2011).…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Factors associated with falls in hospitalized adult patients

Cox

Thomas‐Hawkins

Pajarillo

et al. 2015

Applied Nursing Research

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“…[13] One of the most commonly missed care elements was ambulation -a core element of fall prevention. Several studies have associated lower patient-to-nurse ratios and skill mixes that include higher proportions of registered nurses with lower fall rates; [14][15][16] others have showed no such relationship. [17][18][19] These findings' lack of consistency may relate to their studies' levels of analysis, i.e., hospital, unit, day or shift, while daily or shift variability may be muted at the unit level when data are aggregated on an annual basis or at the hospital level.…”

Section: Introductionmentioning

confidence: 99%

Nurse staffing, patient turnover and safety climate and their association with in-patient falls and injurious falls on medical acute care units: a cross-sectional study

Hirsbrunner

Denhaerynck

Fierz

et al. 2015

JHA

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Objective: Falls and related injuries remain a considerable health risk for in-patients. Numerous studies link falls with nurse staffing levels, but the results are inconsistent. The purpose of this study was to explore the associations between fall prevalence and injurious falls on medical wards and three unit-level system factors: daily nurse staffing, patient turnover, and safety climate. Methods: Using a cross-sectional design, we conducted a secondary data analysis of data from the Patient Safety and Falls Project. Five medical units in a Swiss university hospital were included, resulting in a data set of 949 days, with daily measures of nurse staffing, patient turnover and falls. The safety climate was measured using a subscale of the Safety Attitudes Questionnaire and analyzed at the unit level including data from 154 nurses. Robust multivariate logistic regression was used to explore nurse staffing, patient turnover, and safety climate's associations with in-patient falls and fall injuries. Results: After controlling for patient age, length of stay and nursing fulltime equivalents, registered nurse experience showed a significant negative relationship with falls (OR = .83, p < .0001). Patient turnover and safety climate were not significantly associated to falls or fall injuries. Conclusions: By linking nurse staffing variables to in-patient falls and fall injuries, the current study's findings partly confirm those of previous research. Further investigation will be necessary to isolate key factors influencing the association at the unit level between safety climate and in-patient falls.

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Factors Associated With Falls During Hospitalization in an Older Adult Population

Cited by 50 publications

References 20 publications

Risk factors for falls in hospitalized adult patients: an integrative review

Risk factors for falls in hospitalized adult patients: an integrative review

Factors associated with falls in hospitalized adult patients

Nurse staffing, patient turnover and safety climate and their association with in-patient falls and injurious falls on medical acute care units: a cross-sectional study

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