Implantación de una guía de buenas prácticas para la prevención de caídas: percepción de los pacientes hospitalizados y sus cuidadores

Saiz-Vinuesa, M.D.; Muñoz-Mansilla, Elena; Muñoz-Serrano, T.; Córcoles-Jiménez, María Pilar; Ruiz-García, María Victoria; Fernández-Pallarés, Pedro; Herreros-Sáez, Lucía; Calero-Yáñez, F.

doi:10.1016/j.cali.2016.04.009

Cited by 3 publications

(4 citation statements)

References 19 publications

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“…The characteristics of people who suffered a fall correspond in many ways with those described in the reviewed literature. There is evidence that relates advanced age to falls [ 7 , 14 , 32 , 33 , 34 ]. In our study, 85.8% of people that fell were 65 years and older, and 85.7% of those who fell were men; we found similar percentages in a few studies [ 7 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

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Impact of Nurses’ Intervention in the Prevention of Falls in Hospitalized Patients

Montejano-Lozoya

Miguel-Montoya

Gea-Caballero

et al. 2020

IJERPH

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Background: Clinical safety is a crucial component of healthcare quality, focused on identifying and avoiding the risks to which patients are exposed. Among the adverse events that occur in a hospital environment, falls have a large impact (1.9–10% of annual income in acute care hospitals); they can cause pain, damage, costs, and mistrust in the health system. Our objective was to assess the effect of an educational intervention aimed at hospital nurses (systematic assessment of the risk of falls) in reducing the incidence of falls. Methods: this was a quasi-experimental study based on a sample of 581 patients in a third level hospital (Comunitat Valenciana, Spain). An educational program was given to the intervention group (n = 303), and a control group was included for comparison (n = 278). In the intervention group, the nurses participated in a training activity on the systematized assessment of the risk of falls. Analysis was undertaken using the Bayesian logistic regression model. Results: a total of 581 patients were studied (50.6% male, 49.4% female), with an average age of 68.3 (DT = 9) years. The overall incidence of falls was 1.2% (0.3% in the intervention group and 2.2% in the control group). Most of the falls occurred in people ≥65 years old (85.7%). The intervention group had a lower probability of falling than the control group (OR: 0.127; IC95%: 0.013–0.821). Neither the length of hospital stay, nor the age of the participants, had any relevant effect. Conclusions: the systematic assessment of the risk of a patient falling during hospital processes is an effective intervention to reduce the incidence of falls.

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Section: Discussionmentioning

confidence: 99%

“…The literature shows that those who fall are people with limited mobility, an altered state of consciousness, advanced age, and sensory deficits. When several risk factors are present at the same time, the risk is much higher [ 7 , 12 , 13 , 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of Nurses’ Intervention in the Prevention of Falls in Hospitalized Patients

Montejano-Lozoya

Miguel-Montoya

Gea-Caballero

et al. 2020

IJERPH

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“…On the other hand, falls are one of the principal cause of preventable adverse events in health institutions, and are the second leading cause of death due to accidental or unintentional injuries worldwide [ 38 ]. It is established that each year one third of the population over the age of 65 years, experience a fall, a proportion that rises among institutionalized patients [ 39 ], and most fatal falls are suffered by people over 65. Approximately, 28–35% of elderlies aged 65, and older, fall every year, and that number increases to 32–42% for people over 70.…”

Section: Introductionmentioning

confidence: 99%

SUMAMOS EXCELENCIA® Project: Results of the Implementation of Best Practice in a Spanish National Health System (NHS)

et al. 2021

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The use of certain strategies for the implementation of a specific recommendation yields better results in clinical practice. The aim of this study was to assess the effectiveness of an evidence-based model using clinical audits (GRIP model), for the implementation of recommendations in pain and urinary incontinence management as well as fall prevention, in the Spanish National Health System during the period 2015–2018. A quasi-experimental study has been conducted. The subjects were patients treated in hospitals, primary care units and nursing home centers. There were measures related to pain, fall prevention and urinary incontinence. Measurements were taken at baseline and at months 3, 6, 9, and 12. The sample consisted of 22,114 patients. The frequency of pain assessment increased from 59.9% in the first cycle to a mean of 71.6% in the last cycle, assessments of risk of falling increased from 56.8% to 87.8% in the last cycle; and finally, the frequency of assessments of urinary incontinence increased from a 43.4% in the first cycles to a mean of 62.2% in the last cycles. The implementation of specific evidence-based recommendations on pain, fall prevention, and urinary incontinence using a model based on clinical audits improved the frequency of assessments and their documentation.

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“…Falls are one of the main causes of preventable adverse events in health institutions and, according to the World Health Organization (WHO, ), they are the second leading cause of death due to accidental or unintentional injuries worldwide. It is estimated that each year one‐third of people over the age of 65 years will experience a fall and that proportion is even higher among institutionalized patients (Saiz‐Vinuesa et al., ). The Joint Commision () stated that 28%–35% of people over the age of 65 fall every year and that number increases to 32–42% in people over 70.…”

Section: Introductionmentioning

confidence: 99%

The SUMAMOS EXCELENCIA Project

Escobar-Aguilar

Moreno‐Casbas

González‐María

et al. 2019

Journal of Advanced Nursing

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Aim The gap between research and clinical practice leads to inconsistent decision‐making and clinical audits are an effective way of improving the implementation of best practice. Our aim is to assess the effectiveness of a model that implements evidence‐based recommendations for patient outcomes and healthcare quality. Design National quasi‐experimental, multicentre, before and after study. Methods This study focuses on patients attending primary care and hospital care units and associated socio‐healthcare services. It uses the Joanna Brigg's Institute Getting Research into Practice model, which improves processes by referring to prior baseline clinical audits. The variables are process and outcome criteria for pain, urinary incontinence, and fall prevention, with data collection at baseline and key points over 12 months drawn from clinical histories and records. Project funding was received from the Spanish Strategic Health Action in November 2014. Discussion The project results will provide knowledge on the effectiveness of the Getting Research into Practice model, to apply evidence‐based recommendations for the detection and management of pain, urinary incontinence, and fall prevention. It will also establish whether using research results, based on clinical audits and situation analysis, is effective for implementing evidence‐based recommendations and improving patients’ health. Impact This nationwide Spanish project aims to detect and prevent high‐prevalence healthcare problems, namely pain in patients at any age and falls and urinary incontinence in people aged 65 and over. Tailoring clinical practice to evidence‐based recommendations will reduce unjustified clinical variations in providing healthcare services. Clinical Trial ID: NCT03725774.

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Implantación de una guía de buenas prácticas para la prevención de caídas: percepción de los pacientes hospitalizados y sus cuidadores

Cited by 3 publications

References 19 publications

Impact of Nurses’ Intervention in the Prevention of Falls in Hospitalized Patients

Impact of Nurses’ Intervention in the Prevention of Falls in Hospitalized Patients

SUMAMOS EXCELENCIA® Project: Results of the Implementation of Best Practice in a Spanish National Health System (NHS)

The SUMAMOS EXCELENCIA Project

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