Pediatric Falls Benchmarking Collaborative

Kingston, Francine; Bryant, Terry; Speer, Kathy

doi:10.1097/nna.0b013e3181df10d9

Cited by 30 publications

(41 citation statements)

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“…Australian studies are sparse with one Sydney based study reporting a falls rate of 0.88 per 1,000 bed days in one Australian pediatric hospital (Feuerlicht, Sheppard‐Law, & Hinchcliff, ). Comparison between studies is difficult given the varied research methods, ways of reporting incident rates (bed days vs. patient days), definitions, and categorization of pediatric falls (Da Rin Della Mora, Bagnasco, & Sasso, ; Jamerson et al, ; Kingston et al, ). Attributable risk factors associated with paediatric falls are fairly consistent and include child age, gender, unfamiliar hospital environment (Pauley, Houston, Cheng, & Johnston, ; Schaffer et al, ) and parents being present during the fall (Alemdaroglu et al, ; Graf, ; Kingston et al, ; Matteson, Henderson‐Williams, & Nelson, ; Razmus et al, ; Schaffer et al, ; Wallace, ).…”

Section: Introductionmentioning

confidence: 99%

Exploring Australian parents’ knowledge and awareness of pediatric inpatient falls: A qualitative study

Shala

Brogan

Cruickshank

et al. 2019

Specialist Pediatric Nursing

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Purpose While there has been extensive published research into adult inpatient falls, less is known about pediatric falls in Australia. Falls pose a safety risk to pediatric patients potentially causing harm, increased length of stay, and death. Parents play a central role in reducing falls‐related incidents given that, as parents, they provide care and/or oversee care delivered to their child at the bedside. Developing a better understanding of what parents and carers know about falls and associated risks, particularly those hospital‐naïve, is central to developing family centered strategies and targeted education to meet the needs of parents. Our study aimed to explore Australian parents’ knowledge and awareness of pediatric inpatient falls. Design Qualitative methods utilizing descriptive thematic analysis. Methods Parents of children and/or young people hospitalized during the last 6 months were eligible to participate. Potential participants attending the outpatient clinics of two tertiary pediatric outpatient clinics hospitals in Sydney, Australia were invited to participate in the study. Willing participants consented to complete a face to face in‐depth interview. Open‐ended questions sought to explore participants’ knowledge, knowledge acquisition, and awareness of inpatient falls. Interviews were digitally recorded and transcribed verbatim. Data familiarization and open coding were completed by researchers independently. Researchers explored and discussed emerging categories until patterns emerged and a consensus of dominant themes were agreed upon. ResultsInterviews were conducted with mothers (n = 17), fathers ( n = 4), or both parents together (n = 2) of a child or a young person who had been recently hospitalized. Four dominant themes emerged from the data namely: Supervision: falls won't happen, unexpected, parent priorities, and ways of learning about inpatient falls and risks. Despite parents' awareness of falls risk, parents were unaware that falls occur within a hospital setting and did not prioritize “falls prevention” during admission. Practice implications Findings have implications for nursing practice, particularly in the delivery, content, and timing of falls prevention education.

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Section: Introductionmentioning

confidence: 99%

Exploring Australian parents’ knowledge and awareness of pediatric inpatient falls: A qualitative study

Shala

Brogan

Cruickshank

et al. 2019

Specialist Pediatric Nursing

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“…In 2005, Medical Management Planning, Inc. reported the pediatric inpatient fall rate to be below one fall per 1,000 patient days (Graf, 2005). In 2010, a pediatric falls benchmarking collaborative concluded that inpatient pediatric falls are infrequent and unique, occurring at a rate of approximately one in 1,000 patient days (Kingston, Bryant, & Speer, 2010).…”

mentioning

confidence: 99%

Development, implementation, and evaluation of a comprehensive fall risk program

Neiman¹,

Rannie²,

Thrasher³

et al. 2011

Journal for Specialists in Pediatric Nursing

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“…The fall categories are defined in Table 2. 8 Overall, the mean nurse staffing level was lower when falls occurred compared with control shifts (Table 3). When a stratified analysis was performed to compare the case versus control staffing levels separately on day shift and night shift, on night shift the staffing (Table 3).…”

Section: Resultsmentioning

confidence: 92%

“…7 In the pediatric population, the incidence rate of inpatient falls has been observed to range from 0.77 to 1.37 falls per 1000 patient-days, with 32% to 36% of these falls resulting in injury. 8,9 The early developmental stage of children renders them susceptible to falling, but physical illness and injury and being in an unfamiliar environment can further increase the probability that a hospitalized child will fall. 10 In addition, Razmus et al 11 identified episodes of disorientation and a history of falls as factors that increase the risk of falling for hospitalized children.…”

mentioning

confidence: 99%

Lower Nurse Staffing Levels Are Associated With Occurrences of Inpatient Falls at a Large Pediatric Hospital

Hagan

Jones²

2015

The Health Care Manager

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No previous research has been published regarding the relationship between nurse staffing levels and inpatient pediatric falls, and previous research in the adult population has yielded conflicting results, probably due in many instances to suboptimal study design. The objective of this study was to examine the relationship between nurse staffing levels and pediatric patient falls in a large children's hospital. A case-control study design was used to compare the nurse staffing level during the shift of patient falls to the staffing level in the same units on shifts when patient falls did not occur. Nurse staffing levels were significantly lower in units when patient falls occurred, particularly during night shift. Targeted nurse staffing interventions in high-risk units could reduce the incidence of inpatient pediatric falls.

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Pediatric Falls Benchmarking Collaborative

Cited by 30 publications

References 1 publication

Exploring Australian parents’ knowledge and awareness of pediatric inpatient falls: A qualitative study

Exploring Australian parents’ knowledge and awareness of pediatric inpatient falls: A qualitative study

Development, implementation, and evaluation of a comprehensive fall risk program

Lower Nurse Staffing Levels Are Associated With Occurrences of Inpatient Falls at a Large Pediatric Hospital

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