Preventing Falls in Hospitals

Jones, W. P.; Simpson, Janis Randall; Pieroni, Robert E.

doi:10.1080/00185868.1991.9948463

Cited by 20 publications

(5 citation statements)

References 12 publications

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“…Patient falls represent over one-third of incidents reported in hospitals [1,2], and they are the largest single category of reported hospital adverse events [1-3]. Patient falls are more frequently reported than medication errors, equipment related incidents, and documentation errors [1].…”

Section: Introductionmentioning

confidence: 99%

Falls following discharge after an in-hospital fall

et al. 2009

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BackgroundFalls are among the most common adverse events reported in hospitalized patients. While there is a growing body of literature on fall prevention in the hospital, the data examining the fall rate and risk factors for falls in the immediate post-hospitalization period has not been well described. The objectives of the present study were to determine the fall rate of in-hospital fallers at home and to explore the risk factors for falls during the immediate post-hospitalization period.MethodsWe identified patients who sustained a fall on one of 16 medical/surgical nursing units during an inpatient admission to an urban community teaching hospital. After discharge, falls were ascertained using weekly telephone surveillance for 4 weeks post-discharge. Patients were followed until death, loss to follow up or end of study (four weeks). Time spent rehospitalized or institutionalized was censored in rate calculations.ResultsOf 95 hospitalized patients who fell during recruitment, 65 (68%) met inclusion criteria and agreed to participate. These subjects contributed 1498 person-days to the study (mean duration of follow-up = 23 days). Seventy-five percent were African-American and 43% were women. Sixteen patients (25%) had multiple falls during hospitalization and 23 patients (35%) suffered a fall-related injury during hospitalization. Nineteen patients (29%) experienced 38 falls at their homes, yielding a fall rate of 25.4/1,000 person-days (95% CI: 17.3-33.4). Twenty-three patients (35%) were readmitted and 3(5%) died. One patient experienced a hip fracture. In exploratory univariate analysis, persons who were likely to fall at home were those who sustained multiple falls in the hospital (p = 0.008).ConclusionPatients who fall during hospitalization, especially on more than one occasion, are at high risk for falling at home following hospital discharge. Interventions to reduce falls would be appropriate to test in this high-risk population.

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Section: Introductionmentioning

confidence: 99%

Falls following discharge after an in-hospital fall

et al. 2009

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“…Patient falls are the most frequent type of safety issue on the inpatient psychiatric unit (Jones & Simpson, 1991). There are also higher rates of falls on psychiatric units compared with medical surgical units (Blair & Gruman, 2005).…”

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confidence: 99%

“…Fall risk is heightened because of the use of psychotropic and antidepressant medications, as well as substance dependence, which may affect balance and coordination skills (Blair & Szared, 2008). Jones and Simpson (1991) found that falls decreased when staff members were actively engaged with patients.…”

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confidence: 99%

The Impact of Mindfulness Meditation in Promoting a Culture of Safety on an Acute Psychiatric Unit

Brady

OʼConnor

Burgermeister

et al. 2011

Perspectives in Psychiatric Care

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“…Efforts to encourage mobility and independence are seemingly at odds with the interventions to minimize fall likelihood. Like all patients, postamputation fall prevention begins with a comprehensive and individualized fall risk assessment using a validated tool (Agency for Healthcare Research and Quality, 2018). From this assessment, clinical staff establish and implement an interdisciplinary fall risk plan of care that best addresses each patient's specific needs.…”

Section: Practice Recommendationsmentioning

confidence: 99%

“…From this assessment, clinical staff establish and implement an interdisciplinary fall risk plan of care that best addresses each patient's specific needs. Regardless of the fall risk tool, nearly all patients will be identified as high falls risk after amputation and should receive an individualized plan of care with two key components: (a) patient/family education and (b) monitoring and rounding (Agency for Healthcare Research and Quality, 2018).…”

Section: Practice Recommendationsmentioning

confidence: 99%

Rehabilitation Nursing Challenges for Patients With Lower Limb Amputation

Parnell

Urton

2020

Rehabilitation Nursing

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There are over 185,000 amputations annually in the United States, and most of these patients will receive a short inpatient rehabilitation hospital stay as part of their recovery. Complications in care after amputation can negatively impact rehabilitation and subsequent disposition and community reintegration after discharge. The purpose of this article is to discuss the literature, significance, and practice recommendations for three specific challenges-skin integrity, postamputation pain, and falls. The focus population is rehabilitation patients who have undergone nontraumatic, lower limb amputation. Information about the incidence and risks of these complications give nurses necessary knowledge to improve care delivery, reduce suffering, and improve patient safety for postamputation patients during inpatient rehabilitation.

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Preventing Falls in Hospitals

Cited by 20 publications

References 12 publications

Falls following discharge after an in-hospital fall

Falls following discharge after an in-hospital fall

The Impact of Mindfulness Meditation in Promoting a Culture of Safety on an Acute Psychiatric Unit

Rehabilitation Nursing Challenges for Patients With Lower Limb Amputation

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