Abstract

Safety should be a top priority for health care providers and falls are frequently viewed as a primary safety concern. The National Patient Safety Goals require that facilities be aware of each patient's risk for falls and implement a plan to reduce the number of falls. The evidence has shown that multiple factors contribute to falls. Briggs and Steel (2007) identified poor vision, delirium, pharmaceuticals, a hazardous environment, and chronic dementing illness as contributing to a greater risk of falls. Toyabe (2010) identified having a history of falls, unsteady gait, weakness, and age over 65 years. A large rural hospital implemented a patient safety fall prevention educational plan utilizing the Hendrich II Fall Assessment Tool (Hendrick, Bender, & Nyhuis, 2003). Then after six months, the effectiveness of the plan was reviewed. To evaluate the effectiveness of the plan, the Hendrich II Fall Assessment Tool was converted to a check list that evaluated each room for certain items: intravenous tubing on floor, bed in lowest position, call light in reach, all necessary items in reach, and no cords lying on the floor, presence of a fall risk magnet on the door to the room, wristband identifying the patient was a fall risk, and yellow colored socks. Then, utilizing a correlational analysis, researcher found that there was no statistically significant difference when evaluating compliance with the plan and the number of patient fall on a unit. However, it was noted that all units were involved in utilizing the plan. Nevertheless, based on the mix of patients, the compliance with the plan and the number of falls varied. The data did reveal a moderate negative correlation noting that the units with higher numbers of falls had smaller levels of compliance with the Fall Assessment Tool Implementation Plan.

Description

41st Biennial Convention - 29 October-2 November 2011. Theme: People and Knowledge: Connecting for Global Health. Held at the Gaylord Texan Resort & Convention Center.

Author Details

Tammie Mann McCoy, RN, MSN, PhD

Sigma Membership

Unknown

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Educational Intervention, Safety, Falls

Conference Name

41st Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Grapevine, Texas, USA

Conference Year

2011

Rights Holder

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Evidence-based practice educational programs and patient safety related to falls

Grapevine, Texas, USA

Safety should be a top priority for health care providers and falls are frequently viewed as a primary safety concern. The National Patient Safety Goals require that facilities be aware of each patient's risk for falls and implement a plan to reduce the number of falls. The evidence has shown that multiple factors contribute to falls. Briggs and Steel (2007) identified poor vision, delirium, pharmaceuticals, a hazardous environment, and chronic dementing illness as contributing to a greater risk of falls. Toyabe (2010) identified having a history of falls, unsteady gait, weakness, and age over 65 years. A large rural hospital implemented a patient safety fall prevention educational plan utilizing the Hendrich II Fall Assessment Tool (Hendrick, Bender, & Nyhuis, 2003). Then after six months, the effectiveness of the plan was reviewed. To evaluate the effectiveness of the plan, the Hendrich II Fall Assessment Tool was converted to a check list that evaluated each room for certain items: intravenous tubing on floor, bed in lowest position, call light in reach, all necessary items in reach, and no cords lying on the floor, presence of a fall risk magnet on the door to the room, wristband identifying the patient was a fall risk, and yellow colored socks. Then, utilizing a correlational analysis, researcher found that there was no statistically significant difference when evaluating compliance with the plan and the number of patient fall on a unit. However, it was noted that all units were involved in utilizing the plan. Nevertheless, based on the mix of patients, the compliance with the plan and the number of falls varied. The data did reveal a moderate negative correlation noting that the units with higher numbers of falls had smaller levels of compliance with the Fall Assessment Tool Implementation Plan.