Circumstances and causes of falls by patients at a <scp>S</scp>panish acute care hospital

Aranda-Gallardo, Marta; Morales-Asencio, José Miguel; Canca-Sánchez, José Carlos; Toribio-Montero, Juan Carlos

doi:10.1111/jep.12187

Cited by 28 publications

(36 citation statements)

References 17 publications

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“…Some previous studies reported that falls often occurred in the patients' rooms (1,3,(13)(14)(19)(20). In our study, 79.2% of falls occurred in patients' rooms, and !…”

Section: Discussionsupporting

confidence: 49%

Falls among Hospitalized Patients in an Acute Care Hospital: Analyses of Incident Reports

et al. 2018

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: Falls cause injuries such as fractures, skin lacerations, bleeding, and head injury, and could result in more severe medical conditions in hospitalized patients. We retrospectively investigated the incidence and characteristics of falls among hospitalized patients in an acute care hospital from incident reports by hospital staff between January and June 2013. There were 154 falls in 135 patients, 2 of which resulted in fracture. The average age of patients who fell was 63.9 (range 0 to 91) years. Many falls occurred at the bedside (68.2% %). Approximately half of all falls were related to elimination (46.6% %). The most common time of discovery of falls was 2 : 00-2 : 59 AM (14/154 ; 9.1% %), followed by early in the morning when patients would actively move. Fall rates in our hospital were 1.39 falls per 1,000 patient days. The department of respiratory medicine and rheumatology had the highest fall rate (3.08 falls per 1,000 patient days), followed by the departments of neurosurgery and neurology (2.98 falls per 1,000 patient days). This study revealed the characteristics of falls in an acute care hospital, and suggests that their notification in the hospital might help reduce the incidence of falls in hospitalized patients. J. Med. Invest. 65 : 81-84, February, 2018

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“…Some previous studies reported that falls often occurred in the patients' rooms (1,3,(13)(14)(19)(20). In our study, 79.2% of falls occurred in patients' rooms, and !…”

Section: Discussionsupporting

confidence: 49%

Falls among Hospitalized Patients in an Acute Care Hospital: Analyses of Incident Reports

et al. 2018

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“…Patient locomotion in the hospital setting is a fundamental issue that demands several care from the nursing staff, including orientation and supervision in an attempt to ensure their safety avoiding the fall. Studies have shown that the majority of falls in hospitalized patients occur from the same height, during walking, on the way to and from the bathroom (4,28,37) . These data reinforce the importance of guiding the patient about the care needed for safe walking.…”

Section: Discussionmentioning

confidence: 99%

“…Factors related to impaired mobility, such as changes in gait and balance, have been identified as predictors of falls, especially in the elderly (2) . A study carried out in a hospital from Spain found that 55.6% of patients who fell required some kind of assistance to move around (another person, a walker or a walking stick) (28) . These data reinforce the importance of patient assessment in relation to their ability to walk and need to use an assistive device, orientation on care and correct use, besides periodic supervision for safety assessment (33) .…”

Section: Discussionmentioning

confidence: 99%

“…These drugs have a number of side effects that, together with the patient comorbidities, contribute to the occurrence of the event and the worsening of lesions. A prescription review may decrease the effect of drugs, such as sudden hypotension or bradycardia, reducing the occurrence of falls (20,25,(27)(28)(29)31) . Based on the above, it is important for patients to be able to recognize which drug classes are related to the risk for falls, considering their side effects and communicating to the health team, if they occur, especially those who use polypharmacy, common in the elderly, which present several comorbidities.…”

Section: Discussionmentioning

confidence: 99%

“…Issues, such as polypharmacy (≥4 drugs) and drug side effects are important factors that may increase the risk for falls (20,25,(27)(28)(29)31) . Conceptual definition: the patient describes his or her knowledge about the prescribed drugs related to the increased risk for falls, such as: antihypertensives, antiarrhythmics, diuretics, benzodiazepines, sedatives, antidepressants, anticonvulsants, opioid analgesics, muscle relaxants, antihistamines, insulin, oral hypoglycemic agents; due to the presence of side effects, such as hypotension, bradycardia, somnolence, dizziness, reflex changes, visual changes, hypoglycemia, urinary urgency, intestinal urgency.…”

Section: Indicator (182808) When To Ask For Personal Assistancementioning

confidence: 99%

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Conceptual definitions of indicators for the nursing outcome "Knowledge: Fall Prevention"

et al. 2018

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Objective: to construct conceptual defi nitions for indicators of nursing outcome Knowledge: Fall Prevention, selected for evaluation of hospitalized patients with the nursing diagnosis Risk for falls. Method: integrative literature review performed in the LILACS, MEDLINE and Web of Science databases, comprising articles published in English, Spanish and Portuguese languages from 2005 to 2015. Results: the fi nal sample of the study was composed of 17 articles. The conceptualizations were constructed for 14 indicators of nursing outcome Knowledge: Fall Prevention focused on hospitalized patients. Conclusion: the theoretical support of the Nursing Outcomes Classifi cation (NOC), through the process of constructing the conceptual defi nitions of the indicators of its results, allows nurses to accurately implement this classifi cation in clinical practice and to evaluate the effectiveness of their interventions through the change of the patients' status over time. Descriptors: Accidental Falls; Nursing; Nursing Process; Nursing Assessment; Outcome Assessment. RESUMO Objetivo: construir defi nições conceituais de indicadores do Resultado de Enfermagem (RE) Conhecimento: Prevenção de Quedas, selecionadas para avaliação de pacientes hospitalizados com o Diagnóstico de Enfermagem Risco de Quedas. Método: revisão integrativa da literatura realizada nas bases de dados LILACS, MEDLINE e Web of Science, compreendendo artigos publicados nos idiomas inglês, espanhol e português, no período de 2005 a 2015. Resultados: dezessete artigos compuseram a amostra fi nal do estudo. Foram construídas as conceituações para 14 indicadores do RE Conhecimento: Prevenção de Quedas com foco em pacientes hospitalizados. Conclusão: a sustentação teórica da NOC, por meio do processo de construção das defi nições conceituais dos indicadores de seus resultados, possibilita que o enfermeiro implemente essa classifi cação na prática clínica de forma precisa, e possa avaliar a efetividade das suas intervenções através da mudança do estado dos pacientes ao longo do tempo. Descritores: Acidentes por Quedas; Enfermagem; Processos de Enfermagem; Avaliação em Enfermagem; Avaliação de Resultados. RESUMENObjetivo: construir defi niciones conceptuales de indicadores del Resultado de Enfermería (RE) Conocimiento: Prevención de Caídas, seleccionadas para evaluación de pacientes hospitalizados con el Diagnóstico de Enfermería Riesgo de Caídas. Método: revisión integrativa de la literatura realizada en las bases de datos LILACS, MEDLINE y Web of Science incluyendo artículos publicados en los idiomas inglés, español y portugués en el período de 2005 a 2015. Resultados: diecisiete artículos compusieron la muestra fi nal del estudio. Se construyeron las conceptualizaciones para 14 indicadores del RE Conocimiento: Prevención de Caídas con foco en pacientes hospitalizados. Conclusión: la sustentación teórica de la NOC a través del proceso de construcción de las defi niciones conceptuales de los indicadores de sus resultados posibilita que los enfermeros im...

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Profile of the patient who suffers falls in the hospital environment: Multicenter study

Luna-Rodríguez

Aranda-Gallardo

Canca-Sánchez

et al. 2020

Enfermería Clínica (English Edition)

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Circumstances and causes of falls by patients at a Spanish acute care hospital

Abstract: Falls have diverse causes. Determining these circumstances can contribute to promoting a culture of prevention and to reducing the injuries provoked by falls. Notification procedures should be standardized in order to enable comparisons among different environments.

Cited by 28 publications

References 17 publications

Falls among Hospitalized Patients in an Acute Care Hospital: Analyses of Incident Reports

Falls among Hospitalized Patients in an Acute Care Hospital: Analyses of Incident Reports

Conceptual definitions of indicators for the nursing outcome "Knowledge: Fall Prevention"

Profile of the patient who suffers falls in the hospital environment: Multicenter study

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