Decreasing hospital falls with injury

Hendrian, Kellea; Tipton, Eydie

doi:10.1097/01.numa.0000721860.61363.c8

Cited by 2 publications

(3 citation statements)

References 7 publications

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“…One of our most powerful metrics, however, is the subjective data related to staff perception of expansion needs. Research shows that increasing nurse engagement is positively related to staff involvement in organizational decision-making and that leaders should identify strategies to encourage this collaboration 16. Thus, ensuring that we act on the need for expansion from a staff nurse perspective is an imperative aspect of multilevel empowerment in our Magnet organization.…”

Section: Discussionmentioning

confidence: 99%

Continuous Video Monitoring

Abbe

O'Keeffe

2022

Journal of Nursing Care Quality

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Background: A large academic medical center in the Pacific Northwest successfully introduced continuous video monitoring (CVM) as an adjunct measure to replace sitter use when appropriate. Adoption of the technology was influenced by nurse enculturation, standard work, data tracking management, and patient/family engagement. The purpose of this article is to identify critical data metrics to inform expansion of CVM programs when determining readiness for growth. Problem: There is a lack of literature to advise organizations on needed data and metrics to inform growth readiness of CVM programs. Specific indicators can support initiatives to achieve financial support for program expansion. Approach: CVM readiness for expansion is evident when metrics such as utilization rates, wait-list expansion, frontline staff perception, and sitter patient population outgrow current camera capacity. Conclusion: Successful metric analysis can inform initiatives to grow CVM programs, which, in turn, support a culture of safety at large academic medical centers for at-risk populations.

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Section: Discussionmentioning

confidence: 99%

Continuous Video Monitoring

Abbe

O'Keeffe

2022

Journal of Nursing Care Quality

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“…Falls are among the most common incidents reported in hospitals (R. Morris & O'Riordan, 2017) resulting in decreased quality of life in hospitals (LeLaurin & Shorr, 2019) due to injuries such as lacerations, fractures, and internal bleeding (Hendrian & Tipton, 2020). Regardless of the severity of the fall or level of injury, falls in hospital are often associated with longer lengths of stay to manage complications (Hendrian & Tipton, 2020). As such, research studies have focused on identifying risk factors for inhospital patient falls such as age, gender, solitary living, nutrition, fear of falling, and medical impairments (Appeadu & Bordoni, 2023;Najafpour et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…Falls among the elderly population is a specific concern with approximately 20% to 30% of older people over the age of 65 in Canada experiencing a fall each year ( Public Health Agency of Canada, 2014 ). Falls are among the most common incidents reported in hospitals ( R. Morris & O’Riordan, 2017 ) resulting in decreased quality of life in hospitals ( LeLaurin & Shorr, 2019 ) due to injuries such as lacerations, fractures, and internal bleeding ( Hendrian & Tipton, 2020 ). Regardless of the severity of the fall or level of injury, falls in hospital are often associated with longer lengths of stay to manage complications ( Hendrian & Tipton, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Risky Business: Factors That Increase Risk of Falls Among Older Adult In-Patients

Hodgson

Pace

Carfagnini

et al. 2023

Gerontology and Geriatric Medicine

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In hospitals, older patients are at increased risk of falling multiple times. This study incorporated an epidemiologic cross-sectional design consisting of 4,348 older patients (≥65-year-old). Eight hundred eighty five (20.4%) in-patients experienced multiple falls while remaining participants had one fall incident. A patient fall event was recorded with age, sex, incident date, type of fall, and location. Logistic regression assessed risk factors found in patients with multiple falls compared to those with one fall. Significant differences were observed in the proportion of multiple falls: in a bed with no rails, standing, walking, and using a wheel/Geri chair ( p < .05). Overall, sex, type of fall, and location were significant in predicting multiple falls ( p < .05). Male patients were at 16.1% greater risk of multiple falls, when compared to females ( p < .05). A fall in complex care, mental health, or respirology were more likely to experience multiple falls ( OR = 2.659, 3.620, 1.593 respectively), while season had no impact.

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Decreasing hospital falls with injury

Cited by 2 publications

References 7 publications

Continuous Video Monitoring

Continuous Video Monitoring

Risky Business: Factors That Increase Risk of Falls Among Older Adult In-Patients

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