Effectiveness of nursing care provided for fall prevention: Survival analysis of nursing records in a tertiary hospital

Suh, Min Hee; Cho, Insook

doi:10.1111/jjns.12403

Cited by 5 publications

(3 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition, rating fall risk without identifying the underlying source uses nursing time but does not inform preventative interventions [ 13 ]. Our clinical observations reveal that nurses frequently tend to rely only on several universal precautions, not considering risk factors [ 14 ]. Implementation of cognitive, toileting-related, or sensory- and sleep-related assessments and interventions was rare.…”

Section: Introductionmentioning

confidence: 99%

Clinical Impact of an Analytic Tool for Predicting the Fall Risk in Inpatients: Controlled Interrupted Time Series

Cho¹,

Jin²,

Park³

et al. 2021

JMIR Med Inform

Self Cite

View full text Add to dashboard Cite

Background Patient falls are a common cause of harm in acute-care hospitals worldwide. They are a difficult, complex, and common problem requiring a great deal of nurses’ time, attention, and effort in practice. The recent rapid expansion of health care predictive analytic applications and the growing availability of electronic health record (EHR) data have resulted in the development of machine learning models that predict adverse events. However, the clinical impact of these models in terms of patient outcomes and clinicians’ responses is undetermined. Objective The purpose of this study was to determine the impact of an electronic analytic tool for predicting fall risk on patient outcomes and nurses’ responses. Methods A controlled interrupted time series (ITS) experiment was conducted in 12 medical-surgical nursing units at a public hospital between May 2017 and April 2019. In six of the units, the patients’ fall risk was assessed using the St. Thomas’ Risk Assessment Tool in Falling Elderly Inpatients (STRATIFY) system (control units), while in the other six, a predictive model for inpatient fall risks was implemented using routinely obtained data from the hospital’s EHR system (intervention units). The primary outcome was the rate of patient falls; secondary outcomes included the rate of falls with injury and analysis of process metrics (nursing interventions that are designed to mitigate the risk of fall). Results During the study period, there were 42,476 admissions, of which 707 were for falls and 134 for fall injuries. Allowing for differences in the patients’ characteristics and baseline process metrics, the number of patients with falls differed between the control (n=382) and intervention (n=325) units. The mean fall rate increased from 1.95 to 2.11 in control units and decreased from 1.92 to 1.79 in intervention units. A separate ITS analysis revealed that the immediate reduction was 29.73% in the intervention group (z=–2.06, P=.039) and 16.58% in the control group (z=–1.28, P=.20), but there was no ongoing effect. The injury rate did not differ significantly between the two groups (0.42 vs 0.31, z=1.50, P=.134). Among the process metrics, the risk-targeted interventions increased significantly over time in the intervention group. Conclusions This early-stage clinical evaluation revealed that implementation of an analytic tool for predicting fall risk may to contribute to an awareness of fall risk, leading to positive changes in nurses’ interventions over time. Trial Registration Clinical Research Information Service (CRIS), Republic of Korea KCT0005286; https://cris.nih.go.kr/cris/search/detailSearch.do/16984

show abstract

Section: Introductionmentioning

confidence: 99%

Clinical Impact of an Analytic Tool for Predicting the Fall Risk in Inpatients: Controlled Interrupted Time Series

Cho¹,

Jin²,

Park³

et al. 2021

JMIR Med Inform

Self Cite

View full text Add to dashboard Cite

show abstract

“…This approach aims to optimize the hospitalization process and environment, refine fall prevention education methods, enhance patients’ physical capabilities, and encourage active participation of patients, caregivers, and rehabilitators in fall prevention activities. 29 , 30 …”

Section: Discussionmentioning

confidence: 99%

Retrospective Investigation and Research on Fall Events Among Hospitalized Patients in the Rehabilitation Department

Lin,

Yang,

Zhou

et al. 2024

RMHP

View full text Add to dashboard Cite

Objective We investigated the clinical characteristics, fall outcomes, and related factors of falls in patients who were hospitalized in the rehabilitation department, and explored strategies to reduce the incidence of falls and prevent falls in patients. Methods Data from 60 patients who fell in the rehabilitation department between 2016 and 2021 were analyzed for clinical characteristics, associated factors, incidence of falls, injuries, and patient demographics. Under the random stratified sampling method, 60 patients who did not fall during the same period were selected as the control group, and relevant data was collected. Measurement data were compared using an independent sample t -test. Enumeration data were compared using chi-squared ( χ 2 ) test was employed to compare these data between the two groups. Non-parametric data were analyzed using the Mann–Whitney U -test. Factors potentially influencing falls were scrutinized through both univariate and binary logistic regression analyses. Results The median annual incidence of falls among patients who were hospitalized in the rehabilitation department was 0.04%, while the overall fall injury rate was 60%. Falls were most prevalent within 30 days of hospitalization (71.67%). The most common fall-related condition was craniocerebral disease (83.33%). The incidents of falls location of fall were mainly reported in nearby areas of rehabilitation ward (70%). Most accidents occurred between 7:00 a.m.–12:00 p.m. and 3:01 p.m.–6:00 p.m. (63.33%), and dyskinesia was the most common cause of falls (71.67%). There were 39 patients (65.00%) with Barthel Index (BI) scores ranging between 40–60. Conclusion Patients in the rehabilitation department had a greater incidence of falls and fall injuries. Within 30 days of admission, patients with moderately dependent craniocerebral disorders and dyskinesia frequently experienced falls during typical daytime shifts in areas characterized by endemic conditions.

show abstract

“…Enfermagem Brasil 2023;22(1);103-117 O EA de quedas, evidenciado na busca, aponta dentre outras condições, que a ocorrência do dano pode estar relacionada a lacunas nas práticas de enfermagem apropriadas e direcionadas como barreira. Estudos conduzidos na Coreia do Sul e no Brasil apontam debilidades nas estratégias da enfermagem dirigidas ao risco e prevenção de quedas, repercutindo em ampla magnitude no evento em dias atuais [27,29]. O estudo coreano sugere atenção sobre fatores relacionados à mobilidade do paciente, associado ao uso de ferramentas de avaliação, como instrumentos precisos para prática de enfermagem, capazes de subsidiar intervenções preventivas, de modo a evitar ou interceptar a queda e suas consequências no ambiente hospitalar [27].…”

Section: Discussionunclassified

Ocorrência de eventos adversos associados às práticas de enfermagem: revisão integrativa

et al. 2023

View full text Add to dashboard Cite

Introdução: Os eventos adversos implicam dano ou lesão, podendo acarretar até mesmo a morte do paciente, e embora os eventos com dano não sejam reservados ao exercício da enfermagem, configuramos para essa discussão foco nos eventos presentes nas ações da categoria. Objetivo: Analisar as evidências científicas sobre a ocorrência de eventos adversos associados às práticas assistenciais de enfermagem. Métodos: Revisão integrativa com busca nas bases de dados Medline, Embase, Lilacs, Cinahl e Web of Science, a partir dos descritores em ciências da saúde drug-related side effects and adverse reactions, adverse drug reaction, side effects, medication errors, team nursing, nursing care. Resultados: Foram selecionados oito estudos para compor a análise da ocorrência dos eventos adversos na enfermagem. Evidenciaram-se cinco principais eventos adversos associados às práticas de enfermagem, relacionados à medicação, quedas, lesões por pressão, infecções associadas aos cuidados em saúde e perda acidental de dispositivos de saúde. Conclusão: As evidências reconhecem que a maioria dos eventos adversos revelados na busca foram classificados como evitáveis, ou seja, passíveis de prevenção por meio da adoção de medidas mais seguras.

show abstract

Effectiveness of nursing care provided for fall prevention: Survival analysis of nursing records in a tertiary hospital

Cited by 5 publications

References 29 publications

Clinical Impact of an Analytic Tool for Predicting the Fall Risk in Inpatients: Controlled Interrupted Time Series

Clinical Impact of an Analytic Tool for Predicting the Fall Risk in Inpatients: Controlled Interrupted Time Series

Retrospective Investigation and Research on Fall Events Among Hospitalized Patients in the Rehabilitation Department

Ocorrência de eventos adversos associados às práticas de enfermagem: revisão integrativa

Contact Info

Product

Resources

About