Exploring effective factors in reducing the fall of hospitalized patients: A systematic review

Mousavipour, Sayedeh Somayyeh; Zavareh, Davoud Khorasani; Nouri, Fatemeh; Ebadi, Abbas; Saremi, Mahnaz; Jabbari, Mousa; Ghomian, Zohre; Mohammadi, Reza

doi:10.4103/atr.atr_112_20

Cited by 1 publication

(2 citation statements)

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“…Prevention of falls is a significant component of patient safety goals because falls are among the most frequent medical errors that occur in hospitals and result in negative effects on both hospitals and society (JCI, 2022). Many interventions have been reported to be effective in preventing patient falls (Montero-Odasso et al, 2021;Morris et al, 2022;Mousavipour et al, 2021). However, there is evidence that, instead of a single intervention, fall prevention programs incorporating multiple interventions are more effective in preventing patient falls (Cameron et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Patient falls are one of the most common medical errors and can cause serious damage to patients. There are many interventions that have been reported to be effective in preventing patient falls (Montero‐Odasso et al, 2021; Morris et al, 2022; Mousavipour et al, 2021). However, many effective fall prevention interventions cannot be implemented due to economic concerns (Kim & Basu, 2021; Mitchell et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of the cost‐effectiveness of a multicomponent fall prevention program in hospitalized patients

Baris,

Seren Intepeler

2023

Nursing & Health Sciences

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The aim of this pre‐ and post‐interventional study was to analyze the cost‐effectiveness of the multicomponent fall prevention program in hospitalized patients. To achieve this aim, cost‐effectiveness analysis performed using decision tree modeling was compared with the implementation of the fall prevention program and usual care. The primary outcome was the number of patient falls. The uncertainty in cost and effectiveness data was evaluated using one‐way sensitivity analysis, best–worst‐case scenario analysis, and probabilistic sensitivity analysis. According to cost‐effectiveness analysis, implementation of the fall prevention program was dominantly cost‐effective. As a result of the probabilistic sensitivity analysis, it was revealed that, even if willing‐to‐pay per‐fall prevented value was 0, the probability of being cost‐effective was 54.4% for the fall prevention program. Economic evaluation results showed that implementing the multicomponent fall prevention program was dominantly cost‐effective in hospitalized patients. Nurses and nurse managers can benefit from economic evaluations in their decision‐making processes to implement fall prevention programs.

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