Step up to prevent falls in acute mental health settings

Malik, Angela; Patterson, Norma

doi:10.1097/01.nurse.0000415322.94128.1f

Cited by 5 publications

(4 citation statements)

References 4 publications

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“…Given this data, further research should be conducted, and resources allocated to determine how to make the hospital a safer place in terms of fall risk. Proposed recommendations include a higher number of staff in high-risk units, technology such as virtual side rails to notify staff of movement, nursing interventions such as bowel and bladder programs to limit urgency to get up, leaving lights turned on where possible, and using equipment that can lock in place during transfers ( Malik & Patterson, 2012 ).…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…This quality improvement initiative implemented strategies to mitigate patient falls in an inpatient behavioral health unit. Medications, gait, and patient symptomology are the top risk factors contributing to patient falls [6]. Behavioral health inpatient falls contribute to unsteady gait and taking multiple psychotropic medications [1].…”

Section: Discussionmentioning

confidence: 99%

“…Hospitals should be motivated to reduce patient falls in all inpatient areas. Reducing falls improves the quality of patient outcomes and should be a priority for all healthcare organizations [6,7].…”

Section: Practice Implicationsmentioning

confidence: 99%

Falls Risk Prevention Bundle to Reduce Falls in an Inpatient Psychiatric Unit

2022

Int J Nurs Health Care Res

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Inpatient psychiatric patient falls are a significant patient safety concern that can result in distress, injury, or death. According to a systematic review, multifactorial evaluation and intervention can reduce falls by 20-30%; however, few large-scale implementation studies have been conducted. A fall risk prevention safety bundle quality improvement initiative was implemented and evaluated. Essential components of this multifactorial assessment and intervention included fall risk reassessment after medication administration, bedside shift report, updated patient care plans to correspond to updated falls risk assessment, and daily leadership huddles using a dashboard system is exhibited as a care bundle in this publication. Falls score assessment after medication administration was the core strength of the project, and staff compliance was most notable during this phase. The findings could serve as a knowledge base for unit leaders to develop assessment protocols and establish education and training programs to promote patient safety. The project may inform future projects to make fall risk assessments clinically relevant in inpatient psychiatric settings to reduce fall injury rates.

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“…Fall prevention in psychiatric inpatient care has focused on fall risk assessment, which is not sufficient to reduce falls; it needs to be combined with fall prevention interventions. 36 , 37 A recent review concluded that there is a lack of intervention studies of fall prevention in psychiatric settings. The existing interventions were found to concentrate on single aspects of fall prevention, such as exercise or making the environment safer.…”

Section: Discussionmentioning

confidence: 99%

Patient Falls in Seclusion Rooms in Psychiatric Inpatient Care

Varpula

Välimäki

Pulkkinen

2022

Journal of Nursing Care Quality

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Background: Patient falls are a major adverse event in psychiatric inpatient care. Purpose: To model the risk for patient falls in seclusion rooms in psychiatric inpatient care. Methods: Sociotechnical probabilistic risk assessment (ST-PRA) was used to model the risk for falls. Data sources were the research team, literature review, and exploration groups of psychiatric nurses. Data were analyzed with fault tree analysis. Results: The risk for a patient fall in a seclusion room was 1.8%. Critical paths included diagnosis of a psychiatric disorder, the mechanism of falls, failure to assess and prevent falls, and psychological or physical reason. The most significant individual risk factor for falls was diagnosis of schizophrenia. Conclusions: Falls that occur in seclusion events are associated with physical and psychological risk factors. Therefore, risk assessment methods and fall prevention interventions considering patient behavioral disturbance and physiological risk factors in seclusion are warranted.

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Step up to prevent falls in acute mental health settings

Cited by 5 publications

References 4 publications

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

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

Falls Risk Prevention Bundle to Reduce Falls in an Inpatient Psychiatric Unit

Patient Falls in Seclusion Rooms in Psychiatric Inpatient Care

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