Use of a perceived efficacy tool to evaluate the <scp>FallTIPS</scp> program

Dykes, Patricia C.; Khasnabish, Srijesa; Adkison, Lesley; Bates, David W.; Bogaisky, Michael; Burns, Zoe; Carroll, Diane L.; Carter, Eileen J.; Hurley, Ann C.; Jackson, Emily; Kurian, Susan; Lindros, Mary Ellen; Ryan, Virginia; Scanlan, Maureen; Spivack, Linda Berger; Walsh, Mary-Ann; Adelman, Jason S.

doi:10.1111/jgs.17436

Cited by 3 publications

(33 citation statements)

References 24 publications

(48 reference statements)

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“…Therefore, programs that prevent all falls provide the greatest cost-savings opportunities. To our knowledge, this is the largest study to date evaluating the cost of hospital falls, and it builds on existing literature demonstrating the cost-effectiveness of evidence-based fall prevention programs …”

Section: Discussionmentioning

confidence: 99%

“…Because the material costs averaged approximately $0.88 per 1000 patient-days, we focused on uncertainty in registered nurse time. Based on a previous study, we judged the intervention to be time neutral for nurses . If instead we assume the intervention costs nurses an additional 2 minutes per shift per patient-day, then with 1.492 million patient-days in the analysis, the Fall TIPS Program increased costs by $6.88 million.…”

Section: Discussionmentioning

confidence: 99%

“…Ongoing costs may be incurred because of additional time spent using the Fall TIPS Program. A survey indicated a majority of nurses (62%) averaged 1-minute additional time each day per patient, while 38% reported averaging a 10-minute time savings each day per patient . Because of the broad range of results, we assume that the Fall TIPS Program is time neutral.…”

Section: Methodsmentioning

confidence: 99%

“…To our knowledge, this is the largest study to date evaluating the cost of hospital falls, and it builds on existing literature demonstrating the cost-effectiveness of evidence-based fall prevention programs. 8,15,18 We performed sensitivity analyses to assess variation in costs on the net benefits of the intervention. Because the material costs averaged approximately $0.88 per 1000 patient-days, we focused on uncertainty in registered nurse time.…”

Section: Jama Health Forum | Original Investigationmentioning

confidence: 99%

“…Based on a previous study, we judged the intervention to be time neutral for nurses. 18 If instead we assume the intervention costs nurses an additional 2 minutes per shift per patient-day, then with 1.492 million patient-days in the analysis, the…”

Section: Jama Health Forum | Original Investigationmentioning

confidence: 99%

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Cost of Inpatient Falls and Cost-Benefit Analysis of Implementation of an Evidence-Based Fall Prevention Program

et al. 2023

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ImportanceThere is insufficient research on the costs of patient falls in health care systems, a leading source of nonreimbursable adverse events.ObjectiveTo report the costs of inpatient falls and the cost savings associated with implementation of an evidence-based fall prevention program.Design, Setting, and ParticipantsIn this economic evaluation, a matched case-control study used the findings from an interrupted time series analysis that assessed changes in fall rates following implementation of an evidence-based fall prevention program to understand the cost of inpatient falls. An economic analysis was then performed to assess the cost benefits associated with program implementation across 2 US health care systems from June 1, 2013, to August 31, 2019, in New York, New York, and Boston, Massachusetts. All adults hospitalized in participating units were included in the analysis. Data analysis was performed from October 2021 to November 2022.InterventionsEvidence-based fall prevention program implemented in 33 medical and surgical units in 8 hospitals.Main Outcomes and MeasuresPrimary outcome was cost of inpatient falls. Secondary outcome was the costs and cost savings associated with the evidence-based fall prevention program.ResultsA total of 10 176 patients who had a fall event (injurious or noninjurious) with 29 161 matched controls (no fall event) were included in the case-control study and the economic analysis (51.9% were 65-74 years of age, 67.1% were White, and 53.6% were male). Before the intervention, there were 2503 falls and 900 injuries; after the intervention, there were 2078 falls and 758 injuries. Based on a 19% reduction in falls and 20% reduction in injurious falls from the beginning to the end of the postintervention period, the economic analysis demonstrated that noninjurious and injurious falls were associated with cost increases of $35 365 and $36 776, respectively. The implementation of the evidence-based fall prevention program was associated with $14 600 in net avoided costs per 1000 patient-days.Conclusions and RelevanceThis economic evaluation found that fall-related adverse events represented a clinical and financial burden to health care systems and that the current Medicare policy limits reimbursement. In this study, costs of falls only differed marginally by injury level. Policies that incentivize organizations to implement evidence-based strategies that reduce the incidence of all falls may be effective in reducing both harm and costs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Jama Health Forum | Original Investigationmentioning

confidence: 99%

Section: Jama Health Forum | Original Investigationmentioning

confidence: 99%

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Cost of Inpatient Falls and Cost-Benefit Analysis of Implementation of an Evidence-Based Fall Prevention Program

et al. 2023

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Fall Tailoring Interventions for Patient Safety Brazil Program: an evaluability study in a teaching hospital

Medeiros,

Gonçalves

2024

Rev. Bras. Enferm.

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Objectives: to present the theoretical model, logic model, and the analysis and judgment matrix of the Fall TIPS Brazil Program. Methods: a qualitative, participatory research approach, in the form of an evaluability study, encompassing the phases (1) problem analysis; (2) program design, development, and adaptation to the Brazilian context; (3) program dissemination. Data were collected through document analysis and workshops. Results: through document analysis, workshops with stakeholders from the participating institution, and validation with key informants, it was possible to identify the program’s objectives, expected outcomes, and the target audience. This allowed the construction of theoretical and logic models and, through evaluative questions, the identification of indicators for the evaluation of the Fall TIPS Brazil Program. Final Considerations: this study has provided insights into the Fall TIPS program, the topic of hospital fall prevention, and the proposed models and indicators can be employed in the implementation and future evaluative processes of the program.

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Programa Fall Tailoring Interventions for Patient Safety Brasil: estudo de avaliabilidade em hospital de ensino

Medeiros,

Gonçalves

2024

Rev. Bras. Enferm.

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RESUMO Objetivos: apresentar o modelo teórico, modelo lógico e matriz de análise e julgamento do programa Fall TIPS Brasil. Métodos: pesquisa qualitativa, participativa do tipo estudo de avaliabilidade, contempla as fases (1) análise do problema; (2) design, desenvolvimento e adaptação do programa à realidade brasileira; (3) disseminação do programa. Os dados foram coletados por análise documental e oficinas. Resultados: a partir da análise documental, oficinas com stakeholders da instituição participante e validação junto a informantes-chave, foi possível identificar os objetivos do programa, os resultados esperados e o público beneficiado, construir os modelos teórico e lógico e, mediante perguntas avaliativas, apontar indicadores para a avaliação do programa Fall TIPS Brasil. Considerações Finais: o estudo trouxe conhecimentos sobre o programa Fall TIPS, sobre a temática de prevenção de quedas hospitalares, e os modelos e indicadores propostos podem ser empregados na implantação e em processos avaliativos futuros do programa.

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Use of a perceived efficacy tool to evaluate the FallTIPS program

Cited by 3 publications

References 24 publications

Cost of Inpatient Falls and Cost-Benefit Analysis of Implementation of an Evidence-Based Fall Prevention Program

Cost of Inpatient Falls and Cost-Benefit Analysis of Implementation of an Evidence-Based Fall Prevention Program

Fall Tailoring Interventions for Patient Safety Brazil Program: an evaluability study in a teaching hospital

Programa Fall Tailoring Interventions for Patient Safety Brasil: estudo de avaliabilidade em hospital de ensino

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