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Innovating Fall Safety: Engaging Patients as Experts.
Radecki, Bethany; Keen, Alyson; Miller, Joan; McClure, Janelle K; Kara, Areeba.
Affiliation
  • Radecki B; Quality and Patient Safety, Indiana University Health Academic Health Center, Indianapolis (Mss Radecki, Keen, and Miller and Dr Kara); and Riverview Health-Westfield Hospital, Westfield, Indiana (Ms McClure).
J Nurs Care Qual ; 35(3): 220-226, 2020.
Article in En | MEDLINE | ID: mdl-32433144
ABSTRACT

BACKGROUND:

Injury falls are common, with nearly a million hospitalized patients falling annually. Fall risk identification and prevention are largely clinician-centric, lacking patient input. LOCAL

PROBLEM:

Our fall rates were below the national mean; however, patients who fell and sustained injury were at or above the mean. We lacked processes that engaged patients as safety collaborators.

METHODS:

This was a quality improvement study examining the effect of a collaborative fall intervention on (1) patient knowledge in action and (2) incidence of falls. INTERVENTION The patient fall assessment tool was implemented to facilitate collaborative safety conversations.

RESULTS:

We achieved a statistically significant improvement (P = .0007) in the patient's participation in the development of the safety plan, with a 25% reduction in total falls and a 67% reduction in injury falls.

CONCLUSIONS:

The patient fall assessment tool may be a successful strategy to engage patients in the development of their safety plan and positively affect safety partnerships.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Patient Participation / Accidental Falls / Safety Management / Risk Assessment / Diffusion of Innovation / Quality Improvement Limits: Aged / Humans Language: En Journal: J Nurs Care Qual Journal subject: ENFERMAGEM Year: 2020 Type: Article

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Patient Participation / Accidental Falls / Safety Management / Risk Assessment / Diffusion of Innovation / Quality Improvement Limits: Aged / Humans Language: En Journal: J Nurs Care Qual Journal subject: ENFERMAGEM Year: 2020 Type: Article