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"Inpatient falls"

Jianghua He, Vincent S Staggs, Sandra Bergquist-Beringer, Nancy Dunton
BACKGROUND: Time trends and seasonal patterns have been observed in nurse staffing and nursing-sensitive patient outcomes in recent years. It is unknown whether these changes were associated. METHODS: Quarterly unit-level nursing data in 2004-2012 were extracted from the National Database of Nursing Quality Indicators® (NDNQI®). Units were divided into groups based on patterns of missing data. All variables were aggregated across units within these groups and analyses were conducted at the group level...
2016: BMC Nursing
Stavros G Memtsoudis, Jashvant Poeran, Crispiana Cozowicz, Nicole Zubizarreta, Umut Ozbek, Madhu Mazumdar
The role of anesthesia techniques on perioperative outcomes on a population level has recently gained widespread interest. Although mainly neuraxial vs general anesthesia has been addressed, population-level data on the impact of peripheral nerve blocks (PNBs) are still lacking. Therefore, we investigated the association between PNB use and outcomes using retrospective data on 1,062,152 recipients of hip and knee arthroplasties (total hip arthroplasty [THA]/total knee arthroplasty [TKA]) from the national Premier Perspective database (2006-2013)...
October 2016: Pain
Ebru Alemdaroğlu, Sibel Demir Özbudak, Sibel Mandiroğlu, Seda Alakoç Biçer, Neşe Özgirgin, Halil Uçan
: Inpatient falls are of significant concern. The aim of this prospective study was to determine the predictors of inpatient falls among children with cerebral palsy in a rehabilitation hospital. DESIGN AND METHODS: A total of 93 patients with cerebral palsy were assessed based on history, physical findings, the Selective Motor Control Test, the Gross Motor Functional Classification System, the Berg Balance Scale and the Manual Ability Classification System. Previous history of falls/frequent falls, and any falls which occurred during hospitalization, were recorded...
September 12, 2016: Journal of Pediatric Nursing
Inderpal Singh, Justin Okeke
Inpatient falls (IF) are the most commonly reported safety incidents. The high rate of inpatient falls was reported in a newly built hospital, within Aneurin Bevan University Health Board, Wales (UK). The aim of the project is to reduce the incidence of IF and associated adverse clinical outcomes in a hospital with 100% single rooms. The key mechanism for improvement was education and training of nursing staff around falls risk factors. A Plan-Do-Study-Act methodology was used and a geriatrician-led, systematic nurse training programme on the understanding and correct use of existing multifactorial falls risk assessment (FRA) tool was implemented in April 2013...
2016: BMJ Quality Improvement Reports
Wen-Hsuan Hou, Chun-Mei Kang, Mu-Hsing Ho, Jessie Ming-Chuan Kuo, Hsiao-Lien Chen, Wen-Yin Chang
AIMS AND OBJECTIVES: To evaluate the accuracy of the inpatient fall risk screening tool (IFRST) and to identify the most critical fall risk factors in inpatients. BACKGROUND: Variations exist in several screening tools applied in acute care hospitals for examining risk factors for falls and identifying high-risk inpatients. DESIGN: Secondary data analysis. METHODS: A subset of inpatient data for the period from June 2011 to June 2014 was extracted from the nursing information system and adverse event reporting system of an 818-bed teaching medical center in Taipei...
August 17, 2016: Journal of Clinical Nursing
Mariano E Menendez, David Ring, Andrew Jawa
BACKGROUND: Patient falls are one of the most commonly reported safety incidents in hospitals and an important cause of harm. Despite growing interest in postoperative fall prevention, data on the extent and correlates of falls among elective orthopedic inpatients are sparse and confined to lower limb arthroplasty. We evaluated inpatient fall trends after elective shoulder arthroplasty and identified patient and hospital characteristics associated with the occurrence of falls. METHODS: We used discharge records from the Nationwide Inpatient Sample (2002-2011)...
August 10, 2016: Journal of Shoulder and Elbow Surgery
Simeon Joel Zürcher, Christa Vangelooven, Natalie Borter, Daniel Schnyder, Sabine Hahn
AIM: The aim of this study is to psychometrically test the Italian and French versions of the Care Dependency Scale. BACKGROUND: The Care Dependency Scale assesses changes in patients' level of care dependency including important functional and mental dimensions. Evaluation of the psychometric properties of the Italian version is still ongoing. The French version has to date not been validated. DESIGN: Nationwide cross-sectional point prevalence study...
July 19, 2016: Journal of Advanced Nursing
Donna Guillaume, Sybil Crawford, Patricia Quigley
PURPOSE: The purpose of this study is to describe characteristics of middle-age inpatients' (ages 45-64) fallers and their fall and fall injury risk factors. BACKGROUND: Middle-age falls were 42-46% of inpatient falls. Studies related to inpatient falls have not targeted this population. METHODS: A 439 retrospective chart review was performed. Middle-age fall and injury rates were compared with ages 21-44 and 65-90. RESULTS: The mean age was 55...
August 2016: Applied Nursing Research: ANR
Kendra E Stubbs, Lindsay Sikes
BACKGROUND: Within a tertiary-care pediatric medical center, the largest number of inpatient falls (8.84 falls per 1000 patient days) occurred within a 14-bed rehabilitation/ transitional care unit between February and September 2009. An interdisciplinary fall prevention program, Red Light, Green Light, was developed to better educate all staff and family members to ensure safety of transfers and ambulation of neurologically impaired children. PURPOSE: The purpose was to develop and implement an interdisciplinary pediatric fall prevention program to reduce total falls and falls with family members of this population...
June 23, 2016: Physical Therapy
Insook Cho, Eunja Chung
The increasing adoption of electronic medical record (EMR) systems including nursing documentation worldwide provides opportunities for improving patient safety by the automatic prediction of adverse events using EMR data. An inpatient fall is a preventable adverse event that can be managed more effectively and efficiently through a data-driven predictive approach. This study implemented a new approach and explored its effects in neurologic inpatient units. The results suggest that integrating an automatic fall prediction system with the EMR system could reduce inpatient falls...
2016: Studies in Health Technology and Informatics
Brian Shiner, Julia Neily, Peter D Mills, Bradley V Watts
OBJECTIVES: Although falls are among the most common adverse event in hospitals, they are difficult to measure and often unreported. Mechanisms to track falls include incident reporting and medical records review. Because of limitations of each method, researchers suggest multimodal approaches. Although incident reporting is commonly used, medical records review is limited by the need to read a high volume of clinical notes. Natural language processing (NLP) is 1 potential mechanism to automate this process...
June 22, 2016: Journal of Patient Safety
Lauren Morgan, Lorna Flynn, Eleanor Robertson, Steve New, Carol Forde-Johnston, Peter McCulloch
AIMS AND OBJECTIVES: This study designed and evaluated the use of a specific implementation strategy to deliver a nursing staff led Intentional Rounding intervention to reduce inpatient falls. BACKGROUND: Patient falls are a common cause of harm during hospital treatment. Intentional Rounding has been proposed as a potential strategy for prevention, but has not received much objective evaluation. Previous work has suggested that logical interventions to improve patient care require an integrated implementation strategy, utilising teamwork training and systems improvement training, to instigate positive change and improvement...
May 24, 2016: Journal of Clinical Nursing
Zachary Katsulis, Awatef Ergai, Wai Yin Leung, Laura Schenkel, Amisha Rai, Jason Adelman, James Benneyan, David W Bates, Patricia C Dykes
Due to the large number of falls that occur in hospital settings, inpatient fall prevention is a topic of great interest to patients and health care providers. The use of electronic decision support that tailors fall prevention strategy to patient-specific risk factors, known as Fall T.I.P.S (Tailoring Interventions for Patient Safety), has proven to be an effective approach for decreasing hospital falls. A paper version of the Fall T.I.P.S toolkit was developed primarily for hospitals that do not have the resources to implement the electronic solution; however, more work is needed to optimize the effectiveness of the paper version of this tool...
September 2016: Applied Ergonomics
Duncan McKechnie, Julie Pryor, Murray J Fisher
AIMS: This paper discusses considerations for falls risk screening tool selection vs. the need to develop new tools. BACKGROUND: Inpatient falls are a complex patient safety issue that represent a significant burden for the healthcare system. In the inpatient context, falls risk screening tools are most often used for predicting falls, but in some populations assessment tools are more suited, however in others, a clinician's clinical judgment may be just as effective...
September 2016: Journal of Advanced Nursing
Patricia Potter, Kelly Allen, Eileen Costantinou, Dean Klinkenberg, Jill Malen, Traci Norris, Elizabeth O'Connor, Wilhelmina Roney, Heidi Hahn Tymkew
BACKGROUND: Sensor technology offers a new way to identify patient movement, detect falls, and automatically alert health care staff when falls occur. The information gained from analyzing actual fall events can be beneficial in developing individualized fall prevention strategies, informing nursing staff about the nature of falls, and identifying opportunities to make the patient care environment safer. METHODS: A six-month performance improvement pilot was conducted at Barnes-Jewish Hospital (St...
May 2016: Joint Commission Journal on Quality and Patient Safety
Shinichiroh Yokota, Kazuhiko Ohe
AIM: To construct and evaluate an easy-to-use fall risk prediction model based on the daily condition of inpatients from secondary use electronic medical record system data. METHODS: The present authors scrutinized electronic medical record system data and created a dataset for analysis by including inpatient fall report data and Intensity of Nursing Care Needs data. The authors divided the analysis dataset into training data and testing data, then constructed the fall risk prediction model FiND from the training data, and tested the model using the testing data...
April 2016: Japan Journal of Nursing Science: JJNS
Alistair Kleebauer
No abstract text is available yet for this article.
April 2016: Nursing Older People
Sue Hignett, Laurie Wolf
No abstract text is available yet for this article.
July 2016: International Journal of Nursing Studies
Natalie Callis
Patient falls are the most common adverse safety event in hospitals and healthcare facilities nationwide. There are many risk factors associated with inpatient falls such as medications, unsteady gait, alteration in mental status, and environmental hazards. Risk assessment is the primary intervention for falls prevention. This study aims to provide a detailed review of the literature to identify and synthesize research evidence on risk factors that may contribute to patient falls in the adult inpatient hospital setting that are not captured by current fall risk assessment tools...
February 2016: Applied Nursing Research: ANR
Ahmad Elsharydah, Tiffany M Williams, Eric B Rosero, Girish P Joshi
PURPOSE: Postoperative epidural analgesia for major upper abdominal and thoracic surgery can provide significant benefits, including superior analgesia and reduced pulmonary dysfunction. Nevertheless, epidural analgesia may also be associated with decreased muscle strength, sympathetic tone, and proprioception that could possibly contribute to falls. The purpose of this retrospective case-control study was to search a large national database in order to investigate the possible relationship between postoperative epidural analgesia and the rate of inpatient falls...
May 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
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