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"Inpatient falls"

Bheeshma Ravi, Zhang Nan, Adam J Schwartz, Henry D Clarke
BACKGROUND: Readmission among Medicare recipients is a leading driver of healthcare expenditure. To date, most predictive tools are too coarse for direct clinical application. Our objective in this study is to determine if a pre-existing tool to identify patients at increased risk for inpatient falls, the Hendrich Fall Risk Score, could be used to accurately identify Medicare patients at increased risk for readmission following arthroplasty, regardless of whether the readmission was due to a fall...
February 24, 2017: Journal of Arthroplasty
Sonya Kowalski
Despite efforts to decrease inpatient falls at a Midwestern Veterans Administration Medical Center, patients on the hospice unit continued to have higher rates of falls than patients on other units. The purpose of this article is to review the literature to determine if evidence-based, population-specific, fall prevention measures could be implemented to reduce the risk of falls for hospice patients. As a result of this literature review, an end-of-life care plan was developed and will be utilized to increase the frequency of assessment and rounding, and to encourage family involvement during this critical time frame...
March 2017: Home Healthcare Now
Susan Mayor
No abstract text is available yet for this article.
January 22, 2017: BMJ: British Medical Journal
Mary E Walsh, Rose Galvin, Fiona Boland, David Williams, Joseph A Harbison, Sean Murphy, Ronan Collins, Morgan Crowe, Dominick J H McCabe, Frances Horgan
BACKGROUND: several multivariable models have been derived to predict post-stroke falls. These require validation before integration into clinical practice. The aim of this study was to externally validate two prediction models for recurrent falls in the first year post-stroke using an Irish prospective cohort study. METHODOLOGY: stroke patients with planned home-discharges from five hospitals were recruited. Falls were recorded with monthly diaries and interviews 6 and 12 months post-discharge...
January 18, 2017: Age and Ageing
Chie Magota, Hiroyuki Sawatari, Shin-Ichi Ando, Mari K Nishizaka, Kaoru Tanaka, Kaori Horikoshi, Izumi Hoashi, Hashiguchi Nobuko, Tomoko Ohkusa, Akiko Chishaki
BACKGROUND: falls by inpatients often result in serious injuries and deterioration in a patient's physical abilities and quality of life, especially among older individuals. Although various factors have been found to be associated with falls, the combined effects of behavioural and ambient factors are not fully evaluated. OBJECTIVE: we investigated the influence of both behavioural and ambient factors on inpatient falls, focusing on seasonal and diurnal variations...
January 4, 2017: Age and Ageing
Satyan R Chari, Simon Smith, Alison Mudge, Alex A Black, Mariana Figueiro, Muhtashimuddin Ahmed, Mark Devitt, Terry P Haines
BACKGROUND: Falls among hospitalised patients impose a considerable burden on health systems globally and prevention is a priority. Some patient-level interventions have been effective in reducing falls, but others have not. An alternative and promising approach to reducing inpatient falls is through the modification of the hospital physical environment and the night lighting of hospital wards is a leading candidate for investigation. In this pilot trial, we will determine the feasibility of conducting a main trial to evaluate the effects of modified night lighting on inpatient ward level fall rates...
2016: Pilot and Feasibility Studies
Brian W Skinner, Elizabeth V Johnston, Lindsay M Saum
BACKGROUND: Benzodiazepines (BZDs) place patients at a significant risk of falling. The current literature does not address if this risk is increased during initiation or dose escalations of BZDs. OBJECTIVE: To determine if initiation or dose escalations of BZD regimens are associated with an increased risk of falls in hospitalized patients compared with patients maintained on their home dose or who had their dose decreased from baseline. METHODS: This retrospective case-control study evaluated hospitalized patients aged 45 years or older who received a BZD...
November 27, 2016: Annals of Pharmacotherapy
Nina L Blachman, Rosanne M Leipzig, Madhu Mazumdar, Jashvant Poeran
OBJECTIVES: To examine dosages of high-risk medications administered to elderly adults who fall in the hospital and to determine whether electronic default doses are appropriate for elderly adults. DESIGN: Retrospective. SETTING: Large urban academic hospital. PARTICIPANTS: Individuals aged 65 and older experiencing a fall. MEASUREMENTS: Prescribed daily dosages and use of high-risk medications (opiates, benzodiazepines, benzodiazepine-receptor agonists (BRAs), sleep medications, muscle relaxants, antipsychotics) administered within 24 hours before a fall were ascertained and compared with published recommended dosages for older adults and the hospital's electronic medical record (EMR) default doses for these drugs...
November 28, 2016: Journal of the American Geriatrics Society
Shin-Ichi Toyabe, Thoshihiro Kaneko, Akira Suzuki, Ayuko Yasuda
Patient falls are the most frequent adverse events that occur in a hospital. Prevention of inpatient falls is performed by a strategy to target patients at high risk for falls determined by a falls risk assessment system such as the STRATIFY tool. However, the performance of the STRATIFY tool in a Japanese hospital setting has not been determined. We tried to verify the performance of the STRATIFY tool for predicting falls in acutely hospitalized patients in Japan by a multi-center study. A total of 113,413 patients admitted to four acute cares national university hospitals during the period from April 2010 to March 2012 were studied...
July 27, 2016: Global Journal of Health Science
Habip Almis, Ibrahim Hakan Bucak, Capan Konca, Mehmet Turgut
PURPOSE: This study aimed to evaluate the risk factors for falls in hospitalized children in relation to their caregivers. METHODS: This was a case control study to evaluate the risk factors for falls in hospitalized children in relation to their caregivers. The children included in our study were at the hospital between June 2014 and June 2015. Demographic data of patients, caregivers, some habits; education level; and number of siblings were recorded. RESULTS: The data of 117 patients were evaluated, and there were 39 patients with a fall event and 78 patients who did not experience a fall...
October 29, 2016: Journal of Pediatric Nursing
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 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-June 2014 was extracted from the nursing information system and adverse event reporting system of an 818-bed teaching medical centre in Taipei...
March 2017: 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)...
January 2017: Journal of Shoulder and Elbow Surgery
Simeon Joel Zürcher, Christa Vangelooven, Natalie Borter, Daniel Schnyder, Sabine Hahn
AIM: The aim of this study was to test psychometrically 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...
December 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
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