2.50
Hdl Handle:
http://hdl.handle.net/10755/154472
Type:
Presentation
Title:
Baseline Data and First Formative Assessment of Intervention Impacts
Abstract:
Baseline Data and First Formative Assessment of Intervention Impacts
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Donaldson, Nancy E., RN, DNSc, FAAN
P.I. Institution Name:UCSF School of Nursing
Title:Director, UCSF Center for Research & Innovation in Patient Care
Co-Authors:Carolyn E. Aydin, PhD; Diane Storer Brown, RN, PhD, FNAHQ; M. Linda Burnes Bolton, RN, DPH
Aim. This paper presents baseline analysis of overall CalNOC falls findings in adult acute care. In addition, a focused formative evaluation analysis of falls in 33 target sites one year post implementation of the coaching intervention to expedite evidence-based improvement is presented. Methods. CalNOC methods are fully described elsewhere (Aydin et al., 2004). The overall baseline was drawn from May 1998 through June 2001 data submitted by 73 CalNOC hospitals, of which 33 hospitals subsequently joined the CalNOC Partners to Reduce Patient Falls Project. A proxy for hospital size, average daily census across sites in this analysis was well distributed. Post implementation formative evaluation data for the 33 intervention hospitals includes both pre and preliminary post descriptive analyses and trends. Findings at Baseline and Early Post Implementation Impact of Coaching Intervention on Falls. Of the 14,183 falls reported to CalNOC prior to implementation of this evidence-based practice project, 9957 (70%) were from medical/surgical units, 3518 (25%) were from step-down units, and 708 (5%) were from critical care units. Within the total sample, the patients' ages ranged from 0 (unknown) to 105 years, with a mean of 68.5 years. Fall risk assessment was documented on 71% of all patients in the sample, of whom 63% were identified as ôat riskö for falling. Most of the falls (92%) were not coded as to their type of fall. When type of fall was coded, 58% of falls were accidental, 19% unanticipated physiologic and 23% anticipated physiologic falls (Morse, 1997). Across all unit types, the CalNOC mean fall rate was 3.2 and the rate of injuries was 0.11. Most injuries (89%) were rated as mild. Post-implementation formative evaluation analysis is now being conducted and will provide a pre, and preliminary post intervention formative evaluation of the target 33 target hospitals and 92 units studied.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleBaseline Data and First Formative Assessment of Intervention Impactsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154472-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Baseline Data and First Formative Assessment of Intervention Impacts</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Donaldson, Nancy E., RN, DNSc, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">UCSF School of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director, UCSF Center for Research &amp; Innovation in Patient Care</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Nancy.Donaldson@nursing.ucsf.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Carolyn E. Aydin, PhD; Diane Storer Brown, RN, PhD, FNAHQ; M. Linda Burnes Bolton, RN, DPH</td></tr><tr><td colspan="2" class="item-abstract">Aim. This paper presents baseline analysis of overall CalNOC falls findings in adult acute care. In addition, a focused formative evaluation analysis of falls in 33 target sites one year post implementation of the coaching intervention to expedite evidence-based improvement is presented. Methods. CalNOC methods are fully described elsewhere (Aydin et al., 2004). The overall baseline was drawn from May 1998 through June 2001 data submitted by 73 CalNOC hospitals, of which 33 hospitals subsequently joined the CalNOC Partners to Reduce Patient Falls Project. A proxy for hospital size, average daily census across sites in this analysis was well distributed. Post implementation formative evaluation data for the 33 intervention hospitals includes both pre and preliminary post descriptive analyses and trends. Findings at Baseline and Early Post Implementation Impact of Coaching Intervention on Falls. Of the 14,183 falls reported to CalNOC prior to implementation of this evidence-based practice project, 9957 (70%) were from medical/surgical units, 3518 (25%) were from step-down units, and 708 (5%) were from critical care units. Within the total sample, the patients' ages ranged from 0 (unknown) to 105 years, with a mean of 68.5 years. Fall risk assessment was documented on 71% of all patients in the sample, of whom 63% were identified as &ocirc;at risk&ouml; for falling. Most of the falls (92%) were not coded as to their type of fall. When type of fall was coded, 58% of falls were accidental, 19% unanticipated physiologic and 23% anticipated physiologic falls (Morse, 1997). Across all unit types, the CalNOC mean fall rate was 3.2 and the rate of injuries was 0.11. Most injuries (89%) were rated as mild. Post-implementation formative evaluation analysis is now being conducted and will provide a pre, and preliminary post intervention formative evaluation of the target 33 target hospitals and 92 units studied.</td></tr></table>en_GB
dc.date.available2011-10-26T13:01:34Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:01:34Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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