2.50
Hdl Handle:
http://hdl.handle.net/10755/156569
Type:
Presentation
Title:
An Evidence-Based Practice Approach to Reduce Patient Falls
Abstract:
An Evidence-Based Practice Approach to Reduce Patient Falls
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Rickabaugh, Barbara, RN, MS
P.I. Institution Name:University of California Davis Medical Center
Title:Clinical Nurse Specialist - Research
Co-Authors:Gail Easter, RN, MS; Linda Moore, RN, BSN, MPA; Anita Garvey, RN, ND
Purpose: This presentation describes an approach to reduce patient falls in a large university hospital. A comprehensive evidence-based plan was developed to reduce patient falls. The implementation of one simple strategy caused a 37% reduction in patient falls. Further decline in the patient fall rate is anticipated as the plan unfolds. Method: + The 2003 data indicated an average of 2.7 falls/1000 patient days (range: 0-8.4 for individual patient care areas). Sixty-seven percent (67%) of falls occurred to and from bed or bathroom. The Evidence-based Practice Committee (EBPC) felt improvement was indicated. + A literature review was conducted on patient falls and nurse staffing, fall risk factors, fall assessment instruments and interventions in an acute care setting. + Based on the evidence from the literature review, the committee decided on the following interventions: 1) place the bed in low position with three rails up and the bottom rail down on the exiting side of the bed, 2) place a poster in view reminding the patient and family to call for assistance, 3) incorporate a Risk Factor Assessment every 24 hours and after change in status via the electronic medical record system (EMR), 4) generate an automatic request via EMR for pharmacy medication review on select high risk patients. + Prior to the beginning of the three rails up, one down campaign, an educational program using the train-the-trainer concept was provided for assistant nurse managers, clinical resource nurses and unit safety officers. Evaluation: + The monthly patient fall rate declined to an average of 1.7/1000 patient days (37% reduction) after the implementation of this evidence-based approach. Conclusion: Some of the EBPC recommendations have been successfully implemented into clinical practice. The results have been encouraging and patient safety has improved.
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.titleAn Evidence-Based Practice Approach to Reduce Patient Fallsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156569-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Evidence-Based Practice Approach to Reduce Patient Falls</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">Rickabaugh, Barbara, RN, MS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of California Davis Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse Specialist - Research</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">barbara.rickabaugh@ucdmc.ucdavis.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Gail Easter, RN, MS; Linda Moore, RN, BSN, MPA; Anita Garvey, RN, ND</td></tr><tr><td colspan="2" class="item-abstract">Purpose: This presentation describes an approach to reduce patient falls in a large university hospital. A comprehensive evidence-based plan was developed to reduce patient falls. The implementation of one simple strategy caused a 37% reduction in patient falls. Further decline in the patient fall rate is anticipated as the plan unfolds. Method: + The 2003 data indicated an average of 2.7 falls/1000 patient days (range: 0-8.4 for individual patient care areas). Sixty-seven percent (67%) of falls occurred to and from bed or bathroom. The Evidence-based Practice Committee (EBPC) felt improvement was indicated. + A literature review was conducted on patient falls and nurse staffing, fall risk factors, fall assessment instruments and interventions in an acute care setting. + Based on the evidence from the literature review, the committee decided on the following interventions: 1) place the bed in low position with three rails up and the bottom rail down on the exiting side of the bed, 2) place a poster in view reminding the patient and family to call for assistance, 3) incorporate a Risk Factor Assessment every 24 hours and after change in status via the electronic medical record system (EMR), 4) generate an automatic request via EMR for pharmacy medication review on select high risk patients. + Prior to the beginning of the three rails up, one down campaign, an educational program using the train-the-trainer concept was provided for assistant nurse managers, clinical resource nurses and unit safety officers. Evaluation: + The monthly patient fall rate declined to an average of 1.7/1000 patient days (37% reduction) after the implementation of this evidence-based approach. Conclusion: Some of the EBPC recommendations have been successfully implemented into clinical practice. The results have been encouraging and patient safety has improved.</td></tr></table>en_GB
dc.date.available2011-10-26T14:54:39Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:54:39Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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