2.50
Hdl Handle:
http://hdl.handle.net/10755/183029
Category:
Abstract
Type:
Presentation
Title:
Evaluation of Hourly Rounding to Reduce Patient Falls
Author(s):
Schurr, Elizabeth; Spanolios, A.; Mason, T.
Author Details:
Elizabeth Schurr, RN, OCN, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, email: Elizabeth.Schurr@moffitt.org; A. Spanolios; T. Mason
Abstract:
Purpose: We observed an increase in falls on our unit in 2008 after the population became almost entirely Malignant Hematology. Worse, some falls resulted in significant injury. We sought an evidence-based change in bedside practice that would reduce our fall rate. Method: The purpose of this abstract is to describe one unit's attempt to reduce patient falls using hourly rounding. Members of the unit Outcomes Management committee, along with the Leadership group, discussed current evidence-based activities geared toward falls reduction. Hourly rounding was frequently cited in the literature and a decision was made to present this research to the staff at large. An in depth review of 22 falls from 1/01/08 to 9/30/08 was performed by the Outcomes Management Committee. In 68% of the falls, tolieting or bathing was cited as a contributing factor. At our unit offsite staff meeting in November, 2008, an hour long seminar on falls including prevention using hourly rounding was presented to the entire staff. After discussion the staff voted to begin hourly rounds at the end of December, 2008. Sample "scripts", schedules, and assignment of responsibilities were devised. Additional training and education was conducted for our Oncology Technicians in February, 2008 because they are the primary rounders and our first line in combating falls. Further reminders and education was provided at staff meetings and our monthly Safety Alert memos from the Outcomes Management Committee. Findings: A review of falls on our unit from 1/01/09 to 9/30/09 was performed. During this time, our falls increased to 27 from 22, again with 67% of them related to bathing or using the toilet. Fortunately, there were no serious injuries. Discussion: While hourly rounding sounded like a wonderful tool to reduce our falls, that intervention alone has not been enough. Our discussions now lead us to search for additional evidence based solutions to this problem. One possible area we may explore is any correlation between falling and length of stay, time since receiving treatment with heavy concentrations of chemotherapy, and fall correlation with neutropenia. Until we develop a new plan, we will continue hourly rounding.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
7th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Naples, Florida, USA
Description:
7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, Florida, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleEvaluation of Hourly Rounding to Reduce Patient Fallsen_GB
dc.contributor.authorSchurr, Elizabethen_US
dc.contributor.authorSpanolios, A.en_US
dc.contributor.authorMason, T.en_US
dc.author.detailsElizabeth Schurr, RN, OCN, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, email: Elizabeth.Schurr@moffitt.org; A. Spanolios; T. Masonen_US
dc.identifier.urihttp://hdl.handle.net/10755/183029-
dc.description.abstractPurpose: We observed an increase in falls on our unit in 2008 after the population became almost entirely Malignant Hematology. Worse, some falls resulted in significant injury. We sought an evidence-based change in bedside practice that would reduce our fall rate. Method: The purpose of this abstract is to describe one unit's attempt to reduce patient falls using hourly rounding. Members of the unit Outcomes Management committee, along with the Leadership group, discussed current evidence-based activities geared toward falls reduction. Hourly rounding was frequently cited in the literature and a decision was made to present this research to the staff at large. An in depth review of 22 falls from 1/01/08 to 9/30/08 was performed by the Outcomes Management Committee. In 68% of the falls, tolieting or bathing was cited as a contributing factor. At our unit offsite staff meeting in November, 2008, an hour long seminar on falls including prevention using hourly rounding was presented to the entire staff. After discussion the staff voted to begin hourly rounds at the end of December, 2008. Sample "scripts", schedules, and assignment of responsibilities were devised. Additional training and education was conducted for our Oncology Technicians in February, 2008 because they are the primary rounders and our first line in combating falls. Further reminders and education was provided at staff meetings and our monthly Safety Alert memos from the Outcomes Management Committee. Findings: A review of falls on our unit from 1/01/09 to 9/30/09 was performed. During this time, our falls increased to 27 from 22, again with 67% of them related to bathing or using the toilet. Fortunately, there were no serious injuries. Discussion: While hourly rounding sounded like a wonderful tool to reduce our falls, that intervention alone has not been enough. Our discussions now lead us to search for additional evidence based solutions to this problem. One possible area we may explore is any correlation between falling and length of stay, time since receiving treatment with heavy concentrations of chemotherapy, and fall correlation with neutropenia. Until we develop a new plan, we will continue hourly rounding.en_GB
dc.date.available2011-10-28T16:11:31Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:11:31Z-
dc.conference.date2010en_US
dc.conference.name7th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationNaples, Florida, USAen_US
dc.description7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, Florida, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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