Development of the Obstetric Falls Risk Assessment System an Innovation for Patient Safety

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Hdl Handle:
http://hdl.handle.net/10755/201777
Category:
Abstract
Type:
Presentation
Title:
Development of the Obstetric Falls Risk Assessment System an Innovation for Patient Safety
Author(s):
Heafner, Linh Hoang; Casalenuovo, Nicole M.; Gawlinski, Anna; Leach, Linda Searle; Suda, Deborah
Lead Author STTI Affiliation:
Non-member
Author Details:
Linh Hoang Heafner,RN, BSN, email: lheafner@mednet.ucla.edu; Nicole M. Casalenuovo RNC, BSN; Anna Gawlinski RN, FAAN; Linda Searle Leach PhD, RN; Deborah Suda RN, MN
Abstract:
(41st Biennial Convention) Current practices among perinatal units for falls risk assessment of the obstetric patient utilize existing fall risk tools created for geriatric and/or medical surgical patients.  The purpose of the Obstetric Falls Risk Assessment System (OFRAS) is to improve safety for hospitalized obstetric patients using an assessment scoring tool and correlating fall prevention interventions.  This poster will describe the phases of development and implementation of an evidence-based OFRAS. In Phase I, an obstetric falls prevention guideline was developed and implemented.  Guideline assessment was based upon obstetric fall risk factors identified by expert perinatal nurses and validated through literature review.  Guideline interventions focused on assisting patients to the bathroom.  Following guideline implementation falls decreased from 6 to 1 in an 8 month period.  The concern with the guideline was that determination of falls risk relied upon nursing clinical judgment.  Literature suggests clinical judgment has comparable accuracy to a fall risk tool but judgment of less experienced nurses may be less accurate. Bias in assessment accuracy due to nursing experience became the rationale for the development of the OFRAS Phase II.  Stratification of obstetric fall risk factors across 5 categories structured the fall risk assessment tool.  Retrospective analysis of obstetric falls patients using the tool revealed additional risk factors, therefore a sixth category was added and the guideline was amended with nursing interventions based on these findings. Phase III aims to complete prospective data collection and analysis to evaluate the OFRAS assessment tool. Implementing an obstetric population falls prevention guideline decreased the number of inpatient falls.  Developing the OFRAS with a scoring tool to determine the patient’s fall risk with interventions reflecting these scores provides a systematic approach for nurses. This is an evidence-based approach to care focusing safety efforts on a typically young, healthy patient population.
Keywords:
obstetrics; falls
Repository Posting Date:
11-Jan-2012
Date of Publication:
4-Jan-2012
Conference Date:
2011
Conference Name:
41st Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Grapevine, Texas, USA
Sponsors:
Sigma Theta Tau International
Description:
41st Biennial Convention Theme: People and Knowledge: Connecting for Global Health. Held at the Gaylord Texan Resort & Convention Center.
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.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleDevelopment of the Obstetric Falls Risk Assessment System an Innovation for Patient Safetyen_GB
dc.contributor.authorHeafner, Linh Hoangen
dc.contributor.authorCasalenuovo, Nicole M.en_US
dc.contributor.authorGawlinski, Annaen_US
dc.contributor.authorLeach, Linda Searleen_US
dc.contributor.authorSuda, Deborahen_US
dc.contributor.departmentNon-memberen_US
dc.author.detailsLinh Hoang Heafner,RN, BSN, email: lheafner@mednet.ucla.edu; Nicole M. Casalenuovo RNC, BSN; Anna Gawlinski RN, FAAN; Linda Searle Leach PhD, RN; Deborah Suda RN, MNen_US
dc.identifier.urihttp://hdl.handle.net/10755/201777-
dc.description.abstract(41st Biennial Convention) Current practices among perinatal units for falls risk assessment of the obstetric patient utilize existing fall risk tools created for geriatric and/or medical surgical patients.  The purpose of the Obstetric Falls Risk Assessment System (OFRAS) is to improve safety for hospitalized obstetric patients using an assessment scoring tool and correlating fall prevention interventions.  This poster will describe the phases of development and implementation of an evidence-based OFRAS. In Phase I, an obstetric falls prevention guideline was developed and implemented.  Guideline assessment was based upon obstetric fall risk factors identified by expert perinatal nurses and validated through literature review.  Guideline interventions focused on assisting patients to the bathroom.  Following guideline implementation falls decreased from 6 to 1 in an 8 month period.  The concern with the guideline was that determination of falls risk relied upon nursing clinical judgment.  Literature suggests clinical judgment has comparable accuracy to a fall risk tool but judgment of less experienced nurses may be less accurate. Bias in assessment accuracy due to nursing experience became the rationale for the development of the OFRAS Phase II.  Stratification of obstetric fall risk factors across 5 categories structured the fall risk assessment tool.  Retrospective analysis of obstetric falls patients using the tool revealed additional risk factors, therefore a sixth category was added and the guideline was amended with nursing interventions based on these findings. Phase III aims to complete prospective data collection and analysis to evaluate the OFRAS assessment tool. Implementing an obstetric population falls prevention guideline decreased the number of inpatient falls.  Developing the OFRAS with a scoring tool to determine the patient’s fall risk with interventions reflecting these scores provides a systematic approach for nurses. This is an evidence-based approach to care focusing safety efforts on a typically young, healthy patient population.en_GB
dc.subjectobstetricsen_GB
dc.subjectfallsen_GB
dc.date.available2012-01-11T10:52:18Z-
dc.date.issued2012-01-04en_GB
dc.date.accessioned2012-01-11T10:52:18Z-
dc.conference.date2011en_US
dc.conference.name41st Biennial Conventionen_US
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_US
dc.conference.locationGrapevine, Texas, USAen_US
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
dc.description41st Biennial Convention Theme: People and Knowledge: Connecting for Global Health. Held at the Gaylord Texan Resort & Convention Center.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.-
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