2.50
Hdl Handle:
http://hdl.handle.net/10755/203136
Category:
Abstract
Type:
Presentation
Title:
A Fall Risk Assessment Scoring System for Hospitalized Pregnant Women
Author(s):
Leach, Linda Searle; Heafner, Linh; Casalenuovo, Nicole; Gawlinski, Anna
Author Details:
Linda Searle Leach, PhD, RN; email: lleach@sonnet.ucla.edu
Abstract:
(Improvement Science Research Network) Background: Falls pose significant risks to patients. Prevention efforts have focused on geriatric and medical/surgical patients. Most associated risk factors are not salient for obstetric patients nor are existing fall risk tools. Pregnancy is not an illness and the incidence of falls is low but risks can increase during hospitalization for childbirth. A systematic risk assessment tool specific to the obstetric population is needed to prevent falls in these patients and increase perinatal staff awareness of risk assessment. Purpose: Pilot testing an innovation using an evidence-based risk assessment scoring system, the Obstetric Falls Risk Assessment System (OFRAS), to improve patient safety by determining fall risk among pregnant women during hospitalization. Materials and Methods: Evidence from the literature and an expert panel contributed to identifying the fall risk factors in this patient population. These were stratified into six categories: cardiovascular, postpartum hemorrhage, medication, motor/activity, neurological function and prior history and scores for items in each category were assigned. The scoring system was integrated into the electronic medical record. Seven patient falls and fourteen near misses were analyzed retrospectively using the OFRAS. Results: The analysis revealed strengths and weaknesses of the OFRAS and was used to refine the system. Since OFRAS was implemented, no obstetric patient falls have occurred. Staff vigilance to falls prevention has increased the reporting of 'near miss' falls suggesting improved assessment, early risk identification and intervention. Conclusions: An obstetric falls risk assessment tool using a scoring system to determine the patient's risk provides a structured systematic approach for RNs to use that is evidence-based and focuses safety efforts on a typically young, healthy patient population. Research to analyze readiness to ambulate among epiduralized obstetric patients post anesthesia using OFRAS is planned and an application for institutional review is underway. Additional implementation sites are needed to evaluate the effectiveness of the scoring system. [© Improvement Science Research Network, 2011. http://www.improvementscienceresearch.net/.]
Keywords:
Risk; Pregnant
Repository Posting Date:
16-Jan-2012
Date of Publication:
3-Jan-2012
Sponsors:
UTHSCSA Improvement Science Research Network
Note:
Item supplied by the event sponsor in abstract-only format. Please contact the author(s) (if contact information is listed) and/or the event sponsor to obtain a full-text copy of this item.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_US
dc.titleA Fall Risk Assessment Scoring System for Hospitalized Pregnant Womenen_GB
dc.contributor.authorLeach, Linda Searleen_US
dc.contributor.authorHeafner, Linhen_US
dc.contributor.authorCasalenuovo, Nicoleen_US
dc.contributor.authorGawlinski, Annaen_US
dc.author.detailsLinda Searle Leach, PhD, RN; email: lleach@sonnet.ucla.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/203136-
dc.description.abstract(Improvement Science Research Network) Background: Falls pose significant risks to patients. Prevention efforts have focused on geriatric and medical/surgical patients. Most associated risk factors are not salient for obstetric patients nor are existing fall risk tools. Pregnancy is not an illness and the incidence of falls is low but risks can increase during hospitalization for childbirth. A systematic risk assessment tool specific to the obstetric population is needed to prevent falls in these patients and increase perinatal staff awareness of risk assessment. Purpose: Pilot testing an innovation using an evidence-based risk assessment scoring system, the Obstetric Falls Risk Assessment System (OFRAS), to improve patient safety by determining fall risk among pregnant women during hospitalization. Materials and Methods: Evidence from the literature and an expert panel contributed to identifying the fall risk factors in this patient population. These were stratified into six categories: cardiovascular, postpartum hemorrhage, medication, motor/activity, neurological function and prior history and scores for items in each category were assigned. The scoring system was integrated into the electronic medical record. Seven patient falls and fourteen near misses were analyzed retrospectively using the OFRAS. Results: The analysis revealed strengths and weaknesses of the OFRAS and was used to refine the system. Since OFRAS was implemented, no obstetric patient falls have occurred. Staff vigilance to falls prevention has increased the reporting of 'near miss' falls suggesting improved assessment, early risk identification and intervention. Conclusions: An obstetric falls risk assessment tool using a scoring system to determine the patient's risk provides a structured systematic approach for RNs to use that is evidence-based and focuses safety efforts on a typically young, healthy patient population. Research to analyze readiness to ambulate among epiduralized obstetric patients post anesthesia using OFRAS is planned and an application for institutional review is underway. Additional implementation sites are needed to evaluate the effectiveness of the scoring system. [© Improvement Science Research Network, 2011. http://www.improvementscienceresearch.net/.]en_GB
dc.subjectRisken_GB
dc.subjectPregnanten_GB
dc.date.available2012-01-16T10:56:54Z-
dc.date.issued2012-01-03en_GB
dc.date.accessioned2012-01-16T10:56:54Z-
dc.description.sponsorshipUTHSCSA Improvement Science Research Networken_GB
dc.description.noteItem supplied by the event sponsor in abstract-only format. Please contact the author(s) (if contact information is listed) and/or the event sponsor to obtain a full-text copy of this item.-
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