Spiva and Hart conducted this research whose main aim was to report a review on improvement initiative evident in hospitals. The authors also aimed at determining the effectiveness of a fall prevention program using the fall prevention kit on fall reduction to patients. They used the National Database Nursing Quality indicators where, eight nursing units were identified and used to conduct fall rates from four community hospitals. The fall counteractive action system included line staff instruction, group preparing activity, administration preparing and a fall avoidance pack used to rate the fall cases. The authors used qualitative method to carry out the study and one day training was conducted prior to the implementation of the program. The training purposed to ensure that each unit identified the person who had the strongest commitment to fall prevention. The person identified had to serve some tasks like; being responsible for all the program outcomes, facilitating of team building and managing of all possible changes thereof. Every unit had the order of observing fall cases on week by week and month to month premise. The hospital internal electronic fall database was used to track fall cases that included; assessment scores, fall risks, nursing process for fall prevention and fall characteristics. Narrative summary was used to report the findings that reported decrease in cases related to fall prevention kit and implementing education. Patients were accounted for to experience an occasional perplexity, restricted portability and high hazard drugs that brought about expanded fall rates in the neurology unit. Some limitations were evident in the nursing unit; since, the unit was required to be actively involved in the pilot program lasting for three months. Long range planning was required by units to prevent any conflict that could have interfered with the pilot program. Coordinating the program with the unit-based initiatives, staffing and patient acuity were other limitations experienced. This research proves to lend evidence that supports the fall risk because; post-fall debriefing, patient and staff education together with a fall prevention kit were all availed. The conclusion given by the authors gave the hospital a chance to identify opportunities and evidence-based interventions that they can implement to reduce falls. It also stated that, the hospital had realized that creation of an environment that fosters a working environment where leaders and staff are made accountable would give good support to fall prevention.
Hempel,S., NewBerry, S., Wang, Z., Shekelle, P., Shanman, R., Johnsen, B., Perry, T., Saliba, D., & Ganz, D. (2012). Hospital Fall Prevention: A Systematic Review of Implementation, Components, Adherence, and EffectivenessReview of the Evidence on Falls Prevention in Hospitals.
Hempel, NewBerry, Wang, Shekelle, Shanman, Johnsen, Perry, Saliba and Ganz conducted this research to facilitate the development of hospital falls through the use of prevention resource guide. In their research, the authors aimed at reviewing the characteristic of the tools that could be used in the prevention of falls in hospitals. The research was conducted through a qualitative reviewed approach where, reviewing and documentation of the existing evidence was based on interventions to prevent falls in hospital. This provided an overview of the performance of the existing tools in the hospital; since, all available online resources were compiled together. They used qualitative method to get information that was abstracted from the reliability and validity of tools whose name was also attached. Findings were done to acknowledge whether the tool had been used before in an acute care hospital or if it had been part of validity and reliability evaluation. More information was abstracted to prove whether the tool could give reliable and reproductive results with statistical measure being the best approach. The results given by the authors proved that fall was highly evident in the cute patient’s wards. This paved way for more concern and high care to be given to the acute patients. The importance of the study was to ensure that balance of desire to reduce falls and conservation of hospital resources was highly considered. There were reduced fall rates as recorded after the interventions carried out.
Findings demonstrated that the greater part of the apparatuses utilized were comprehensive of; fall danger evaluation scale and fall reporting techniques. In this research the limitations evident were the ease of applicability, integration of the chosen tools into clinical practice, the time required and resources used. The conclusion gave reports on the large number of evaluations, published resources and many measurement properties used in the study to prevent falls. The instruments and intercessions for utilization in healing center must be assessed in the setting of all the current methodologies, needs of individual and assets accessible.
DiBardino, Cohen and Didwania carried out this study with a purpose to guarantee patient safety and healthcare quality by; reducing in-patient injury, length of stay, health care costs and all litigations involved. The authors purposed in examining available data and evaluation of multidisciplinary fall prevention strategies in acute inpatient setting. They used qualitative method in search for literature on Medline, Cinahl, EMBASE together with the Cochrane library in conducting the research. The medical subject’s used included accidental falls, accidental preventions, inpatients and control fall measures on patients. Primary research studies related to fall prevention and care of inpatient hospital multidisciplinary were the ones that were included in the study. Information was removed and results given as far as fall rate per 1000-patient days in the doctor’s facility. The creators got certainty interims from individual studies. Findings showed that multidisciplinary fall prevention strategies had to have a proven importance on fall rates with a combined OR of 0.90. After hand searching to exclude any irrelevant studies and duplicates, the authors gave results to be 259 on Medline, 94 from Cinahl, 2results from the Cochrane Library and 4 from EMBASE. Incomplete data were reported on acute inpatient wards due to the exclusion of the study by pooling between acute inpatient wards and rehabilitation wards. There was reduced fall rate of 1.16 to 1.5 per 1000 patient days. The absence of a high quality evidence to demonstrate a viable solution to the fall problem was a limitation of this research. When fall related injuries occurred during an acute inpatient hospitalization, there was a limitation in terms of reimbursement to such cases. In their conclusion, the authors talked about the significance of fall prevention and small effect on fall rates. According to the authors, this could not be prevented by the use of complex and multidisciplinary interventions.
Hardin, Dienemann, Rudisill and Mills performed this research with a purpose of comparing inpatient falls in medical-surgical units with or without Webcams. The authors proposed to survey the utilization of Morse Risk Assessment that was best in distinguishing falling danger.There were 10 hospitals that exceeded the benchmark for fall cases in the area; hence, they were chosen as specimens for the study. The authors talked about the random assigning of a medical surgical unit in each of the 10 hospitals, which were further assigned to an intervention group. Tolerant beds were seen with a focal observing framework by the intercession assemble that was present at work. The patients who had a Morse Risk Assessment were put in a virtual bed rail for the study to be well effected. The results given by the authors showed that the consent rate was 20.7percent of the intervention group. There was a significant difference of (P≤0.005) which was evident in groups, even though it was found to be having a fall rate per 1000 admissions. On the other side, there was no significance difference that was found in fall rate per 1000 patient days. The Morse Risk Assessment was found to be a very important predictor of risk on matters to do with fall of patients in hospitals. In their conclusion, the authors gave evidence that Webcams were a better option that could be used to increase surveillance for high-risk patients in hospitals. The utilization of MRA with a 50 plus score was suggested for use in avoiding falls that occurred in patients. In this type of intervention there is a need for more research that has to be conducted to ensure effectiveness is guaranteed in preventing falls on various inpatient units in the hospital.
DiBardino, D., Cohen, E., & Didwania, A. (2012). Meta-analysis: Multidisciplinary Fall Prevention Strategies in the Acute Care Inpatient Population. Journal of Hospital Medicine Vol 7 | No 6
Hardin, S., Dienemann, J., Rudisill, P., & Mills, K. (2013). Inpatient Fall Prevention: Use of In-room Webcams. Journal Patient Safety. Vol. 9, No. 1
Hempel,S., NewBerry, S., Wang, Z., Shekelle, P., Shanman, R., Johnsen, B., Perry, T., Saliba, D., & Ganz, D. (2012). Review of the Evidence on Falls Prevention in Hospitals. Rand
Spiva, L.A., Hart, Patricia. (2013). Evidence-Based Interventions for preventing Falls in Acute Care Hospitals. Journal of The American Nurses.V.16:1-8