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Integration of evidence into practice and the change process: fall prevention program as a model.

C B Stetler¹, B Corrigan, K Sander-Buscemi

¹Division of Nursing, Baystate Medical Center, Springfield, MA 01199, USA.

Outcomes Management for Nursing Practice

|December 22, 1999

Summary

A new fall prevention program was implemented in an academic medical center. This initiative successfully reduced patient falls by promoting evidence-based practice among clinical staff.

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Area of Science:

Healthcare quality improvement
Patient safety research
Clinical practice innovation

Background:

Patient falls are a significant concern in acute care settings.
Traditional practices may not always align with current evidence.
Need for structured programs to integrate evidence into daily clinical work.

Purpose of the Study:

To describe the implementation of a dynamic, evidence-based fall prevention program.
To foster a culture of evidence-based thinking among healthcare professionals.
To provide a replicable model for enhancing clinical practice.

Main Methods:

Initiated a fall prevention program at an academic medical center.
Utilized a dynamic, evidence-based framework.
Collected and integrated evidence from multiple sources.
Engaged clinical managers and staff in the process.

Main Results:

Clinical practice shifted towards evidence-based decision-making.
Reduced reliance on tradition and unsystematic experiences.
Enhanced staff engagement in evidence-based practice.

Conclusions:

The implemented program successfully promoted evidence-based practice.
The method is replicable in other acute care settings.
This approach contributes to reducing patient falls and improving care quality.