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Using research-based interventions to decrease patient falls.

V Kilpack, J Boehm, N Smith

    Applied Nursing Research : ANR
    |May 1, 1991
    PubMed
    Summary
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    This study reduced patient falls on two hospital units by implementing evidence-based nursing interventions. A standardized fall rate calculation method is also proposed for better data comparison.

    Area of Science:

    • Nursing
    • Healthcare Quality Improvement
    • Patient Safety

    Background:

    • Patient falls are a significant concern in healthcare settings, leading to increased morbidity and healthcare costs.
    • Existing nursing literature offers evidence-based interventions to mitigate fall risks.
    • Implementing these interventions requires dedicated support and a systematic approach.

    Purpose of the Study:

    • To decrease patient falls by applying research-based interventions.
    • To evaluate the effectiveness of selected interventions on medical-surgical units.
    • To propose a standardized method for calculating patient fall rates.

    Main Methods:

    • Clinical nurse specialists facilitated the implementation of chosen research-based fall prevention strategies.

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  • Interventions were applied on two adult medical-surgical specialty units within a tertiary care facility.
  • Patient fall data were collected and analyzed over a one-year study period.

    • Main Results:

    • The patient fall rate decreased on the two intervention units during the study.
    • The overall patient fall rate for the entire hospital increased during the same period.
    • This suggests the targeted interventions were effective in reducing falls on the studied units.

    Conclusions:

    • Evidence-based nursing interventions can effectively reduce patient falls in specific hospital units.
    • A standardized approach to calculating fall rates is crucial for accurate institutional comparison.
    • Continued focus on implementing and evaluating fall prevention strategies is essential for patient safety.