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Related Experiment Videos

Implementation and evaluation of a nursing home fall management program.

Kimberly Rask1, Patricia A Parmelee, Jo A Taylor

  • 1Center on Health Outcomes and Quality, Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA. krask@emory.edu

Journal of the American Geriatrics Society
|March 8, 2007
PubMed
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A falls management program (FMP) improved care documentation and reduced physical restraint use in nursing homes. While fall rates remained stable in FMP facilities, they increased in those without the program, highlighting its effectiveness.

Area of Science:

  • Gerontology
  • Healthcare Quality Improvement
  • Nursing Home Care

Background:

  • Falls are a significant risk for nursing home residents, leading to injury and increased healthcare costs.
  • Reducing physical restraint use is a key quality initiative for nursing homes.
  • Effective falls management programs are needed to improve resident safety and care quality.

Purpose of the Study:

  • To assess the feasibility and effectiveness of a falls management program (FMP) in nursing homes.
  • To evaluate the impact of the FMP on care processes, fall rates, and physical restraint use.

Main Methods:

  • A quality improvement project involving 19 nursing homes implementing a multifaceted FMP.
  • Intervention included leadership support, dedicated staff, education, and expert consultation.

Related Experiment Videos

  • Data collected on care process documentation, fall rates, and physical restraint use.

    • Main Results:

    • Care process documentation for fall risk management significantly improved.
    • Physical restraint use decreased by 44% in intervention nursing homes.
    • Fall rates remained stable in intervention nursing homes, while increasing by 26% in non-intervention facilities.

    Conclusions:

    • The FMP is a feasible and effective intervention for nursing homes.
    • Implementation of the FMP led to improved care processes and reduced restraint use.
    • The FMP demonstrated effectiveness in stabilizing fall rates compared to facilities without the program.