Pediatric inpatient falls and injuries: a descriptive analysis of risk factors

Patricia L Schaffer1, Nancy M Daraiseh, Lynn Daum

  • 1Research and Evidence-Based Practice, Center for Professional Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA. pat.schaffer@cchmc.org

Insights

Pediatric falls in hospitals are common, with over half causing injuries. Identifying patient and environmental factors is crucial for effective fall prevention strategies to enhance patient safety.

Area of Science:

  • Pediatric healthcare research
  • Patient safety initiatives
  • Injury prevention science

Background:

  • Hospital-acquired falls pose a significant risk to pediatric patients.
  • Understanding contributing factors is essential for developing targeted interventions.
  • Previous research highlights the need for comprehensive safety programs.

Purpose of the Study:

  • To identify patient characteristics associated with falls in a pediatric hospital setting.
  • To determine environmental factors contributing to inpatient pediatric falls.
  • To analyze the incidence and outcomes of falls within a pediatric healthcare facility.

Main Methods:

  • A descriptive study design was employed.
  • Data were collected over a 6-month period from reported inpatient pediatric falls.
  • Analysis focused on patient demographics and fall circumstances.

Main Results:

  • The overall fall prevalence was 0.84 per 1,000 patient days.
  • 58.5% of falls resulted in patient injury, with 17% requiring medical treatment.
  • Injured children were often developmentally appropriate (83%), frequently fell in their hospital room (58%), and some fell from beds (five instances).

Conclusions:

  • Comprehensive fall prevention programs are necessary to mitigate risks.
  • Targeted strategies addressing patient and environmental factors can improve safety.
  • Continuous monitoring and program evaluation are vital for reducing pediatric falls and injuries.
Abstract

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