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CE: Original Research: Predicting Injurious Falls in the Hospital Setting: Implications for Practice.

Amy L Hester1, Pao-Feng Tsai, Mallik Rettiganti

  • 1Amy L. Hester is the director of nursing research and innovation at the University of Arkansas for Medical Sciences (UAMS) Medical Center, Little Rock. Pao-Feng Tsai is a professor of nursing and Anita Mitchell is an associate professor of nursing at UAMS College of Nursing. Mallik Rettiganti is an assistant professor of pediatrics at UAMS College of Medicine, as well as an assistant professor of biostatistics at UAMS College of Public Health. Contact author: Amy L. Hester, hesteramyl@uams.edu. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.

The American Journal of Nursing
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PubMed
Summary
This summary is machine-generated.

Hospitalized adults with ill-defined diagnoses are at higher risk for injurious falls. This finding aids in identifying at-risk patients and improving fall injury prevention strategies.

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Area of Science:

  • Gerontology
  • Patient Safety
  • Healthcare Quality

Background:

  • Falls are a leading adverse event in hospitalized adults, despite extensive research.
  • Existing research primarily addresses general fall prediction and prevention, neglecting injurious falls.

Purpose of the Study:

  • To identify patient-specific factors associated with injurious falls in hospitalized adults.
  • To inform targeted interventions for preventing fall-related injuries.

Main Methods:

  • Retrospective analysis of 1,369 falls in hospitalized adults from January 2006 to October 2013.
  • Examined variables including demographics, medical history, medications, cognitive status, diagnoses, and mobility.
  • 381 (27.8%) of falls resulted in injury.

Main Results:

  • A primary discharge diagnosis of "symptoms, signs, and ill-defined conditions" was significantly associated with injurious falls.
  • This specific diagnosis emerged as a key predictor of fall-related injuries.

Conclusions:

  • Identifying patients with "symptoms, signs, and ill-defined conditions" can help pinpoint those at higher risk for injurious falls.
  • These findings can guide the development of more effective fall injury prevention interventions in hospital settings.