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Focused educational intervention improves but may not sustain knowledge regarding falls management
Punith Kempegowda1, Joht Singh Chandan2, Richard Hutton3
1Specialist registrar in Endocrinology, Diabetes and General Internal Medicine, Health Education West Midlands, UK.
A brief educational intervention improved junior doctors' knowledge of patient falls management, but this effect faded over time and did not impact clinical practice. Further strategies are needed for sustained knowledge and improved patient care.
Area of Science:
- Medical Education
- Patient Safety
- Quality Improvement
Background:
- Hospital falls are common, with significant injury rates and associated healthcare costs.
- Junior doctors are key in managing in-hospital falls, necessitating robust knowledge of prevention and post-fall care.
Purpose of the Study:
- To evaluate the knowledge retention of falls management among Foundation Year 1 (FY1) doctors after a targeted educational intervention.
Main Methods:
- A quality improvement project involving a questionnaire administered to 31 FY1 doctors before and after an educational presentation.
- Knowledge assessment at 6 and 16 weeks post-intervention, with data analyzed using unpaired t-tests.
Main Results:
- Mean knowledge scores increased from 73.7% pre-intervention to 85.2% early post-intervention, but declined to 76.4% by 16 weeks.
- The observed knowledge improvement was not sustained long-term and did not translate into changes in clinical practice regarding falls management.
Conclusions:
- Short-term educational interventions can boost knowledge but lack lasting impact on clinical practice for falls management.
- Alternative methods are required to ensure sustained knowledge and facilitate the translation of learning into improved patient safety practices.
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