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Knowledge, Attitudes and Practices of Non-Consultant Hospital Doctors In The Immediate Post-Fall Period

D O’Reilly1, N Rutledge1, C Hurson2

  • 1UCD Intern Training Network

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|November 30, 2018
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Summary

Non-Consultant Hospital Doctors (NCHDs) show gaps in post-fall patient assessment and medication review. Improved training is needed for better injury and fracture prevention in elderly patients.

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Area of Science:

  • Gerontology
  • Medical Education
  • Patient Safety

Background:

  • Falls are a significant concern in elderly patients, leading to injuries and fractures.
  • Effective post-fall assessment and management are crucial for patient outcomes.
  • Current practices of Non-Consultant Hospital Doctors (NCHDs) in immediate post-fall care require evaluation.

Purpose of the Study:

  • To assess the knowledge, attitudes, and practices of NCHDs regarding immediate post-fall management.
  • To identify specific deficits in injury assessment, falls prevention, and fracture prevention among NCHDs.
  • To understand the barriers NCHDs face in implementing optimal post-fall care.

Main Methods:

  • A survey study utilizing an online questionnaire distributed to NCHDs at SVUH.
  • The questionnaire comprised 15 questions covering injury management, falls prevention, and fracture prevention.
  • Descriptive statistics were used to analyze the collected data.

Main Results:

  • A 40% response rate (n=105) was achieved, with respondents reporting dissatisfaction with falls assessment training (mean 4/10).
  • 60-70% of NCHDs do not routinely assess key indicators like hip trauma, syncope, or medication use.
  • Half of respondents rarely or never rationalize medications, citing lack of knowledge, time, and reluctance to interfere with other teams; only 9% consider bone health reviews.

Conclusions:

  • Significant knowledge and practice gaps exist among NCHDs in immediate post-fall care.
  • Barriers such as time constraints and lack of knowledge hinder effective medication rationalization and bone health reviews.
  • A targeted educational program focusing on hip assessment, neurological assessment, syncope management, medication rationalization, and bone protection is recommended.