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Patient Activation Related to Fall Prevention: A Multisite Study.

Taylor L Christiansen, Stuart Lipsitz, Maureen Scanlan

    Joint Commission Journal on Quality and Patient Safety
    |January 18, 2020
    PubMed
    Summary

    The Fall TIPS program significantly improved patient activation in fall prevention. Patients involved in the program showed increased knowledge, skill, and confidence in managing their safety.

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    Area of Science:

    • Healthcare quality improvement
    • Patient safety research
    • Health behavior change

    Background:

    • Inpatient falls pose a significant risk, leading to injuries.
    • The Fall TIPS (Tailoring Interventions for Patient Safety) program is an evidence-based intervention for preventing falls.
    • Understanding patient engagement is crucial for effective fall prevention strategies.

    Purpose of the Study:

    • To evaluate the impact of the Fall TIPS program on patient activation.
    • To assess changes in patients' knowledge, skills, and confidence regarding fall prevention.

    Main Methods:

    • A pre- and post-intervention survey design was employed.
    • The Patient Activation Measure (PAM-13) adapted for fall prevention was used.
    • Data were collected from 343 adult patients across three healthcare systems.

    Main Results:

    • Patient activation significantly improved across all participating sites (p < 0.0001 for BWH and MMC, p = 0.0373 for NYP).
    • The overall mean PAM score increased from 63.82 to 80.88.
    • These findings indicate a substantial enhancement in patient engagement with fall prevention.

    Conclusions:

    • The Fall TIPS program enhances patient activation and engagement in fall prevention plans.
    • Healthcare teams should actively involve patients in their fall prevention strategies.
    • Increased patient knowledge, skill, and confidence are key outcomes of this intervention.