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Updated: Aug 19, 2025

Design and Analysis for Fall Detection System Simplification
Published on: April 6, 2020
Risk management: implementation of a clinical protocol for the prevention and management of pediatric falls
Geisa Fonseca Rebouças1, Cândida Caniçali Primo1, Paula de Souza Silva Freitas1
1Universidade Federal do Espírito Santo (UFES), Programa de Pós-Graduação em Enfermagem. Vitória, Espírito Santo, Brasil.
Insights
A new pediatric fall prevention protocol was implemented in a Brazilian hospital. This evidence-based approach, including educational materials and the Humpty Dumpty Falls Scale, involves families and professionals in fall risk management.
Area of Science:
- Healthcare Management
- Patient Safety
- Pediatric Nursing
Background:
- Pediatric falls pose a significant risk in healthcare settings.
- Effective fall prevention strategies are crucial for patient safety.
- Standardized protocols are needed for managing pediatric fall risks.
Purpose of the Study:
- To describe the development and implementation of a pediatric fall prevention and management protocol.
- To enhance patient safety in pediatric care through a structured approach.
- To outline the process of creating and deploying a fall prevention protocol in a hospital setting.
Main Methods:
- Action research methodology was employed in a public hospital in Southeast Brazil.
- A multidisciplinary team collaborated on protocol development, including literature review and group meetings.
- Online training was conducted for all professionals, followed by protocol implementation.
Main Results:
- A comprehensive pediatric fall prevention protocol was successfully implemented.
- Educational materials were created to support the protocol.
- The Humpty Dumpty Falls Scale was adopted for pediatric fall risk assessment.
Conclusions:
- The protocol development and implementation were collaborative and participatory.
- The protocol and educational materials standardize care based on best evidence.
- The initiative actively involves patients, families, and healthcare professionals in fall risk management.
Objective:
To describe the process of elaboration and implementation of a protocol for the prevention and management of pediatric falls.
Method:
This was an actionresearch developed at a public hospital in Southeast Brazil with 10 members of the multidisciplinary team from the pediatrics, maternity, neonatal intensive care sectors, and the patient safety center. To elaborate the protocol, literature review, three meetings with the group, and two rounds ofonline correction were carried out. Online training was carried out for all professionals and then the use of the protocol was started at the sectors.
Results:
A pediatric fall prevention protocol was implemented. Educational materials were developed and the Humpty Dumpty Falls Scale was chosen to assess the risk of falling.
Conclusion:
The process was conducted in a collective and participatory way. The protocol and the educational materials guide and standardize behavior based on the best evidence and involve users, family members and professionals in the management of the risk of falling.

