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.
Abstract