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Creating an Implementation Enhancement Plan for a Digital Patient Fall Prevention Platform Using the CFIR-ERIC

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  • 1Australian e-Health Research Centre, Health and Biosecurity, Commonwealth Scientific and Industrial Research Organisation, Herston, QLD 4029, Australia.

International Journal of Environmental Research and Public Health
|March 11, 2023
PubMed
Summary

This study identified key enablers and barriers to implementing digital fall prevention workflows in hospitals. The findings offer a blueprint for enhancing the adoption of such technologies to reduce inpatient falls and harm.

Keywords:
Consolidated Framework for Implementation ResearchExpert Recommendations for Implementing Changedigital workflowenhancement planfall preventionplatform

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Area of Science:

  • Healthcare implementation science
  • Patient safety research
  • Digital health interventions

Background:

  • Inpatient falls are a significant cause of hospital-acquired complications and patient harm.
  • Existing fall prevention interventions lack clarity on effectiveness and optimal implementation strategies.
  • A digital fall prevention workflow was targeted for improved uptake using implementation theory.

Purpose of the Study:

  • To develop an implementation enhancement plan for a digital fall prevention workflow.
  • To identify barriers and enablers to the adoption of fall prevention technologies.
  • To utilize implementation science frameworks to guide strategy development.

Main Methods:

  • Qualitative study involving focus groups and interviews with 12 participants across four inpatient wards.
  • Data coded using the Consolidated Framework for Implementation Research (CFIR).
  • Barriers and enablers mapped to the Expert Recommendations for Implementing Change (ERIC) tool to create an enhancement plan.

Main Results:

  • Key enablers included relative advantage, access to knowledge, and leadership engagement.
  • Prominent barriers involved access to knowledge, available resources, and intervention compatibility.
  • Six intervention clusters emerged: train/educate, financial strategies, context adaptation, consumer engagement, evaluative strategies, and stakeholder relations.

Conclusions:

  • Identified enablers and barriers align with existing literature on implementation.
  • The approach, integrating CFIR and ERIC, provides a practical blueprint for enhancing technology implementation.
  • This strategy is expected to improve the adoption of digital fall prevention platforms and similar workflow technologies.