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

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.