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Related Concept Videos

Types of Reports II: Incident or Occurrence Report01:21

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Related Experiment Video

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Design and Analysis for Fall Detection System Simplification
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Patient falls while under supervision: trends from incident reporting.

Matthew Roberts1

  • 1Anticoagulation Nurse Specialist, Queen's Medical Centre, Nottingham.

British Journal of Nursing (Mark Allen Publishing)
|June 8, 2023
PubMed
Summary

Despite enhanced patient supervision, falls still occurred, sometimes with greater harm. Research is needed to understand why more male patients fell and to balance patient safety with dignity, especially in bathrooms.

Keywords:
Care of older adultsEnhanced supervisionFallsIncident reportingPatient safety

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Area of Science:

  • Healthcare quality and safety
  • Patient fall prevention strategies
  • Clinical risk management

Background:

  • Patient falls are a significant concern in healthcare settings.
  • Enhanced supervision is a common strategy to prevent falls.
  • Existing data on the effectiveness of enhanced supervision is limited.

Purpose of the Study:

  • To determine the incidence of falls among patients under enhanced supervision.
  • To analyze the severity of harm resulting from falls during enhanced supervision.
  • To identify patient demographics and locations associated with falls under supervision.

Main Methods:

  • Retrospective analysis of electronic incident reporting system data.
  • Inclusion of data from one large UK hospital trust's division.
  • Examination of falls occurring during enhanced patient supervision by nurses or healthcare assistants.

Main Results:

  • Patients under enhanced supervision experienced falls, with some suffering greater harm than unsupervised patients.
  • A higher number of male patients fell while under supervision compared to female patients.
  • Falls frequently occurred in bathrooms, where patients were sometimes left unattended.

Conclusions:

  • Enhanced supervision alone may not be sufficient to prevent all patient falls.
  • Further research is required to understand gender-specific fall risks and contributing factors.
  • Balancing patient dignity with safety, particularly in areas like bathrooms, remains a critical challenge.