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Elopement: Evidence-based mitigation and management
Janice E Marlett1, Brooke A Vacovsky1, Elizabeth A Krug1
1Sinai Hospital of Baltimore, LifeBridge Health, Baltimore, Maryland, USA.
Worldviews on Evidence-Based Nursing
|September 30, 2023
Summary
Implementing evidence-based strategies significantly reduced patient elopements and their duration. Structured assessments and prevention measures enhanced patient safety and hospital operations.
Area of Science:
- Healthcare Management
- Patient Safety
- Nursing Research
Background:
- Patient elopement poses risks to safety, hospital reputation, and finances.
- An academic community hospital sought nurse leaders' expertise after a vulnerable patient elopement.
Purpose of the Study:
- To identify evidence-based strategies to reduce patient elopement events.
- To address organizational gaps in elopement assessment, prevention, and response.
Main Methods:
- Conducted a literature review and gap analysis to inform practice change recommendations.
- Critically appraised 55 articles, utilizing 26 for evidence synthesis.
- Developed recommendations based on Population, Intervention, Comparison, and Outcome (PICO) questions.
Main Results:
- Pre-implementation (Jan-Jun 2021): 34 elopement cases, averaging 118 minutes each.
- Post-implementation (Jan-Jun 2022): 12 elopement cases, averaging 24 minutes each.
- Demonstrated a significant reduction in both the number and duration of elopement events.
Conclusions:
- Standardized, evidence-based recommendations effectively reduced patient elopements.
- Structured assessment, precautions, and response are crucial for enhancing patient safety.
- Continuous data analysis and process refinement are vital for sustained improvement in elopement prevention.
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