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Cancer patients are at high risk for falls. An Ambulatory Fall Risk Bundle did not change fall rates, highlighting the need for policy changes and enhanced resources to improve patient safety.

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Area of Science:

  • Oncology Nursing
  • Patient Safety
  • Quality Improvement

Background:

  • Patients undergoing cancer treatment face significant fall risks.
  • Current guidelines for outpatient oncology fall prevention are lacking.
  • This study addresses the need for evidence-based fall risk management in cancer care.

Purpose of the Study:

  • To analyze outpatient oncology fall data and identify root causes.
  • To develop and implement fall prevention strategies.
  • To evaluate the impact of an Ambulatory Fall Risk Bundle on fall rates.

Main Methods:

  • Retrospective analysis of 58 patient falls over 12 months.
  • Comparison of fall rates per 10,000 appointments pre- and post-intervention.
  • Qualitative interviews with healthcare staff to assess initiative impact.

Main Results:

  • Chemotherapy patients (79%) were most affected by falls.
  • Common fall causes included dizziness, weakness, and environmental hazards.
  • No significant change in fall rates was observed post-intervention.

Conclusions:

  • Systemic policy and cultural shifts are crucial for reducing falls.
  • Investment in resources and evidence-based protocols is necessary.
  • Recommendations include implementing orthostatic vital sign protocols and enhancing EMR alerts.